Supervisor II - Physician Insurance Collections

The Physician Insurance Collections Supervisor oversees all aspects of insurance follow-up for the Physician Enterprise within the central business office; this includes supervision of follow-up team members. The Insurance Collections Supervisor consults with other departments within the organization to ensure services, revenue codes, and procedure codes are updated and maintained in compliance with billing regulations to prevent denials or rejections on the back end of business. This position monitors daily operating activity of the follow-up area, including the designated accounts receivable work listing system, making any adjustments in work assignments to effect timely reimbursement on receivables. This position is responsible for being the designated time keeper for team members and signs off on time cards according to payroll guidelines. This position also coordinates orientation, training and evaluates performance over assigned personnel. In addition, this position conducts insurance follow-up competency audits, providing feedback and objectives to be successful to the assigned team members. The person in this position reviews payer-specific data to assess team and system performance, claims accuracy, in order to identify possible system/claim data errors. This position develops and recommends changes to policies and procedures related to billing and insurance follow-up activity. This position reviews back end denials to identify processes and/or edit changes to facilitate a decrease in claim denial percentage. This position provides key indicator reporting for follow-up activity daily, weekly and monthly.

• Performs quality audits on Insurance Collections team to ensure accuracy in account management.
• Makes telephone calls to the payer to inquire about denial trends in billing to ensure claims are sent “clean”.
• Applies proper account management principals to accounts to ensure accurate follow-up.
• Prepares Physician Notification Communications as necessary.
• Monitors daily operating activity of follow-up area, including auditing of the A/R work listing system work lists, making any adjustments in work assignments necessary to effect timely payment of claims.
• Provide key indicator reporting for follow-up activity daily, weekly and monthly.
• Develops and recommends changes to policies and procedures related to billing and insurance follow-up activity.
• Acts as the designated timekeeper for team members and signs off on timecards according to payroll guidelines.
• Meets goals set by management for productivity of worked assignments of the follow-up team in the A/R work listing system on a weekly/quarterly basis.
• Supervises team members, which includes orientation, development of team members, and monitoring the provision of delivering quality services. Participates in the recruiting, interviewing, and selecting of team members following policies, guidelines and applicable laws. Ensures training for new team members and retraining. Supports evaluation of team member’s performance relative to job goals and requirements. Provides coaching to staff, recommends education programs, and ensures adherence to internal policies and standards.
• Effectively communicates departmental, organization, and industry information to staff.

Minimum Education
 

• High School Diploma or Equivalent Required

Minimum Work Experience
 

• 2 years relevant business office healthcare experience (patient access, financial assistance, insurance billing, patient and/or insurance collections, reimbursement, health care customer service, payer contracting, cash management reporting or coding) or supervisory experience in related field requiring billing and collections. Required
• 0-1 year Supervisory experience or leadership role in health care revenue cycle function Preferred