As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Why You Will Love Working Here
Strong track record of providing excellent work/life balance.
Comprehensive benefits package and competitive compensation
Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
What You’ll Be Doing
Medical Collections Supervisor is adept at leading account receivable collectors to maximize productivity and achieve monthly/quarterly receivable goals. The Supervisor will oversee quality audits, day-to-day operations, ensuring compliance with established procedures and policies. Serve as the primary point of contact for the Accounts Receivable Manager. The Collection Supervisor will oversee task and inventory assigned to the Collection Specialist, identifying issues and trends for improved outcomes. They are key to steady predictable cash flow, inventory reduction and AR collection quality.
Identify and resolve insurance claim denials.
Identify and communicate reimbursement and billing system opportunities to the Medical Collections Manager
Review and diagnosis ETM Inventory
Resolve insurance claim denials and no-response claims in a timely and efficient manner.
Monitor trends and resolve payer issues.
Create good teamwork and high morale.
Monitor performance and challenge the team to meet goals while maintaining adequate staffing levels.
Set clear expectations and hold staff accountable.
Keep upper management abreast of both successes and opportunities.
Perform standard supervisory tasks such as hiring new Medical Collections Specialists, performance reviews, performance counseling, conflict resolution, terminations, payroll, etc.
Be a role model within the department by exhibiting mature leadership qualities such as positive outlook, confidentiality, respect, and team spirit.
Direct Medical Collections Specialists in all aspects of the collection and billing process
Achieve, monitor, and maintain acceptable adjudication percentages for assigned payer mix.
Coordinate with other departments in identifying and resolving billing/collection difficulties.
Monitor and maintain an elevated level of productivity and quality of work.
Stay abreast of payer regulatory changes and communicate these to team members and Medical Collections Manager
Generate and distribute standard and special reports as required.
Develop relationships with carrier representatives to help speed resolution to adjudication.
Assist Manager in developing and implementing departmental policies and procedures.
Assure that HIPAA compliance guidelines are followed.
Monitor the AR and ETM metrics for accuracy.
Assist Manager and other Supervisors in coordinating weekly motivational meetings.
Complete assigned Training sessions in the time allotted by management and maintain passing scores.
All other duties deemed necessary by management.
Who/What We Are Looking For
Associate in related field (finance, account, or business management) or equivalent experience.
7 years of experience in healthcare collections and/or denial management
Advanced experience in medical collections and denial management to include a minimum of 4 years' experience with professional claim collections.
Advanced knowledge of coding (CPT, ICD-10, HCPCS) and documentation requirements.
Strong leadership and communication skills.
Experience in conducting quality audits and providing constructive feedback.
SCP Health and its affiliated companies (collectively, “SCP Health”) require applicants for specific positions, such as those onsite at a client company/healthcare facility or affiliate to be vaccinated against COVID-19 as a condition of employment, except where prohibited by state or local law. To demonstrate compliance with SCP Health’s vaccination policy, proof of COVID-19 vaccination status will be requested upon a conditional offer of employment for onsite positions at a client company/healthcare facility. SCP health will consider religious and/or medical/disability accommodation and other legally required exemption request as required by applicable law.
To Learn More About SCP Health, Please Visit
www.scp-health.com
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SCP Health is an Equal Opportunity Employer.
INDJV
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Hospitals and Health Care
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