Assistant Manager Medical Insurance Collections

  •  

Miami, FL

Industry: Healthcare

  •  

5 - 7 years

Posted 124 days ago

Position Title         Assistant Manager Medical Insurance Collections

Relocation              Yes

Location                 Melbourne FL

General Purpose of Job:

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.

Bottom line 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.

$80K - $90K