Medusind · 5 hours ago
Accounts Receivable Supervisor - Behavioral Health
Tustin, CA
Full-time
Remote
Mid Level
3+ years exp
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Responsibilities
Provide ongoing coaching to Claims Resolution Team to support skill development, task execution and insurance and/or process updates.
Conduct regular audits of delegated tasks to ensure accuracy, timeliness of delivery and quality standards are met
Oversee the end-to-end processing of behavioral health insurance claims
Investigate unpaid and underpaid claims to identify current and potential payment delays
Develop and execute strategies to address recurring payer issues, implementing proactive solutions to optimize claim resolution efficiency
Collaborate with and guide the Claims Resolution team to address and rectify payer issues, assigning work and coordinating special projects
Work closely with insurance companies, internal teams, and customers to resolve payment disputes, denials, or discrepancies in a timely manner.
Prepare weekly and end-of-month reports to provide insights into claims processing and revenue cycle performance
Audit assigned accounts claims data for accuracy, ensuring all statuses, payments and denials are documented according to company standards and processes
Complete claim-related appeals, ensuring all necessary documentation and follow-up actions are executed accurately and promptly.
Review all items in write-off status that have not yet been approved, making decisions to either approve for write-off, escalate internally, or return to the Claims Resolution team with detailed notes for next steps.
Generate weekly reports for Client Services, summarizing key updates on claims resolution and revenue performance.
Conduct high-level facility reviews to identify and resolve any systemic issues impacting revenue cycle efficiency.
Create end-of-month client invoices, ensuring accurate and timely insurance payment information.
Coordinate and manage projects related to claims resolution and process improvement, ensuring milestones are met and stakeholders are informed.
Serve as the primary liaison between departments to facilitate collaboration on revenue cycle and accounts receivable initiatives.
Track and monitor the progress of special projects, providing regular updates and reports to leadership and stakeholders.
Develop and maintain project documentation, including timelines, action plans, and outcomes, ensuring all objectives are met efficiently.
Proactively identify opportunities for process improvements for assigned facilities and implement project plans to address the issues.
Qualification
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Required
3+ years of experience in accounts receivable, auditing, healthcare billing, or insurance-related roles.
Strong knowledge of healthcare insurance billing, claims processing, and EOB interpretation.
Proficiency in accounting software and healthcare billing systems.
Excellent analytical skills with a keen attention to detail.
Strong problem-solving abilities, particularly in resolving insurance-related account issues.
Excellent communication and interpersonal skills to collaborate with insurance companies and internal teams.
Ability to work independently and manage multiple priorities.
Preferred
Familiarity with healthcare industry standards, insurance regulations, and behavioral health landscape.
Strong understanding of the healthcare revenue cycle and insurance payment processes.
A customer-centric mindset, ensuring positive experiences for clients during issue resolution.
A passion for continuous improvement in AR processes and insurance payment collections.
Benefits
Health insurance.
Dental insurance.
Employer-paid life insurance.
Employer-paid short-term & long-term disability.
Voluntary additional life insurance.
Employee Assistance Program.
48 hours of sick time after three months.
80 hours of vacation time after six months.
$400 referral bonus.
Company
Medusind
Medusind is a leading medical and dental billing and revenue cycle management company.
1,001-5,000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
H.I.G. Capital
2023-01-12Acquired· undefined
2019-04-11Corporate Round· undefined
Leadership Team
Jose Rivero
Chief Executive Officer
Bala Iyer
CIO
Company data provided by crunchbase
