Insurance Billing and Reimbursement Superviso in Greenville, North Carolina at Physicians East

Typical Working Conditions:

Normal office environment.

Responsibilities

• Write and run reports and analyze data to monitor the revenue cycle of each payer. This includes reviewing claim submissions, clearinghouse data, denials, outstanding pending claims, credits, and patient billing

• Provide feedback to other managers to help improve revenue cycle

• Actively contribute to revenue cycle improvement efforts

• Supervise and manage scanning, personal payment posting, insurance posting, refund, and insurance personnel

• Maintain personnel records of direct reports including timecards, PTO, and disciplinary actions

• Conduct employee evaluations

• Analyze practice management system to ensure that it is meeting the needs of Physicians East

• Monitor task completion and effectiveness

• Suggest ways to improve or modify tasking to better meet the needs of Physicians East

• Actively search for opportunities to improve processes related to the revenue cycle

• Monitor clearinghouse performance and activities

• Provide training and feedback to employees to encourage strong performance and allow for flexibility within the department

• Ensure that direct reports follow Physician East Policies and Procedures

• Take action to reduce denials by identifying issues and effectively communicating them with other supervisors and managers

• Order supplies and submit service requests related to direct reports and equipment

• Identify opportunities and implement changes to reduce cost

• Communicate with executives, managers, and supervisors throughout Physicians East to resolve issues

• Communicate with payers to resolve issues. Attend meetings with payer representatives. Provide feedback as appropriate

• Educate staff to keep up to date regarding payer related changes

• Address and resolve patient complaints

• Serve as back up for other supervisors as needed

• Perform other duties as assigned. Duties may change frequently based upon the needs of Physicians East
  

Location & commitments

Full Time role based at our Greenville Arlington (other) location, Monday-Friday, 8a.m. – 5 p.m.

Overtime may be required to ensure patients are taken care, tasks are completed, and calls are returned in a timely manner.

Weekend work is rare but can occasionally be necessary.

Candidate requirements

• Requires an associate degree in Health Care Management or related field or the equivalent combination of education and experience.

• Five years or greater of relevant experience in healthcare and strong understanding of physician revenue cycle and practice management system is required.

• Supervisory experience is strongly preferred.

• Strong analytical and organization skills required.

• Knowledge of third party and insurance procedures, regulations and billing requirements, and government reimbursement programs.

• Have strong ability to lead and or work as a member of various cross-functional teams.

• Well-developed written and oral skills.

• Understanding of customer service principles.

• Must have strong software skills including knowledge of Word, Excel, etc.

• Demonstrated proficiency with software applications such as NextGen, Centricity and/or related.