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Assistant Manager Medical Insurance Collections (Ref #11342)

Company: Recruiting Experts
Location: Melbourne
Posted on: September 14, 2018

Job Description:

Oversees the daily operations and training of the Research, Insurance Collection and Support departments. Maintains quality assurance, ensuring all clients? and corporate goal return percentages are met. Manages a staff of approximately 45. Requirements: Ideal candidate will have healthcare management background, preferably hospital business office, multi-physician practice, CBO or collection agency insurance department. Medical Insurance Collections experience REQUIRED with preference of previous leadership role. ? Self motivated with strong communication skills. ? Strong work ethic and an unfailing desire to achieve individual and team goals. ? Firm understanding of aged A/R 365 days+, appeals process, Medicare/Medicaid, Commercial, Auto, Work Comp, Liability, Crime Victims and State and Federal Insurance Programs. [Accounts assigned are HOSPITAL OR PHYSICIAN SERVICES BASED with the majority being inpatient/outpatient hospital visits]. ? Functional knowledge of multi- patient accounting systems such as MediTech, McKesson Star, AS400, etc. ? Ability to bill healthcare claims on UB04 and HCFA1500 forms via paper and electronically. ? Understand RAC Audits, underpayments and recoups. ? Understand ICD9, ICD10, DX, HCPCS, CPT codes and DRGs. ? Ability to interpret EOB?s, denials and medical records data. ? Understand copays, deductibles, co-insurance, non covered charges, etc. ? Able to speak to debtors, payers and attorneys to collect for payment and insurance information. Essential Duties and Responsibilities: ? Ensure all applicable federal and state laws are followed at all times ? Provides the operation?s manager with daily feedback regarding production levels and reviews staff production on a daily basis to ensure that set targets are achieved ? Fully reviews all system reports on a daily basis. Such reports are department and accounting based ? Reports key indicators to corporate office as directed ? Audits accounts for quality and training ? Provide resource feedback and direction to staff to have account adjudicated as quickly as possible ? Constant focus on urgency and immediate resolution on all accounts ? Understanding of legal representation process and ability to train such to staff ? Works with IT Team to ensure that system issues are quickly addressed ? Makes recommendations to continually refine all processes to increase revenue ? Keeps running total of collection projections for the current and coming months ? Recruits staff and oversees training and development ? Ensures that staff is cross trained ? research, insurance collectors and insurance support ? Counsels staff as appropriate, handles all branch level personnel issues including reviews and disciplinary actions ? Conduct departmental meetings ? Works with operations manager to ensure good client relationships and provides feedback during conference calls as necessary ? Works as a team player in conjunction with other departments and reports issues to appropriate manager ? Follow all office procedures to maintain integrity of company ? Open/close office ensuring safety of all associates on company property ? Other duties as assigned Supervisory Responsibilities: This position has supervisory responsibilities. Certificates / Registrations & Education: Completion of the FDCPA and HIPAA Standards exams High school diploma or general education degree required Associates or Bachelor?s degree preferred Must demonstrate proficiency in personal computers, MS Office Word & Excel. EXPERIENCE: 5 years of leadership experience required and knowledge of the collection industry required, hospital insurance collections and firm grasp of healthcare A/R Cycle. Knowledge of HIPAA, FDCPA & FCRA laws required.

Minimum Requirements:
1. Completion of the FDCPA and HIPAA Standards exams. 2. High school diploma or general education degree required. Associates or Bachelor?s degree preferred. 3. 5+ years of managerial experience required and knowledge of the collection industry required. 4. Knowledge of FDCPA and FCRA laws. 5. Hospital insurance collections experience a plus.

Keyphrases:
Insurance, collections, FDCPA, HIPAA, Hospital insurance collections

Keywords: Recruiting Experts, Melbourne , Assistant Manager Medical Insurance Collections (Ref #11342), Accounting, Auditing , Melbourne, Florida

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