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Job Requirements of Medical Collection Supervisor:
Knowledge, Skills, and Abilities:
• Understanding the overall billing process through final adjudication of accounts
• Excellent written and oral communication skills
• Excellent people skill and leadership experience
• Professional attitude and demeanor
• Initiative-taker and analytical person
• Ability to conduct Department Presentations
• Shows aptitude with Excel.
EDUCATION:
• Associate in related field (finance, account, or business management) or equivalent experience.
WORK EXPERIENCE/QUALIFICATIONS:
• 7+ years of experience in healthcare collections and/or denial management
• Advanced experience in medical collections and denial management to include a minimum of 4 years' experience with professional claim collections.
• Advanced knowledge of coding (CPT, ICD-10, HCPCS) and documentation requirements.
• Strong leadership and communication skills.
• Experience in conducting quality audits and providing constructive feedback.
• Ability to analyze and interpret data for strategic decision-making.
• Proficient with relevant software and denial management tools.
• Commitment to staying updated on industry changes and best practices.
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Medical Collection Supervisor
Medical Collections Supervisor is adept at leading account receivable collectors to maximize productivity and achieve monthly/quarterly receivable goals. The Supervisor will oversee quality audits, day-to-day operations, ensuring compliance with established procedures and policies. Serve as the primary point of contact for the Accounts Receivable Manager. The Collection Supervisor will oversee task and inventory assigned to the Collection Specialist, identifying issues and trends for improved outcomes. They are key to steady predictable cash flow, inventory reduction and AR collection quality.
Responsibilities:
• Identify and resolve insurance claim denials.
• Identify and communicate reimbursement and billing system opportunities to the Medical Collections Manager
• Review and diagnosis ETM Inventory
• Resolve insurance claim denials and no-response claims in a timely and efficient manner.
• Monitor trends and resolve payer issues.
• Create good teamwork and high morale.
• Monitor performance and challenge the team to meet goals while maintaining adequate staffing levels.
• Set clear expectations and hold staff accountable.
• Keep upper management abreast of both successes and opportunities.
• Perform standard supervisory tasks such as hiring new Medical Collections Specialists, performance reviews, performance counseling, conflict resolution, terminations, payroll, etc.
• Be a role model within the department by exhibiting mature leadership qualities such as positive outlook, confidentiality, respect, and team spirit.
• Direct Medical Collections Specialists in all aspects of the collection and billing process
• Achieve, monitor, and maintain acceptable adjudication percentages for assigned payer mix.
• Coordinate with other departments in identifying and resolving billing/collection difficulties.
• Monitor and maintain an elevated level of productivity and quality of work.
• Stay abreast of payer regulatory changes and communicate these to team members and Medical Collections Manager
• Generate and distribute standard and special reports as required.
• Develop relationships with carrier representatives to help speed resolution to adjudication.
• Assist Manager in developing and implementing departmental policies and procedures.
• Assure that HIPAA compliance guidelines are followed.
• Monitor the AR and ETM metrics for accuracy.
• Assist Manager and other Supervisors in coordinating weekly motivational meetings.
• Complete assigned Training sessions in the time allotted by management and maintain passing scores.
• All other duties deemed necessary by management.
Job Requirements:
Knowledge, Skills, and Abilities:
• Understanding the overall billing process through final adjudication of accounts
• Excellent written and oral communication skills
• Excellent people skill and leadership experience
• Professional attitude and demeanor
• Initiative-taker and analytical person
• Ability to conduct Department Presentations
• Shows aptitude with Excel.
EDUCATION:
• Associate in related field (finance, account, or business management) or equivalent experience.
WORK EXPERIENCE/QUALIFICATIONS:
• 7+ years of experience in healthcare collections and/or denial management
• Advanced experience in medical collections and denial management to include a minimum of 4 years' experience with professional claim collections.
• Advanced knowledge of coding (CPT, ICD-10, HCPCS) and documentation requirements.
• Strong leadership and communication skills.
• Experience in conducting quality audits and providing constructive feedback.
• Ability to analyze and interpret data for strategic decision-making.
• Proficient with relevant software and denial management tools.
• Commitment to staying updated on industry changes and best practices.