Supervisor of Insurance Collections

Position Summary

The Supervisor of Insurance Collections is responsible for oversight of patient accounting functions for Insurance funded clients. The position supervises the Insurance Collections Specialists and Medical Records & Appeals Specialists.  The Insurance Collections Supervisor helps improve cash flow and participates in managing the overall health of the company’s receivables.

Relationships and Contacts

Within the organization: Maintains close and frequent contact with the finance and revenue cycle team members within both the Odyssey and facility-based teams. 
Outside the organization: Maintains close and frequent contact with insurance providers and third-party vendors, as necessary. 

Position Responsibilities

Essential Responsibilities

1.    Provides immediate supervision, training, and coaching for all direct reports.
2.    Ensures adequate staffing levels are in place including time off approvals and coverage.  
3.    Monitors and tracks weekly productivity of direct reports and provides feedback to the team. 
4.    Leads training for new team members and trains existing team members on new and updated processes. 
5.    Prepares reports for revenue cycle leaders, as assigned. 
6.    Processes outstanding insurance claims to point of resolution.
7.    Tracks insurance appeals needed throughout the appeals process.
8.    Handles coordination of benefit and coverage termed issues.
9.    Reports insurance reimbursement trends and barriers to leadership. 
10.    Manages aging reports and prepares patient balance statements as necessary
11.    Reviews explanation of benefits documents (EOBs) and payment postings to validate overpayments and support refund decisions. 
12.    Ensures compliance with all federal, state, and payer-specific refund regulations and timelines. 
13.    Researches and resolves issues related to overpayments, incorrect payments, or duplicate payments. 
14.    Maintains strict confidentiality of all patients financial and protected health information. 

Additional Responsibilities
1.    Abides by all company policies and procedures. 
2.    Performs other duties and projects, as assigned. 
 

Minimum Requirements

Education and Experience
Position requires a high school diploma, bachelor’s degree preferred, and three to five (3-5) years of directly related experience. 

Physical Requirements 

•    While performing the duties of this job, the employee will be required to communicate with peers/general public, clients and/or vendors
•    Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time
•    While performing the duties of this job, the employee may be required to talk or hear, sit, stand, or walk. 

Skill Competencies

•    Demonstrates strong problem solving and analytical skills
•    Demonstrates strong customer service skills 
•    Demonstrates proficiency with Microsoft Office (Word and Excel)
•    Demonstrates excellent organizational and time management skills 
•    Demonstrates successful collaborative skills working with a variety of groups 
•    Demonstrates strong attention to detail
•    Demonstrates functional knowledge of basic behavioral health terminology
•    Demonstrates familiarity with insurance billing policies and practices
•    Demonstrates commitment to the vision and values of Odyssey Behavioral Healthcare
 

Odyssey Behavioral Healthcare, LLC and its subsidiaries provide equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey reserves the rights to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains “At-Will.”