What are the responsibilities and job description for the Supervisor, Payment Variance position at Med-Metrix?
Job Purpose
The Supervisor, Payment Variance Follow Up will mentor, monitor and evaluate Underpayment Analysts and Follow-up Representatives. This position will consistently communicate with the Director, Managed Care Services to ensure efficiency and productivity in the everyday operations and recovery process.
Duties & Responsibilities
The Supervisor, Payment Variance Follow Up will mentor, monitor and evaluate Underpayment Analysts and Follow-up Representatives. This position will consistently communicate with the Director, Managed Care Services to ensure efficiency and productivity in the everyday operations and recovery process.
Duties & Responsibilities
- Perform payment variance analysis to identify trends in underpaid claims
- Identify and report underpayments and denial trends
- Analyze, identify and resolve issues causing payer payment delays including billing and coding errors
- Manage team productivity to ensure departmental goals are achieved
- Develop and mentor team members and provide career coaching while motivating and supporting all employees
- Provide the appropriate orientation to new and existing employees. Give the information, technology and reference materials necessary to perform their job.
- Responsible for ensuring that all work is done properly in a timely manner
- Perform internal audits of everyday recoveries
- Report and trend revenue by client, staff, etc.
- Compile together client reporting packages, provide clients with regular updates on project status
- Hold quarterly staff meetings/learning sessions
- Maintain confidentiality at all times
- Maintain a professional attitude
- Perform special projects and other duties as needed
- Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Understand and comply with Information Security and HIPAA policies and procedures at all times
- Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
- High School Diploma or equivalent required
- Working knowledge of the insurance follow-up process with and understanding of the fundamental concepts in healthcare reimbursement methodologies
- Detailed knowledge of Managed Care reimbursement methodologies
- Ability to multi-task and prioritize under stressful situations
- Proficiency in business writing and email correspondence
- Must have leadership experience and the ability to manage employees
- Proficiency in Microsoft Office Suite
- Strong interpersonal skills, ability to communicate well at all levels of the organization
- Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability with a strong sense of urgency and results oriented
- Excellent written and verbal communication skills required
- Gracious and welcoming personality for customer service interaction
- Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
- Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
- Work Environment: The noise level in the work environment is usually minimal.