Description
Under the direct supervision of the Manager of RCM, the Pod Captain is responsible for revenue cycle duties including but not limited to:
Processing patient insurance information through the patient intake process ensuring the timely and accurate submission of insurance claims collecting payment on outstanding patient balances
ACTIVITY / RESPONSIBILITY:
Act as a first point of contact and assist Representatives with difficult accounts and workload including supporting the team by directly working on accounts.
Ensure RCM Representatives perform appropriate claim processing and/or follow up, including research, resulting in timely claim processing.
Review and audit Representatives’ productivity and quality of work. In collaboration with the RCM Education department, identifies Representatives’ areas of additional training.
Ensures employees in the department are working on assigned work timely.
Collaborates and manages third party vendors as an extension of the Revenue Cycle Management team.
Meet or exceed required departmental productivity standards on a consistent basis.
Performs quarterly audits of Representatives’ work and provides audit reviews.
Provides input into the annual review of Representatives.
Identifies trends and works with the Manager of RCM to implement solutions to prevent denials and minimize any avoidable adjustment.
Maintains up to date knowledge of payer guidelines and reimbursement policies.
Escalates issues to RCM Manager as needed.
Works closely with the Manager of RCM daily to ensure a smooth operation within the department. Provides backup support to department staff during Managers' absence.
Support and contribute to process improvement initiatives as a SME.
In collaboration with the RCM Education department, assists with training all new hire Representatives once the employee has started working accounts and continually provides training to the Representatives.
Reviews and approves timecards, overtime requests and scheduling for Representatives.
REQUIRED QUALIFICATIONS:
Associate degree (A.A.) or equivalent from a two-year college preferred, or equivalent combination of education & experience.
Basic Microsoft Office experience.
Ability to communicate both verbally and written.
Ability to effectively present information and respond to questions from customers and vendors.
Ability to read, analyze, and interpret general business documents, technical procedures, and governmental regulations.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to calculate figures and amounts such as discounts and percentages.
TOTAL REWARDS:
Generous benefits package, including:
Paid Time Off
Health, life, vision, dental, disability, and AD&D insurance
Flexible Spending Accounts/Health Savings Accounts
401(k)
Leadership and professional development opportunities
Pod Captain, Revenue Cycle Services (Remote) • Sunrise
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