Supervisor of Accounts Receivable
This position is onsite at our office located at 2750 Front St, Cuyahoga Falls, OH.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits, and career development opportunities.
About the Role
This position has management and operational responsibilities for revenue cycle activities, including maintaining days in AR standards, financial policy development, denial management, workflow, and customer service functions for Premiere Medical Resources, under the supervision of the Director, Revenue Cycle Management.
Responsibilities
- Manages, trains, coaches, and develops staff in all areas of responsibility to ensure efficient revenue cycle operations
- Manages revenue cycle functions including A/R of insurance claims and other sources of reimbursement as applicable
- Ensures compliance with Medicare/Medicaid billing guidelines as well as specific policies of commercial carriers; ensures compliance with HIPAA and other regulatory requirements for responsible areas
- Prepares, organizes, audits/corrects, and submits electronic and paper claims to government and commercial insurance carriers as assigned
- Assigns claim denials and appeals to AR Representatives as appropriate by carrier and contracts; monitors workflow and appeal timeframes
- Reviews escalated denials and appeals to facilitate processing; collaborates with Managed Care Department as needed
- Ensures all revenue cycle activities are performed in the most efficient, timely manner and most appropriate setting; ensures excellent customer service is upheld
The above stated duties are intended to outline those functions typically performed by the incumbent in this position. This description of duties is not intended to be all-inclusive nor to limit the discretionary authority of supervisors to assign additional tasks of a similar nature or level of responsibility.
Requirements
- High School Diploma / GED OR equivalent years of work experience
- Must be 18+ years of age or older
- 2+ years of related experience, including billing in a physician office or billing company environment
- Experience with computers and Windows PC applications, which includes the ability to learn new and complex computer system applications
- Ability to work full time, Monday - Friday, with flexibility to work any shift during normal business hours of 8:00 am - 5:00 pm; occasional overtime may be required
Preferred Qualifications
- CMIS certification
- Experience in a supervisory or leadership role
Skills
- Strong problem-solving skills
- Service and results-oriented with exceptional leadership, communication, and organizational skills
- Ability to establish and maintain effective relationships with patients, physicians, insurance companies, and other customers
Benefits
In addition to your salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).
Pay
The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications. We comply with all minimum wage laws as applicable.
Schedule
- Full time, Monday - Friday
- Normal business hours: 8:00 am - 5:00 pm (flexibility required to work any shift during these hours)
- Occasional overtime may be necessary
- On-the-job training with hours aligned to your schedule