Medical Collections Supervisor

Revenue Cycle Dallas, Texas Reference ID: JR3171-POS9798


Description

SUMMARY:

The Medical Collections Supervisor is responsible for analyzing the activities of the global Accounts Receivable (A/R), identifying issues and trends, and develop an action plan to track results for corresponding teams.

CORE VALUES

In alignment with the core values of Schumacher Clinical Partners the Medical Collections Supervisor role aligns with the organizations four core values by:

  • Agility: The Medical Collection Supervisor must possess the ability to skillfully prioritize and manage multiple duties concurrently. The Medical Collection Supervisor must be able to assess the needs of the team/organization and swiftly make decision to further advance business unit.
  • Respect: The Medical Collection Supervisor must foster a team environment always taking the team culture and needs in mind. The Medical Collection will spearhead the development of a supportive, empowering place of business, which allows maximum success.
  • Courage: The Medical Collection Supervisor must be willing advocate for the organization when outside forces jeopardize team and company objectives.
  • Collaboration: The Medical Collection Supervisor will work with all business partners within the company and foster a teamwork approach.

Responsibilities:

  • Identify and resolve insurance claim denials
  • Identify and communicate reimbursement and billing system opportunities to the Medical Collections Manager
  • Review and diagnosis ETM Inventory
  • Resolve insurance claim denials and no-response claims in a timely and efficient manner
  • Monitor trends and resolve payer issues
  • Create good teamwork and high morale
  • Monitor performance and challenge the team to meet goals while maintaining adequate staffing levels
  • Set clear expectations and hold staff accountable
  • Keep upper management abreast of both successes and opportunities
  • Perform standard supervisory tasks such as hiring new Medical Collections Specialists, performance reviews, performance counseling, conflict resolution, terminations, payroll, etc.
  • Be a role model within the department by exhibiting mature leadership qualities such as positive outlook, confidentiality, respect, and team spirit
  • Direct Medical Collections Specialists in all aspects of the collection and billing process
  • Achieve, monitor, and maintain acceptable adjudication percentages for assigned payer mix
  • Coordinate with other departments in identifying and resolving billing/collection difficulties
  • Monitor and maintain a high level of productivity and quality of work
  • Stay abreast of payer regulatory changes and communicate these to team members and Medical Collections Manager
  • Generate and distribute standard and special reports as required
  • Develop relationships with carrier representatives to help speed resolution to adjudication
  • Assist Manager in developing and implementing departmental policies and procedures
  • Assure that HIPAA compliance guidelines are followed
  • Monitor the AR and ETM metrics for accuracy
  • Assist Manager and other Supervisors in coordinating weekly motivational meetings
  • Complete assigned Training sessions in the time frame allotted by management, and maintain passing scores.
  • All other duties deemed necessary by management

Knowledge, Skills, and Abilities:

  • Understanding the overall billing process through final adjudication of accounts
  • Excellent written and oral communication skills
  • Excellent interpersonal skills
  • Leadership
  • Ability to work well in a team environment
  • Professional attitude and demeanor
  • Self-starter and problem solver
  • Willingness to cross-train
  • Ability to conduct Department Presentations
  • Must be well organized and demonstrate effective time management skills
  • Must be a critical thinker
  • Shows aptitude with Excel
  • Must be detail oriented

WORK EXPERIENCE/QUALIFICATIONS:

  • 2-5 year experience in AR Collections
  • Management experience preferred.