Supervisor - Accounts Receivable Escalation

April 15

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Medsuite Inc

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Medsuite Inc. is a company focused on enhancing healthcare services through digital solutions. Although the provided text is largely related to user account management, it suggests that Medsuite Inc. likely offers a platform or service for healthcare professionals or patients, facilitating tasks like scheduling, patient management, or other administrative functions.

1 - 10 employees

⚕️ Healthcare Insurance

☁️ SaaS

⚡ Productivity

📋 Description

• Lead and manage a team of accounts receivable specialists, providing guidance, support, and coaching to ensure high performance and productivity. • Develop and implement strategies to optimize the accounts receivable process, reduce the aging of accounts, and improve cash flow. • Monitor key performance indicators (KPIs) and metrics related to accounts receivable, such as days in accounts receivable (AR days), denial rates, and cash collection ratios, and take proactive measures to address any deviations from targets. • Oversee the billing and claims processing functions, ensuring that claims are submitted accurately and timely, and that any issues or errors are promptly addressed and resolved. • Manage payment posting activities, reconciling payments received with billed charges, and identifying and addressing any discrepancies or variances. • Coordinate denial management efforts, analyzing denial trends, implementing corrective actions, and appealing denials as necessary to maximize revenue recovery. • Collaborate with other departments, such as coding, billing, and compliance, to ensure alignment and consistency in revenue cycle processes and workflows. • Stay informed about changes and updates in healthcare regulations, payer policies, and industry trends related to accounts receivable management, and implement necessary changes to ensure compliance and optimization. • Conduct regular team meetings and performance reviews, providing feedback, recognition, and development opportunities to team members. • Foster a positive and collaborative work environment, promoting teamwork, accountability, and continuous improvement. • Serve as a point of contact for escalated issues and inquiries from internal stakeholders, external partners, and patients related to accounts receivable matters. • Keep accurate records of accounts receivable activities, performance metrics, and outcomes, and generate reports as needed to track progress and measure success.

🎯 Requirements

• High School Diploma • Minimum of 5 years of experience in healthcare revenue cycle management, with a focus on accounts receivable. • AAHAM=Certified Revenue Cycle Specialist (CRCS), Certified Revenue Cycle Professional (CRCP), or HFMA=Certified Revenue Cycle Representative (CRCR) certification is a plus. • Previous leadership experience, preferably in a healthcare setting. • Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills • In-depth knowledge of medical billing processes, reimbursement methodologies, and regulatory requirements. • Strong understanding of healthcare payer policies and claims adjudication processes. • Excellent communication and interpersonal skills, with the ability to effectively lead and motivate a team. • Strong analytical and problem-solving abilities, with a focus on driving results and achieving objectives. • Proficiency in healthcare revenue cycle management software and systems. • Willingness to stay updated on industry trends and best practices through continuing education and professional development opportunities. • Ability to read, understand, and apply state/federal laws, regulations, and policies. • Ability to communicate with diverse personalities in a tactful, mature, and professional manner. • Ability to remain flexible and work within a collaborative and fast paced environment. • Basic use of computer, telephone, internet, copier, fax, and scanner. • Basic touch 10 key skills. • Basic Math skills. • Understand and comply with company policies and procedures. • Strong oral, written, and interpersonal communication skills. • Strong time management and organizational skills.