Supervisor Customer Serv Ops Accounts Receivables And Denials Management

Position Summary

The Accounts Receivable Supervisor performs day-to-day AR functions in addition to supervisory and leadership duties to the AR team, with the goal of ensuring that all policies and procedures related to providing consistent, supervisor customer/patient care are adhered to, and service & production goals are met effectively and efficiently. They will work within the scope of responsibilities as dictated below with guidance and support from AR & Billing leadership teams.

Essential Functions

• Manages the daily/ongoing workflow of Accounts Receivable functions.
• Provides ongoing leadership and support to ensure that day-to-day service and production goals are met.
• Communicates strategic/tactical expectations for staff, reinforces values and provides vision to direct and indirect reports.
• Manages performance through positive coaching and clear direction.
• Addresses deficiencies timely and professionally.
• Partners with HR as appropriate to provide additional structure, improvement plans, or corrective actions.
• Conducts regular performance appraisals, providing constructive feedback and setting clear objectives to support professional growth and development.
• Provides meaningful goals and supports staff development through training and mentoring.
• Monitors staff schedules, deliverables, and deadlines to ensure daily coverage and assigned goals are achieved. Reviews timesheets for non-exempt staff as assigned.
• Acts as a model for core values and ethics.
• Investigates and processes insurance claims, ensuring thorough examination and accurate resolution.
• Handles claim escalations by following up diligently and ensuring proper resolution and disposition.
• Manages appeals and denials processes to maximize revenue recovery, address and reduce financial leakage, and ensure accurate and timely claim resolutions.
• Verifies patient eligibility with secondary insurance company when necessary.
• Bills supplemental insurances including all Medicaid states on paper and online.
• Develops, monitors, and analyzes key performance indicators (KPIs) to drive strategic goals, improve team performance, and ensure operational excellence.
• Manages billing queue as assigned in the appropriate system. Investigates and updates the system with all information received from secondary insurance companies.
• Ensures that all information given by representatives is accurate by cross referencing with the patients account, followed by using honest judgement in any changes that may need to be made.
• Updates patient files for insurance information, Medicare status, and other changes as necessary or required.
  
  

• Maintains accurate and detailed notes in the company system.
• Implements corrective actions and develop performance improvement plans (PIPs) to address underperformance, ensuring all team members meet established standards and goals.
• Adapts quickly to frequent process changes and improvements.
• Is reliable, engaged, and provides feedback to improve processes and policies.
• Attends all department, team, and company meetings as required.
• Appropriately routes incoming calls when necessary.
• Meets company quality standards.
• Embraces and exemplifies core values:
  
  

• At least 2 years of college coursework or experience
• 2 years of Leadership experience
• Knowledge in Healthcare Operations specifically for Accounts Receivables and Denials Management is required
• Experience in using Contact Center phone system such as NICE and/or Genesys is an advantage