Job description

Position Summary

Insurance Team Supervisor is an important position that allows GetixHealth to help our clients resolve their outstanding accounts receivable which can lead to additional business, provide us the opportunity to employ more people and increase GetixHealth’s footprint in the healthcare sector. The Insurance Team Supervisor must possess the ability to work independently, have excellent customer service and communication skills, patience, flexibility, and the ambition to achieve goals. They work in a fast-paced environment with multiple clients.
position responsibilities
· Supervises and evaluates the work of the support staff; assists with the prioritization of work, assigning tasks to staff and monitoring progress and quality.

· Able to work with multiple billing and medical record systems

· Makes recommendations to increase efficiency and implements recommendations as required

· Initiating action plans for team collection on follow-up on unpaid or denied claims

· Drives researching, appealing and resolving insurance claims throughout team

· Ensures the follow-up and collection of electronic claims as well as correction of billing errors

· Responding to correspondence from client contacts

· Responding to executive management inquiries

· Exercises responsibility for establishing, reviewing, and revising internal revenue cycle controls/procedures, and workflow to achieve maximum efficiency and personnel utilization; ensures production and quality control standards are met by reviewing management reports.

· Identifies strategy for growth and executes plans to achieve growth goals

· Ensure timely revenue cycle work queue metrics are achieved by their direct reports; assigns workload to meet production requirements; compiles, analyzes and reports status and issues involving all aspects of assigned area; makes recommendations to management to reflect changes by reviewing management reports and other data, identifies conflicts and writes resolutions

· Other duties as assigned
education and experience
· High school diploma or college degree from an accredited college or university

· Knowledge of UB04 and CMS 1500 claim forms, EDI, HCPCS, ICD-9/ ICD-10, CPT, DRG’s and ability to interpret an Explanation of Benefits

· Complete working knowledge of billing instructions and procedures for each payer source according to regulations and guidelines

· Knowledge of Commercial, Governmental and third-party denials and appeals processes

· Knowledge of billing systems

· Ability to assign, direct, and evaluate the work of staff members; prepare written procedures and policies; work independently and make sound judgments; interpret and apply rules, policies, and procedures; deal tactfully and effectively with employees, managers, and people outside the company

· Fully effective written, oral and personal computer skills to exchange information in a clear, concise manner

· Proven problem solving and organizational skills, including the ability to manage multiple tasks simultaneously

· Knowledge of department's business, organizational structure, systems, office equipment, and Company/department policies and procedures as normally obtained through an associate's degree or equivalent plus minimum of 5 years of progressively responsible related work experience
work environment / physical requirements
· Work environment is an office location. The position requires the dexterity to operate office equipment such as a personal computer, keyboard, mouse and telephone

· Occasional lifting may be required up to 25 lbs.

· Must be able to sit for extended periods of time with frequent bending and stooping
Additional Notes
· This role profile is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position

GetixHealth is an equal employment opportunity employer.

Job Type: Full-time

Pay: $45,000.00 - $55,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus pay

Work Location: One location

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