Accounts Receivable Supervisor

Job Description

Job Description

For more than 20 years, BioTAB Healthcare, LLC has supported patients with lymphatic, wound, and circulatory disorders through proven treatment solutions. Headquartered in Missouri, we provide pneumatic compression devices and personalized service to help improve patient outcomes and quality of life. As a family-owned company, we take pride in delivering expert care with a personal touch service.

The Accounts Receivable Supervisor performs resolution oriented activities with a focus on comprehensive medical billing and collection activity.  This position assures the team works collaboratively to support field sales and operational departments with an emphasis on payment posting, billing accuracy and collections. This role, reporting to our Director of Revenue Cycle, will include management of both people and processes, with an emphasis on process execution and quality control.

Key Responsibilities

Payment Posting : EFT, credit card, ACH, live check and insurance payments, researches and evaluates insurance payments and correspondence for accuracy. Processing and posting of insurance and patient payments, matches EOB and payment records with payments, write offs.

Appeal & Audits : Supporting the entire audit process, from preparation and coordination to documentation and follow-up, ensuring accuracy and adherence to auditing standards.  Identifying reasons for claim denials and formulating effective appeal strategies to maximize reimbursement. Employing data analysis to identify billing patterns, trends in denials, and areas for improvement in the revenue cycle management process. Experience with different levels of the Medicare appeals process, including redetermination, reconsideration, and Administrative Law Judge hearings.

Billing : Accurate and timely submission of all claims for all payers, daily claim & invoice submission. Process the billing and payment for all Veterans Affairs purchase orders and provide required documentation to the purchasing agent within the contracted timeframe. Ensure all Contract Billing Partner billing is submitted to appropriate outsourced partner

Collections : Timely and accurate follow up on unpaid claims or patient accounts, work assigned lists of outstanding claim balances and / or patient accounts with multifaceted issues across different payers and patients. Analyze and resolve billing discrepancies on patient accounts & explain findings to patient. Remediation of outstanding balances, research appeals, re-bill & accurate record keeping.

Compliance :

Ensuring compliance with relevant healthcare regulations, financial standards, and internal policies.

Prepares year end schedules for Review and other regulatory agencies, assist in monitoring compliance with Medicare regulations. Adhere to all relevant regulations and agency policies regarding patient intake and data management, including but not limited to : CMS and OFCCP guidelines related to our Quality Management System, documentation and process creation and training.

Reporting : Review and communicate key statistics and trends to the Revenue Cycle Director to ensure consistent and efficient department process, assist with routine auditing of billing processes and denial practices and reasons & research and monitor applicable trends, with recommendations.

Management of People : Overseeing assigned team members of the AR Team including hiring, training, and performance management, timecards, absence and metrics dissemination, overtime.

Collaboration :

Working with other departments, such as sales, operations, intake, to support workflow.

Process Improvement :

Identifying opportunities to improve processes and controls.

Essential Skills

Analytical Skills : Ability to analyze financial data, identify trends, and make recommendations.

Communication Skills : Excellent communication and interpersonal skills to effectively collaborate.

Technical Skills : Proficiency in accounting software and other relevant financial systems.

Excellent organizational and time management skills :   To manage a high volume of work and ensure timely processing of information.

Attention to detail :  To ensure accuracy in patient records and insurance information.

Problem-solving skills :  To address any issues or challenges that may arise during the intake process.

Experience :

College degree preferred or related previous experience

3 year minimum : claim submission, payment posting, appeal and denial processes. medical device billing and / or general healthcare reimbursement, medicare and commercial insurance carriers plan configurations in respect to calculations of coinsurance, deductibles and percentages.

Required 2+ years of prior management experience.

Preferred In-Depth Knowledge : Healthcare methodologies in coding, coverage, criteria, payments.

BioTAB Healthcare benefits include 401k with company match, healthcare, vision, dental, life insurance and short term disability.

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