Supervise hospital claims billing and follow up to maintain unbilled and accounts receivable inventory within KPI metrics and industry standards.
Educate and train staff on proper workflows, policies, and standards.
Researches payer billing requirements and provides guidance to resolve outstanding accounts receivable balances.
Keeps up to date with payer claims processing requirements and government regulations.
Focuses on high dollar receivable accounts and adjust staffing as necessary.
Assists in the development of standards and policies pertaining to hospital claims billing and follow up.
Monitors and resolves claims holding on discharged not final billed (DNFB) list.
Identifies payers being submitted on paper rather than electronically and communicate the opportunities to leadership.
High dollar accounts will have consistent follow up until the account has been resolved.
Responsible for reviewing and understanding explanation of benefits/remittance advice.
Performs extensive account follow-up reviews and provide analysis of problem accounts

High School Diploma, or GED/Equivalent (required)
Associates degree in healthcare related field (preferred)
Two (2) years' experience in healthcare Revenue Cycle operations, billing or collections (required)
Two (2) years’ lead or supervisory experience in healthcare environment or equivalent (preferred)
Reviews, comprehends, discusses HCFA billing with Insurance or Government agencies
Knowledge of general insurance requirements
Experience working directly with EOBs and contractual adjustments
Ability to meet productivity expectations
Must be able to communicate effectively in both verbal and written formats.

Maintains compliance with all company policies, procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
Works collaboratively and supports efforts of team members
Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community

Accounts Receivable Supervisor

Key skills