VillageMD - Rocky Hill, CT
posted 2 months ago
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.