Supervisor Accounts Receivable
Company: Lifescan Labs of Illinois
Location: Skokie
Posted on: May 25, 2023
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Job Description:
Lifescan Labs of Illinois -
Position Summary: -
The Supervisor, Accounts Receivable is responsible for opening
accounts receivable collections for government and commercial
payers across all clients. The Supervisor analyzes and manages to
claim the inventory and identifies improvements to reduce denials,
increase collections, and decrease avoidable write-offs. Assures
that all accounts are assigned and processed timely according to
payer guidelines, contractual agreements, and government
regulations. In collaboration with Client Services, the Supervisor,
ensures claim transfers from insurance to client adhere to contract
terms and Lifescan Labs policy and procedure.
The Supervisor partners with the Revenue Cycle, Sales, and
Operations Teams to evaluate and optimize processes to improve the
client experience, enhance operational efficiencies, and drive
revenue growth. -
Essential Job Functions:
Manages the insurance accounts receivable for government,
commercial, and third-party payers as required to obtain
reimbursement.
Continually monitors claims volume and aging. Actively follows up
on aged pending claims that require resolution or next action for
payment. Actively manages the distribution, prioritization of
accounts, and assignment of work for Accounts Receivable
Specialists and offshore team.
Oversees denial management by performing denial analysis and
creating improvement plans to reduce overall denials and decrease
payment lag by payer or client.
Coordinates and schedules cross-departmental denial management
meetings as needed to reduce denials and write-offs.
Reviews insurance payment trends to validate reimbursement is in
accordance with contract terms, Medicare fee schedule, or as paid
as expected. Ensures underpayment appeals are submitted timely per
payer guidelines.
Maintains knowledge of and ensures compliance with state and
federal laws, and regulations for Medicare, Medicare Advantage,
Medicaid, managed care and other third-party payers.
Collaborates with Revenue Cycle Leadership to develop and implement
revenue cycle key performance indicators to evaluate the overall
performance of the revenue cycle and payer relations.
-Schedules weekly business review meetings with the offshore team
to assess performance and key performance metrics.
Documents and maintains current workflows, policies, standard
operating procedures, and department training material.
Identifies accounts receivable issues, researches and analyzes
data, creates action plans, and implements solutions for
improvement.
Assists IT with testing new features and functions in the practice
management system. Develops training material and trains staff
members on new revenue cycle system implementations in
collaboration with It Project Managers.
Acts as subject matter expert for insurance claims and denials.
Assists Client Services with inquiries received directly from
Clients and Account Managers.
Utilizes Open Accession Report Template developed by IT Project
Managers to update Client reports bi-weekly or monthly. Ensures
reporting responsibility is assigned to Client Service Specialists
and reports are created and delivered timely to Clients.
Partners with the Revenue Cycle Analyst to generate and validate ad
hoc report requests. Summarizes report findings not aligned with
quality expectations and partners with the appropriate teams to
document issues and/or develop corrective action.
Coaches develop and mentors Accounts Receivable Specialists.
Performs on-the-job training to increase Specialist's skill
sets.
Works with Director, Revenue Cycle to develop productivity and
quality metrics for Accounts Receivable Specialists and the
offshore team. Executes and monitors productivity and quality
performance per Specialist.
Performs quality audits, identifies opportunities, provides
feedback, and implements payer-specific training and/or action
plans to improve accuracy and meet production/patient satisfaction
targets. -
Collaborates with Supervisor, Revenue Integrity to disseminate new
regulatory and payer changes to the Revenue Cycle, Sales, and
Operations Teams.
Provides coverage and backup of other Revenue Cycle functional
areas as required to avoid disruption in business operations.
Partners with Revenue Cycle, Sales, or Operations Management on
special projects.
Remains current with trends, regulatory requirements, and business
strategies related to the payer relations and revenue cycle.
Operates in compliance with all local, state, and Federal laws as
well as policy and compliance standards. -
All other duties as assigned. -
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Requirements
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-Education and Experience:
Bachelor's Degree in business, information systems, finance, or
related field preferred.
5+ years experience in the revenue cycle with a strong focus on
CMS1500 insurance claims and accounts receivable management
required.
-4+ years experience as a Lead or Supervisor in the revenue cycle,
patient financial services, or on a billing team required. -
Supervisory Responsibilities: -
Supervises up to 5 direct reports. -
Supervises an offshore accounts receivable team. -
Key Job Competencies: -
Microsoft Office skills - Proficiency with Excel, PowerPoint, Word,
and Visio. ? Exceptional detail orientation, critical thinking,
analytical, and problem-solving skills.
Ability to work autonomously and efficiently within designated
timeframes in a fast-paced environment. -
Expertise in government, commercial, and third-party payer claims
submission, denial resolution, and appeals processes. -
Ability to interpret and apply government and insurance payer
billing guidelines, claim rules, and insurance payer contract
terms.
Knowledge of CPT and ICD coding systems.
Ability to collaborate and work cohesively as part of a team.
Communicates effectively orally and in writing with all levels of
the organization and an offshore team.
Customer service client first aptitude. -
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Keywords: Lifescan Labs of Illinois, Skokie , Supervisor Accounts Receivable, Other , Skokie, Illinois
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