Supervisor, Payment Variance Follow Up

Med-Metrix•Parsippany-Troy Hills, NJ

About The Position

The Supervisor, Payment Variance Follow Up mentors, monitors, and evaluates Underpayment Analysts and Follow-up Representatives. The role communicates consistently with the Manager, Managed Care Services to support efficiency and productivity in daily operations and the recovery process. The position oversees payment variance analysis, underpayment and denial trend identification, resolution of issues that delay payer payments, team productivity, employee development, and the quality and timeliness of work. It also performs internal recovery audits, tracks revenue, prepares client reporting packages, and provides clients with project updates. The position requires maintaining confidentiality and a professional attitude, following HIPAA and information security policies when handling protected health information, and completing special projects and other duties as needed.

Requirements

High school diploma or equivalent.
Working knowledge of insurance follow-up and underpayment processes and understanding of fundamental healthcare reimbursement methodologies.
Detailed knowledge of managed care reimbursement methodologies.
Ability to multitask and prioritize under stressful situations.
Proficiency in business writing and email correspondence.
Leadership experience and ability to manage employees.
Proficiency in Microsoft Office Suite.
Strong interpersonal skills and ability to communicate well at all levels of the organization.
Strong problem-solving and creative skills, sound judgment, and ability to make decisions based on accurate and timely analyses.
High integrity and dependability, with a strong sense of urgency and results orientation.
Excellent written and verbal communication skills.
Gracious and welcoming personality for customer service interactions.

Responsibilities

Perform payment variance analysis to identify trends in underpaid claims.
Identify and report underpayments and denial trends.
Analyze, identify, and resolve issues causing payer payment delays, including billing and coding errors.
Manage team productivity to ensure departmental goals are achieved.
Develop and mentor team members, provide career coaching, and motivate and support employees.
Provide orientation to new and existing employees and supply the information, technology, and reference materials needed to perform their jobs.
Ensure all work is done properly and in a timely manner.
Perform internal audits of everyday recoveries.
Report and trend revenue by client, staff, and other categories.
Compile client reporting packages and provide clients with regular project status updates.
Hold quarterly staff meetings and learning sessions.
Maintain confidentiality and a professional attitude.
Perform special projects and other duties as needed.
Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards.
Comply with Information Security and HIPAA policies and procedures.
Limit viewing of protected health information to the minimum necessary to perform assigned duties.