Supervisor, Billing & Collections

Enovis

1d•Remote

About The Position

At Enovis™ we pay attention to the details. We embrace collaboration with our partners and patients, and take pride in the pursuit of scientific excellence — with the goal of transforming medical technology as we know it. Because that’s how we change the lives of patients for the better. And that’s how we create better together. As a key member of the Revenue Cycle Management Team, you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes. The Supervisor, Billing & Collections, provides leadership, oversight, and guidance to the RCM Billing & Collections Team and related operations. This position is responsible for oversight of insurance claim follow-up, appeal submissions, patient collections, and the cash application processes, which include developing and improving operational goals of the department, ensuring accurate and timely completion of AR follow-up, cash posting, and variance reconciliation, including unapplied balances.

Requirements

Bachelor’s Degree in Accounting, Finance, Business Administration, or related field equivalent required. Experience may be considered in lieu of a degree.
Minimum of 3 years of Revenue Cycle Management experience required.
Minimum of 3 years of experience managing an outsourced billing/collections vendor required.
Demonstrated experience leading teams required.
Demonstrated knowledge of hospital and professional billing processes and reimbursement, Medicare and Medicaid and appeals, third-party contracts, insurance protocols, delay tactics, systems and workflows, and federal and state regulations.
Knowledge of and experience with clearinghouse transaction type 835 (Health Care Claim Payment/Advice) required.
Knowledge of and experience with practice management systems required.
Must be able to travel up to 10% of the time; both domestic and international travel is required. Typical work-related travel assignments range from 1 to 5 days, and as such, overnight, out-of-town stays are required.
Applicants must already have full-time work authorization in the United States, both now and in the future, without requiring sponsorship.

Nice To Haves

Previous experience managing people strongly preferred.

Responsibilities

Achieves assigned targets for cash collections and unapplied cash reduction.
Oversees offshore vendor performing end-to-end Revenue Cycle Management (RCM) services.
Oversees the operations of the billing, collections and cash applications team which includes denial follow up, aged accounts receivables, and cash applications.
Plans and directs patient insurance documentation, billing and collections, and account reconciliation to ensure accurate billing and efficient account collection.
Partners with RCM Leadership to coordinate and resolve difficulties within the department by implementing process changes and/or leading process improvement initiatives, reviewing and defining problems, suggesting procedural changes when necessary, and suggesting courses of action.
Manages the review and resolution of payment variances and credit balance processes.
Manages the number of electronic 835 payers and ensures they are set up to post electronically to the patient accounting system.
Manages the number of payments processed by the bank and transferred via lockbox for posting.
Ensures accurate denial follow up and cash posting.
Partners with RCM Leadership to act as a liaison between the Finance Team, the RCM AR Team, the bank, and payment processing merchants regarding banking and accounting for the lockbox, payments, and refund checks.
Maintains contact with other departments to obtain and analyze additional patient information to document and process billings.
Uses data to generate key insights including variances to best practice, current performance, process change adoption levels, and pain points.
Analyzes billing and claims for accuracy and completeness and collects and compiles accurate statistical reports.