Revenue Recovery Supervisor

·      Ensure timely and accurate submission of claims across these specialties, Home Health Mass, Home Health Medicare, Home Health Managed Care, Hospice, Physicians, etc.

·      Ensure timely and accurate handling of all electronic rejections, denials, appeals across these specialties; HH Mass, HH Managed Care, Physician.

·      Ensure AR percentages meet the MGMA Standards across these specialties, Home Health Mass, Home Health Managed Care, Physician.

·      Continually look for ways to improve/automate the process to create more efficiency, faster turnaround times and higher client satisfaction & Special projects when needed (follow-up)

·      Review Reports for trends and make recommendations on how to resolve/correct for future claims.

·      Incorporate PMBs 7 Core Values and 10 Success Rules in all your day-to-day activities involving communication with your peers, supervisors, clients, payers, and patients.  Along with exhibiting these Values and Rules for completing the duties assigned.

·      Communicate any trends found to your supervisor.

·      Address any question/issues the staff has regarding patients/claims for clients. 

·      Distribute billing reports at scheduled times to all assigned clients.

·      Review daily collections and monthly reporting, as well as recommendations for billing audits.

·      Verify CPT, HCPCS, ICD-10 and/or modifiers to accurately reflect documented services, as needed.

·      Works collaboratively with various departments to document and resolve complex revenue cycle issues and discussed with Director.

·      Review employees Timecards – go onto website and make sure that everyone has checked in and out.

·      Document and write up employees’ progress and goals.

·      Regularly review KPIs to ensure they are  appropriate for industry standards.

·      Developing and Building Teams- Encouraging and building mutual trust, respect, and cooperation among team members.

·      Guiding, Directing, and Motivating Subordinates. Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.

·      Coordinating the Work and Activities of Team members- Getting members of a group to work together to accomplish tasks.

·      Oversee assigned staff and procedures.

·      Review Reports of claim issues with clients and get feedback to help obtain resolution of claims.

·      Communicate Client responses of claim issues to Supervisors for handling.

·      Other duties as assigned.

Requirements

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

EPIC experience is a plus

High school diploma

4-5 years of medical billing or insurance experience required

Language Ability:

Read, analyze and interpret business, professional, technical or governmental documents. Write reports, business correspondence and procedure manuals. Effectively present information and respond to questions from managers, customers and the public.

Mathematical Ability:

Calculate figures and amounts such as discounts, interest, commissions, proportions, percentages

Reasoning Ability:

Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills:

Minimum typing speed of 40 wpm

Minimum 10-key speed of 175 ks-pm

Understanding of basic office applications, including MS Office (Word, Excel, Outlook)

Benefits