Intercept Health
  • Richmond, VA, USA
  • Full Time

Accounts Receivable Supervisor

Full-Time

Qualifications:

  • 3+ years experience in a medical billing office.
  • Strong preference for experience working in Behavioral Health setting.
  • Knowledge of UB04, CMS 1500, current ICD 10 and HCPCS.
  • Strong knowledge of Industry rules/regulations, such as the False Claims Act, as well as proper claims submission, coding rules, and billing knowledge for government payers, commercial payers, and patient billing.
  • Demonstrated understanding of medical terminology
  • Knowledge of patient confidentiality and HIPAA regulations
  • Knowledge of CPT, HCPCS, and ICD10 coding
  • Knowledge of medical billing and collection practices
  • Knowledge working with electronic health records (EHR/EMR) or healthcare related computer systems

Duties:

  • Supervising, managing and motivating a staff of insurance accounts receivable team members
  • Overseeing account receivable for all payors
  • Providing resources and tools to employees under supervision in order to complete assigned work efficiently and correctly
  • Monitoring denial and no activity trends by the payer and help identify root cause issues, whether it be internal or payer related
  • Identifies, analyzes, and researches frequent root causes of denials, advise management so that they can properly develop corrective action plans for resolution of denials
  • Assuring timely and complete follow up with insurance companies on unpaid or denied claims.
  • Assuring that issues that caused unpaid claims are resolved and claims are resubmitted.
  • Identifying denial trends or change in payments and participate in development and deployment of tactics to reverse denials.
  • Responsible for collections and recommending account adjustments as appropriate.
  • Maintaining appropriate documentation and notes of team's collection activities.
  • Practices efficient methods for getting work done; strong ability to prioritize workload
  • Organized; sets priorities; meets deadlines
  • Researches rejections included in EOBs for resolution and files appropriately.
  • Research overpayments, record adjustments to account and determine the appropriate destination of unidentified funds.
  • Respond to inquiries from outside agencies, insurance companies to assist in claim payment processing.
  • Review billing reports to ensure proper billing procedures are followed based on federal and state rules and regulations.
  • Research, trouble-shoot accounts receivable reports and rejections, process appeals where appropriate, and make recommendation for write offs.
  • Makes RCM manager aware of any issues or changes in the billing system, insurance carriers, and/or networks.
  • Work on various projects as assigned by the RCM manager and is responsible for accurate and timely completion of job assignments.
Intercept Health
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