Reimbursement Supervisor jobs in United States
cer-icon
Apply on Employer Site
company-logo

Superior Ambulance Service · 1 month ago

Reimbursement Supervisor

Superior Air-Ground Ambulance Service is the largest independent, locally owned emergency medical services provider in the Midwest. The Reimbursement Supervisor is responsible for overseeing the Accounts Receivable department, managing staff, and ensuring compliance with Medicare/Medicaid requirements while optimizing processes and maintaining communication across departments.

Emergency MedicineHealth CareService Industry

Responsibilities

Responsible for resolving denials/appeal (Current Denials/Correspondence) Tasks within 72 hours of receipt
Onboarding new staff
Assuring Medicare/Medicaid requirements are met by staff working claims by revising and creating policies for employees to follow
Assuring all company policies are being followed by employees and meeting with staff members one-on-one at least once a month to address any new and ongoing issues
Create and maintain a farming system of growth for staff into higher acuity roles, including employee responsibility lists maintained with backup employee listings
Assure work is being maintained by all employees by maintaining communication with Reimbursement Manager
Maintain work split and make sure workload is balanced among staff
Articulate system issues including Import deficiencies
Supervise and lead the team of Accounts Receivable, providing guidance, training, and support as needed
Conduct performance evaluations for team members, providing feedback and coaching to support their professional development and ensure high levels of performance
Deliver performance improvement plans to clerical support where appropriate
Oversee the accurate and timely follow up of accounts including claim submission, verification, denials, and adjustments to customer accounts in accordance of follow up guidelines and elated documentation for auditing and reporting purposes
Collaborate with other departments, such as accounting, finance, and customer service, to ensure seamless communication and coordination regarding financial transactions and customer accounts
Address any issues or discrepancies related to follow up promptly and effectively, working closely with team members and other stakeholders to resolve challenges
Develop and implement efficient processes and procedures to optimize the follow up workflow, streamline operations, and minimize errors
Identify training needs within the team and provide ongoing training and development opportunities to enhance the skills and knowledge of team members
Assist in revision of training materials as structure and policy change
Ensure the accuracy and integrity of financial data by performing regular audits and quality checks on follow up activities
Generate regular reports on follow up activities, including key performance indicators (KPIs) such as follow up accuracy, timeliness, and productivity
Regular use of Power BI, and custom scripts to import data into legacy systems
Occasionally support follow up at the clerical level during periods of backlog or labor shortages

Qualification

Accounts Receivable oversightHealthcare experienceProcess improvementPower BICustom scriptsMulti-taskingTyping 45 WPMCommunicationPositive attitude

Required

Minimum High School Diploma or equivalent
Healthcare experience preferred
Excellent verbal communications skills
Ability to multi-task and handle fair amount of stress when busy
Experience, education and/or equivalent training
Maintain a positive and professional attitude
Computer literate
Typing of at least 45 WPM
Ability to respond to common inquiries and forward appropriate complaints from employees, customers, agencies, facilities, and hospitals
Ability to effectively present information to Management

Preferred

Experience with ERA and EFT forms for healthcare payers
Knowledge of or previous experience running custom scripts to increase automations and efficiencies with legacy systems
Previous experience hiring, disciplining, and training clerical employees

Benefits

Medical
Vision
Dental
401k
Disability
FSA
HAS
Vacation
Paid time off

Company

Superior Ambulance Service

company-logo
Superior Ambulance is an ambulance service agency.

Funding

Current Stage
Late Stage
Company data provided by crunchbase