Supervisor, AR Medical Payment Specialist

About the role

The AR Medical Payment Specialist Supervisor is responsible for managing outstanding accounts receivable, resolving balances, and communicating with various parties to ensure maximum reimbursement. This includes following up on outstanding accounts, making necessary corrections in the billing system, identifying and correcting billing and coverage concerns, and developing strategies to improve productivity.

Responsibilities

• Manage outstanding accounts receivable and resolve outstanding balances
• Follow up on outstanding accounts, focusing on maintaining aged receivables within 60 days
• Make necessary corrections in the billing system and research and resolve claims rejected by payer
• Identify billing and coverage concerns and communicate with billing and front office staff
• Answer patient and facility questions about account balance and status of payment
• Triage workload and prioritize tasks through proper utilization of staff resources
• Identify, correct, and communicate facility errors to appropriate parties
• Identify and communicate payment trends to the Accounts Receivable & Collections Manager
• Research outstanding credit balances and prepare/approve requests for refunds
• Research and recommend/approve accounts for bad debt write off
• Develop policies and procedures regarding front-end revenue cycle processes
• Develop trainings to ensure proper co-pay collection at the level of the front desk
• Periodically prepare and present progress reports to the Executive Team, Board of Directors, and Staff
• Work closely with the credentialing team to ensure timely filing and reduce claim rejections
• Meet with payor representatives and be knowledgeable of reimbursement models

Qualifications

• High school degree or equivalent with knowledge of health care project management
• 6-10 years’ of medical billing/claims experience
• Experience in CPT codes and ICD 9 and/or ICD 10 coding preferred
• Detail oriented and timely delivery of projects
• Experience with electronic medical records
• FQHC multi-specialty billing and coding experience preferred
• Experience in Excel and Word preferred