Reimbursement Supervisor (Remote)

Company: Addus Healthcare
Location: Frisco
Posted on: March 19, 2023

Job Description:

Position Summary: The Reimbursement Supervisor, is responsible for overseeing reimbursement activities related to admissions, insurance verification, documentation, billing, collections, cash management and other operations impacting the revenue cycle. He/she will have primary leadership responsibility for maintaining and strengthening revenue cycle activities in an internal control environment. The successful candidate will provide independent reviews and evaluations of the company's billing and collections activities as well as provide recommendations to Reimbursement Manager/Director.
Essential Duties:

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• Supervise reimbursement activities at the Support Center for multiple branch locations and payers as it relates to admissions, insurance verification, authorization, billing, collections, cash management and/or other operations related to the revenue cycle process.
  
• Supervise and train Support Center and branch personnel as it relates to revenue cycle activities.
  
• Assist in recruiting of new personnel.
  
• Monitor and supervisor revenue cycle team of 10-15 employees.
  
• Supervise adherence to departmental operating procedures to ensure efficient, compliant and profitable operations.
  
• Supervise staff to drive to key metrics.
  
• Keeps abreast of payer guidelines and changes to these guidelines. Notify all affected personnel of these changes. Assist in implementation of these changes.
  
• Analyze and trend key data to improve overall performance.
  
• Implement efficiencies within department including, but not limited to: new electronic claim transmission, electronic funds transfer, and electronic eligibility verification.
  
  
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  • Assist in recommending, establishing and implementing new reimbursement policies and procedures to drive improvement.
    
  • Monitor revenue cycle processes to ensure timeliness and adherence to established policies.
    
  • Audit all necessary reports, forms and schedules in a timely manner to ensure accuracy.
    
  • Implement new billing codes and techniques to maximize timely reimbursement and monitor results.
    
  • Supervise appeals associated with denials and process in a timely manner.
    
  • Oversee team meetings with branches.
    
  • Provide timely performance evaluations for staff.
    
  • Consult in due diligence for potential company acquisitions.
    
  • Evaluate and recommend to the Director, new procedures or modifications to current procedures relating to Reimbursement specific functions.
    
    Position Requirements & Competencies:
    
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    • High School Diploma or GED
      
    • Three to five years of previous supervisory experience preferred.
      
    • Comprehensive knowledge of reimbursement guidelines (specifically Medicaid, Managed Care and Long-Term Care insurance).
      
    • Comprehensive knowledge of electronic transmissions of billing, cash posting and/or insurance verification.
      
    • Solid history of proven success with Revenue Cycle Supervision (admissions, billing, collections and/or cash applications).
      
    • Advanced computer proficiency including Microsoft office.
      
    • Ability to create and manage excel spreadsheets.
      
      
      To apply via text, text 2926 to
      
      
      
      
      

Keywords: Addus Healthcare, Dallas , Reimbursement Supervisor (Remote), Other , Frisco, Texas