Supervisor of Insurance Collections
Summary
Supervises a team handling insurance claims, collections, and appeals for a healthcare provider, ensuring cash flow and compliance with billing regulations.
Position Summary
The Supervisor of Insurance Collections is responsible for oversight of patient accounting functions for Insurance funded clients. The position supervises the Insurance Collections Specialists and Medical Records & Appeals Specialists. The Insurance Collections Supervisor helps improve cash flow and participates in managing the overall health of the company’s receivables.
Relationships and Contacts
Within the organization: Maintains close and frequent contact with the finance and revenue cycle team members within both the Odyssey and facility-based teams.
Outside the organization: Maintains close and frequent contact with insurance providers and third-party vendors, as necessary.
Position Responsibilities
Essential Responsibilities
1. Provides immediate supervision, training, and coaching for all direct reports.
2. Ensures adequate staffing levels are in place including time off approvals and coverage.
3. Monitors and tracks weekly productivity of direct reports and provides feedback to the team.
4. Leads training for new team members and trains existing team members on new and updated processes.
5. Prepares reports for revenue cycle leaders, as assigned.
6. Processes outstanding insurance claims to point of resolution.
7. Tracks insurance appeals needed throughout the appeals process.
8. Handles coordination of benefit and coverage termed issues.
9. Reports insurance reimbursement trends and barriers to leadership.
10. Manages aging reports and prepares patient balance statements as necessary
11. Reviews explanation of benefits documents (EOBs) and payment postings to validate overpayments and support refund decisions.
12. Ensures compliance with all federal, state, and payer-specific refund regulations and timelines.
13. Researches and resolves issues related to overpayments, incorrect payments, or duplicate payments.
14. Maintains strict confidentiality of all patients financial and protected health information.
Additional Responsibilities
1. Abides by all company policies and procedures.
2. Performs other duties and projects, as assigned.