Benefits:

401(k) matching

Dental insurance

Health insurance

Opportunity for advancement

Paid time off

Vision insurance

Bonus based on performance

Job Summary:

The Physician Insurance Follow-Up Supervisor will be responsible for overseeing the insurance follow-up process, ensuring timely resolution of outstanding claims, and optimizing reimbursement for medical services.

Essential Job Functions:

· Lead and supervise a team of insurance follow-up specialists to ensure productivity, accuracy, and adherence to established policies and procedures.

· Provide guidance, training, and support to team members to enhance their skills and knowledge.

· Oversee the resolution of outstanding insurance claims by monitoring aging reports and implementing strategies to minimize claim denials and delays.

· Collaborate with team members to address complex claims issues and escalate when necessary.

· Monitor key performance indicators (KPIs) to measure the team's performance and efficiency.

· Communicate effectively with insurance companies, healthcare providers, and internal stakeholders to resolve escalated issues and ensure the timely processing of claims.

· Provide clear and concise updates to management on team performance and key metrics.

· Conduct ongoing training sessions for the team to keep them updated on changes in billing regulations, coding guidelines, and payer policies.

· Identify areas for improvement and implement training programs to enhance team skills.

· Implement quality assurance processes to ensure accurate claim submissions and adherence to compliance standards.

· Develop and enforce procedures for maintaining accurate documentation of follow-up activities.

· Collaborate with the billing and revenue cycle management team to identify opportunities for process improvement and workflow optimization.

· Implement changes to enhance the efficiency of the insurance follow-up process.

· Adheres to all company and departmental policy and procedures.

· Performs other related duties as assigned.

Required Skills/Abilities:

· Strong leadership and interpersonal skills to motivate and guide a team effectively.

· Ability to foster a positive and collaborative team environment.

· Proficient in using medical billing software, electronic health record (EHR) systems, and other relevant tools.

· Advanced knowledge of CPT, ICD-10, and HCPCS coding.

· Excellent analytical and problem-solving skills to identify trends, patterns, and opportunities for improvement.

· Effective communication skills, both written and verbal, to interact with internal and external stakeholders.

· Ability to adapt to changing industry regulations, coding updates, and payer policies.

· Ability to adapt to changing priorities and handle challenging situations with professionalism.

Education and Experience:

High school diploma. Relevant certifications in medical billing and coding are a plus.

Proven experience in medical billing and insurance follow-up, with a minimum of 2 years in a supervisory or leadership role.

Thorough understanding of insurance claim processing, reimbursement methodologies, and denial management.

Physical Requirements:

Prolonged periods sitting at a desk and working on a computer.

Must be able to lift up to 15 pounds at times.

This is a remote position.