At UHS, we're looking for exceptional people who share our vision and values, who share our focus on hard work, enthusiasm, teamwork, loyalty, trust and cooperation. We've embraced these traits and built a team of employees who consistently work to achieve the highest level of service excellence. People are our most valuable resource at UHS as we are committed to providing high quality acute care and behavioral health services to residents of the communities we serve. We are equally committed to offering our employees unlimited opportunity in an environment that encourages professional development.
The Accounts Receivable (A/R) Supervisor has day to day oversight of all insurance accounts receivable functions including outstanding insurance claims (no response), insurance denials/appeals with a primary focus on maximizing insurance revenue collection. Reviews daily insurance A/R volumes by payer and assigns work among the team while supervising collection activities to ensure that the team is meeting or exceeding department goals. Monitors daily processes to work outstanding aged insurance accounts receivable and denials/appeals based on payer criteria (timely filing, days to appeal). Routinely meets with direct reports to review their individual results and identifies opportunities to improve performance (productivity, quality, collections). The A/R Supervisor trains, coaches, and counsels staff members in an effort to develop staff improve teamwork, morale and overall team performance/results.
Essential job duties include:
Monitors daily outstanding insurance A/R volumes by payer and aging category to ensure that all outstanding accounts are being reviewed and "worked" by assigned teams within the defined aging criteria (payer specific timely filing and days to appeal). Monitors collections efforts using various reporting tools to help identify staff productivity and success in collecting outstanding balances to ensure productivity and collections targets are being met on a consistent basis.
Supervises (productivity and quality) and routinely meets with his/her direct reports to review results and identifies ways to improve performance and collection results. Collaborates with the team to identify root causes on delayed claims payment and denial trends, expedites timely resolution with prompt communication to the payer, provider enrollment, CBO leadership and practice administrators/managers. Handles mass rebill processes following resolution of core issue/s that resulted in denials. Escalates to the Provider Accounts Receivable Operations Manager as needed.
Maintains an expanded knowledge base and thorough understanding of PMS functionality, claims processing, payment posting, ERA processing, Claim Adjustment Reason Codes, Remittance Advice Remark Codes, contract variances (underpayments) and appeal processes. Serves as the point of escalation for resolution of complex issues that arise on a daily basis.
Supervises charge corrections to ensure that payers receive a timely and accurate replacement claim to drive payment, adjustment and payments are transferred to the new charge or refunded accordingly, and reporting supports deleted, revised and added charges.
Provides excellent service to internal and external customers by providing clear and concise answers to questions or follow-up items in a responsive and positive fashion. Works collaboratively with Practice Administrators/Managers to resolve daily issues as needed.
Enforces standardization of daily work flows to promote established "best practices" and to maximum efficiencies. Builds a cohesive team that works well together to ensure that the work of the team is accomplished.
Promotes a work environment of accountability and ownership. Sets appropriate standards of performance and behavior, communicates clear expectations; coaches and counsels staff on performance and behaviors as needed. Conducts routine one-on-one meetings focused on work performance and behaviors, opportunities for improvement and recognition of accomplishments. Maintains comprehensive and concise documentation of the one-on-one meetings, next steps and expectations.
Participates in the employment hiring process for Provider Billing and Reimbursement Operations Department. Prepares well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations.