Supervisor, Payment Variance Follow Up

Med Metrix•Parsippany-Troy Hills, NJ

21h

About The Position

The Supervisor, Payment Variance Follow Up mentors, monitors, and evaluates Underpayment Analysts and Follow-up Representatives. The role works consistently with the Manager, Managed Care Services to support efficient and productive daily operations and the recovery process. The supervisor analyzes payment variances and underpayment trends, resolves issues affecting payer payments, manages team performance, and supports employee development. The position also handles recovery audits, revenue and client reporting, client updates, staff learning sessions, and special projects. The employee must protect patient health information and comply with HIPAA and information security policies.

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 in 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, with sound judgment and the ability to make decisions based on accurate and timely analyses.
High integrity and dependability, a strong sense of urgency, and a results-oriented approach.
Excellent written and verbal communication skills.
Gracious and welcoming personality for customer service interactions.
Ability to follow directions, collaborate with others, and handle stress.

Responsibilities

Perform payment variance analysis to identify trends in underpaid claims.
Identify and report underpayment 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 appropriate orientation to new and existing employees, including the information, technology, and reference materials needed to perform their jobs.
Ensure all work is performed properly and in a timely manner.
Perform internal audits of everyday recoveries.
Report and trend revenue by client, staff, and other relevant 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, and limit viewing of protected health information to the minimum necessary to perform assigned duties.