Assistant Manager Medical Insurance Collections (Ref #11342)
Company: Recruiting Experts
Posted on: September 14, 2018
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.
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.
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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