Supervisor, Reimbursment

The Supervisor, Reimbursement is responsible for managing accounts receivable (A/R) through payor follow up on outstanding A/R and working with patients regarding their invoices. This position has supervisory responsibility and manages an assigned team that is responsible for meeting established Company goals and to achieve an efficient and successful Revenue Cycle.

Essential Job Duties

• Provide coaching and training to team members to ensure educated and timely resolution of claim concerns both at the invoice level and overall payer level. Establish and communicate impactful team goals. Actively participate in the hiring, training and mentoring of staff, while creating a team approach to work flow requirements. Ensuring a cohesive and cross-trained culture that can adapt to increased business demands.
• Supervision of all processes related and associated with collection activities of the team, including but not limited to ensuring clean claims are submitted timely, working denials, ensuring consistent and timely follow up of invoices, Maintaining Authorizations, Remittance Applications, Credit Balances/Refunds, setting and adherence to standards of good collection practices.
• Oversight and analysis of A/R and cash trends to ensure even distribution of workload among the collection staff. Reviews daily, weekly and monthly key performance indicators to identify trends or areas of focus. Meet or exceed department Quality scores. Provide analysis and feedback to Director explaining variances in cash trends by payer as business requires in support of reducing and maintaining established cash, A/R aging and DSO goals.
• Review policies and procedures on a consistent and ongoing basis, making recommendations for changes needed to adapt to increased business demands. Make suggestions for and implement process improvement to maximize efficiency within the collection team and throughout the organization as it pertains to area of responsibility. Accountable for department meeting predetermined regular quotas.
• Other job duties and special projects as assigned.
  
  

Ideal Candidate Will Have

• Bachelor’s degree or combination of some college with 3-5 years experience in collections management in home infusion or a related discipline
• Strong MS Office skills in Excel, Word and PowerPoint; Experience with coordination and collections of accounts receivable collections in a multi-payer environment, locally and nationally, including but not limited to private pay, HMO, PPO, TPA and State and Federal Government payers
• Must be a resourceful, proactive problem solver with strong organizational and process skills; Must possess strong written and verbal communication skills with the ability to articulate challenges and professionally present actions and solutions, along with excellent customer service skills
• Proven ability to develop and coach staff; Ability to improve process and procedure through analysis of processes, trends and a varied work flow; Demonstrated ability to work well with all staff levels and with varied personalities; Ability to work well under pressure while maintaining a professional and positive demeanor and continually multi-task to meet deadlines.
  
  

Salary Range: $60,000 – $75,000 annual

Pentec Health offers a comprehensive compensation and full benefits package. Actual pay will be based on several factors such as qualifications and skills for the role plus geographic location.

Benefits may include but are not limited to medical, dental, vision, 401k match, PTO, paid holidays, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.