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Saint Vincent's Services

Supervisor

Posted 4 Hours Ago
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In-Office
Westchester Square, New York, NY, USA
66K-66K Annually
Junior
In-Office
Westchester Square, New York, NY, USA
66K-66K Annually
Junior
Manage revenue cycle receivables and payer processing for outpatient services, including eligibility, registrations, claim billing/corrections, denials management, cash posting, reconciliations, and payer follow-up. Analyze receivables data using Excel pivot tables, initiate reimbursement projects, coordinate billing workflows across departments, supervise staff, perform performance appraisals, maintain insurance websites, and support Medicare/Medicaid credentialing and other assigned projects to ensure timely, accurate revenue collection.
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Job Summary & Responsibilities

Under the guidance of the Director of Patient Financial Services and Access is responsible for the Revenue Cycle receivables management with a scope of responsibilities for the timely payer (insurances) processing of accounts and our revenue collections for services. To ensure the timely processing of point of service eligibility, the creation of registrations for prospective visits, the billing of claims, the correction of claims, the management of denials and follow-up to be completed timely and accurately. Manage Accounts Receivables affectively to reduce its average number of days need to review and collect payments. Initiate payer projects to generate revenue and all other duties as assigned.

The ability to work independently analyzing receivables date via excel pivot tables and initiate and manage payor reimbursement projects independently to the collection of all revenue to closure

Ensure adequate follow-up is performed to adjudicate claims, process of payments and checks are posted timely and accurately for all outpatient payers and reconciliation

Coordinate the flow of billing data through staff, follow-up and payments, contacting other departments to resolve problems and help speed flow of information.

Coordinate activity on accounts; respond to staff questions; maintain knowledge of status on billing operations and resolve backlogs, determine priorities.

Carries out annual performance appraisal of employees as needed.

Will assist cash postings and follow all procedures when there is an absence/additional help is needed in any one position

Researches offset/negative balance insurance remits as well as calling insurance carriers for missing or invalid check information.

Retrieves only,ne insurance remittance advices from carrier websites, printing, and cash posting to accounts receivables.

Works closely with assigned system representatives to ensure that claims are properly coded, demographics correct, as well as any insurance changes that are implemented.

Completes additional projects or tasks as assigned by the Director.

Consistently works with staff to prevent accumulations of accounts that error by the electronic billing system.

Responsible for maintaining all insurance websites and their authorities for staff.

Ensures that communications are appropriate and are done so while maintaining our service excellence culture.

Facilitates open communication within the department and with other departments.

Maintain yearly ETIN's and Medicare and Medicaid Credentialing for medical staff as needed.

The foregoing list of the job duties is not all inclusive and does not preclude the assignment or existence of other related responsibilities as regards to the operation of the department.

Requirements:

EDUCATION / EXPERIENCE: Bachelor's Degree / 2 or more years in a roll within a Hospital or Behavioral Health Patient Accounting environment

Good verbal/written English communication skills

Excellent computer proficiency in Microsoft Excel and interpersonal skills.

Requires knowledge of revenue cycle requirements and regulations.

Requires a high level of interpersonal, problem solving, and analytic skills.

Requires effective written and verbal communication skills in both individual and group settings.

Requires the ability to promote teamwork and develop team members.

Requires the ability to take initiative and meet objectives.

Pay: $66, 300

Pay Range

$66,300

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