Supervisor, HCS Reclamation Operations (Medicare & Medicaid Focus)

Performant Corp•Plantation, FL

11d•$70,000 - $82,000•Remote

About The Position

The Supervisor, HCS Reclamation Operations oversees and supports daily business operations for Performant’s Post-Payment Reclamation-related solutions. We are looking for a candidate with a strong knowledge of Medical claims billing and recovery. Must have a vast knowledge in Medicare regulations, Medical terminology, medical coding, forms UB04 and CMS 1500. This role will require the ability to gather and interpret explanation of benefits (EOB) and Provider feedback to answer questions and assist recovery teams with Provider and Network communications. They will leverage their knowledge in Medical and Rx billing and recovery, with a focus on Medicaid and Medicare rules and regulations; paired with leadership experience and adaptability to support team functions to make a positive impact in the growth of our overall recovery operations. They will play a key support role in continual improvement of recovery processes, procedures, and staff development.

Requirements

Working knowledge of Medicaid Third-Party Liability (TPL) business, recovery, and revenue cycle management
Excellent professional written and verbal communication skills
Proven experience leading and overseeing high performing dynamic teams
Understands and adheres to HIPAA standards and regulations
Strong critical thinking, analytical and problem-solving skills
Self-motivated and thrives in a fast-paced business performing multiple tasks cohesively, with keen attention to detail
Ability to adapt quickly and transition effectively to changing circumstances, client requirements, assignments, and business needs; and consistently performs job responsibilities
Perform other duties as may be required to meet business needs
High School Diploma or GED required
3 + years of Revenue cycle or Recovery experience.
3+ years in a Healthcare claims or revenue cycle management environment.
2+ years supervisory experience in fast paced production or call center environment.

Nice To Haves

BA or equivalent combination of education and experience
Some college or training in medical terminology, billing, coding, or Medical billing/Coding certificate.
Extensive experience with provider outreach and communication.

Responsibilities

Monitoring staff and daily recovery efforts
Effectively collaborates with Management and teams to ensure departmental needs are met.
Communicates with team to ensure all production goals are clear
Leverages strong communication skills, both verbal and written, to assist recovery staff with escalated Provider and Network communications.
Provides insight and collaborates to ensure appropriate staffing levels and staff competencies for assigned business
Contributes to continual improvement of reclamation processes, procedures, and staff development
Supports the organization in meetings with the clients and other reclamation business constituents as needed
Assist with implementation of new accounts as needed
Uses excellent communication skills to influence a wide range of internal and external audiences.
Assists in development and revision of team training materials.
Advises Leadership of operational training gaps, staff development issues and other observation and areas or opportunities that may involve training.
Assist in operational training for staff to support operational quality and compliance, and optimal service delivery to clients as needed
Leads by example and adheres to all Company policies and procedures in performance of job duties and all interactions
Performs other duties as assigned.

Benefits

Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually.

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