Supervisor - Accounts Receivable

UHS•Tredyffrin Township, PA

About The Position

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. The Accounts Receivable (A/R) Supervisor has day to day oversight of all insurance accounts receivable functions including outstanding insurance claims (no response), insurance denials/appeals with a primary focus on maximizing insurance revenue collection. This role will also closely monitors at-risk accounts and prioritizes these encounters to avoid potential timely filing write-offs.

Requirements

Bachelor's degree preferred with a minimum of 5-8 years' experience working in healthcare revenue cycle.
Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, claim submission requirements and other related industry terminology and practical use. Thorough understanding of the revenue cycle and how the various components work together
Excellent verbal/written communication skills. Proven track record of leadership ability. Results oriented with a proven track record of accomplishing tasks and building high-performing teams. Strong interpersonal and organization skills. Service-oriented/customer-centric. Microsoft Office. Strong computer literacy skills

Nice To Haves

Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable. Microsoft skills required (i.e., Excel, Power Point)

Responsibilities

Monitor daily outstanding insurance A/R volumes by payer and aging category to ensure that all outstanding accounts are being worked timely. Utilizes various reporting tools to analyze AR and prioritize encounters that need to be worked. Uses reporting tools to measure results and monitor outcomes of completed projects
Prepare productivity reports daily and monitors results. Immediately addresses unexplained increases or decreases with staff. Coaches staff to help them achieve optimal productivity results.
Conduct weekly quality reviews for each AR Specialist. Meet with staff routinely to review quality results. Coaches staff to help them achieve optimal quality results. Analyze aggregate quality data to identify training needs for the department. Establish and drives standardization of work flows to promote the adoption of “best practices” and to maximize efficiencies
Collaborate with the team to determine root causes on unpaid, underpaid or denied claims, Identifies solutions and works with CBO, Market and / or payers to implement enhancements to prevent future denials or payment discrepancies
Maintain an expanded knowledge base and thorough understanding of PMS functionality, claims processing, payment posting, ERA processing, Claim Adjustment Reason Codes, Remittance Advice Remark Codes, contract variances (underpayments) and appeal processes. Serve as the point of second-level escalation for resolution of complex issues that arise on a daily basis.
Provide excellent service to internal and external customers by providing clear and concise answers to questions or follow-up items in a responsive and positive fashion. Work collaboratively with Practice Administrators / Managers to resolve daily issues as needed
Participate in the employment hiring process for the AR Department. Prepare well thought-out, tangible and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectation