Medical Accounts Receivable Supervisor

• Management of the multiple revenue cycle processes including accounts receivables, denials management, credits, and insurance follow up.
• Monitors staff efficiency through audit processes.
• Approves adjustments as per company policy.
• Works collaboratively with other departments, including operations and managed care, to improve reimbursement process and results.
• Maximize revenue through strong collection processes.
• Maximize and monitor cash flow with strong DSO.
• Reviews daily, weekly and monthly key metrics to identify trends or areas of focus
• Participates in the design, implementation, and management of process improvements to improve revenue cycle performance.
• Establish and communicate impactful team goals; build and enact plans to achieve success.
• Supervises, trains, mentors, motivates, orientates and evaluates performance of teammates. Recommends merit increases, promotions and disciplinary actions with appropriate approvals as required.
• Work with others to develop, document and implement action plans, as appropriate, to address issues and ensure claims are submitted and paid in a timely manner.
• Serves as department subject matter expert for assigned teams providing the appropriate tools, supplies, job aides and system access needed to meet production standards.
• Maintain confidentiality of all patient, teammate and company information in accordance with HIPAA regulations and policies.

• Maintains knowledge of and ensures compliance with state and federal laws, regulations for Medicare, Medicaid, managed care and other third party payers.
• Maintains knowledge of HIPAA and other requirements.
• Maintains timely knowledge of mandatory billing and coding requirements, to include knowledge of ICD-10
• Ability to work independently with minimal supervision as well as ability to work in a team environment.
• Demonstrated ability to successfully lead process improvement projects.
• Excellent relationship building skills and aptitude for working collaboratively with cross-functional groups.
• Self-starter with high degree of drive, initiative, and follow through.
• Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments.
• Ability to foster a cooperative work environment.
• Teammate development and performance management skills.
• Ability to use independent judgement and to manage and impact confidential information.
• Ability to develop, plan, and implement short-and long-range goals.
• High degree of attention to detail.
• Skilled at managing multiple projects and grasping new concepts.
• Knowledge of healthcare industry with emphasis on Revenue Cycle processes.
• Medicare, Medicaid, Commercial, and Workman’s Comp Insurance Knowledge.
• Computer skills and experience with Microsoft Applications.
• Accurately complete assignments while meeting deadlines.
• Excellent organization skills.
• Excellent internal and external customer service skills.
• Must possess good oral and written communication skills and recognize importance of teamwork.
• Proficiency in Microsoft Office with Excel skills.
• Knowledge of electronic billing.
• Working knowledge of clearinghouses.
• Knowledge of CPT& ICD-10 codes.
• Complete knowledge of EOB’s.
• Knowledge of medical terminology.

• High School Diploma or equivalent certification required.
• 5+ years of collection and billing process experience with all major payers required.
• A minimum of 3+ years proven supervisory or management experience in the medical receivables field is preferred.
• Prior Physical Therapy claims knowledge is preferred.
• Experience with insurance systems

Physical Rehabilitation Network