Supervisor, Accounts Receivable

VillageMD - Rocky Hill, CT

Full-time - Mid Level

Rocky Hill, CT

Ambulatory Health Care Services

About the position

The Supervisor of Accounts Receivable plays a crucial role in the Patient Accounts Department, assisting the Patient Accounts Manager in ensuring timely responses to all incoming communications related to patient billing activities. This position requires a deep understanding of billing and collection policies, regulations, and protocols. The Supervisor is responsible for directing a team of five to ten Patient Accounts Specialists, ensuring that the Athena workflow in patient billing is developed and maximized to provide optimal customer service. The Supervisor will lead the team in providing exceptional customer service, problem-solving issues as they arise, and setting priorities in claim review. Training is a significant function of this role, ensuring that team members are well-equipped with the necessary knowledge and skills to perform their duties effectively. In this position, the Supervisor will provide leadership and support in problem-solving within the Patient Accounts Department, serving as a role model and consultant for staff. They will assist in interpreting policies and procedures, making decisions, and delegating responsibilities to ensure high-quality performance and efficiency. The Supervisor will also assist the manager with various management functions, including providing feedback on performance reviews, assisting with payroll and variance reports, and other daily operational functions. They will supervise the monitoring and completion of the patient account call workflow for their team, aiming for a goal of “One Call Resolution.” This includes researching and correcting claims, writing appeals, and facilitating their submission by Athena for appealing adverse decisions, as well as contacting payers and medical directors as needed. The Supervisor will support the training of Patient Accounts Specialists to ensure complete system knowledge, the ability to analyze accounts, work correspondence, and resolve assigned unpostable payment batches. They will be proficient in coding and billing guidelines to ensure maximized reimbursement of claims, reviewing medical records for proper assignment of diagnoses and procedure codes according to AMA, ICD-9-CM, CPT, and CMS Guidelines. The Supervisor will utilize various resources to ensure correct coding and efficient claim processing, ensuring compliance-related issues are identified and reported to the Compliance Department. Regular meetings with the team will be conducted, and the Supervisor will report to the Manager on various operational aspects, including the coordination, creation, and implementation of patient account-related processes that may affect the department and the organization as a whole.

Responsibilities

• Assist the Patient Accounts Manager in ensuring timely responses to patient billing communications.
• Direct the tasks for a team of five to ten Patient Accounts Specialists.
• Maximize the Athena workflow in patient billing to ensure optimal customer service.
• Provide leadership and support in problem-solving within the Patient Accounts Department.
• Interpret policies and procedures for staff and assist in decision-making.
• Assist the manager with performance reviews, payroll, and operational functions.
• Supervise the monitoring and completion of the patient account call workflow.
• Research and correct claims, write appeals, and facilitate their submission.
• Contact payers and medical directors as needed to resolve issues.
• Support the training of Patient Accounts Specialists to ensure system knowledge and account analysis.
• Review medical records for proper assignment of diagnoses and procedure codes.
• Utilize resources to ensure correct coding and efficient claim processing.
• Identify and report compliance-related issues to the Compliance Department.
• Run regular meetings with the team and report to the Manager.
• Manage the coordination and implementation of patient account-related processes.
• Complete drafts of yearly staff evaluations for manager approval.

Requirements

• High School Graduate/GED required.
• 5+ years of experience in accounts receivable or related field required.
• Strong multi-tasking, organizing, and priority-setting skills.
• Strong problem-solving and critical thinking skills required.
• Ability to communicate in English, both orally and in writing required.
• Strong interpersonal and communication skills.
• Ability to lead and manage a department (team).
• Ability to perform diversified duties with time limitations with a high degree of accuracy.
• Demonstrated knowledge of registration operations and third-party payer requirements.
• Strong skills in cash management.
• Experience with standard office equipment (phone, fax, copy machine, scanner, email/voice mail).
• Experience with standard office technology in a Windows-based environment.
• Experience with AthenaCollector, Anodyne, Microsoft Word, and Excel.

Nice-to-haves

• Certified Professional Coder (CPC) preferred.

Benefits

• Medical coverage
• Dental coverage
• Life insurance
• Disability insurance
• Vision insurance
• Flexible Spending Account (FSA) coverages
• 401k savings plan