RCM Healthcare Claims Denials Supervisor - CenterWell
Blue Springs, MO
About the Job
Become a part of our caring community and help us put health first
This is a hybrid opportunity - 2 days in office and 3 days remote. Must be local to either the Kansas City or Atlanta market.
As the RCM Healthcare Claims Denials (Accounts Receivable) Supervisor , you will:
+ Supervise daily billing and collections activities to ensure maximum efficiency. Provide guidance and direction to staff, covering all aspects of billing and collection standards/procedures, ensure adherence to policies and procedures, and initiate correspondence to insurance companies for reconsideration of claims.
+ Supervise accounts receivable management functions and maintain assigned portfolios at acceptable levels. Ensure that service/supplies are billed appropriately and reimbursements are pursued until full payment is received.
+ Provide guidance and assistance to management at branches assigned on reimbursement issues.
+ Develop and implement plans to ensure assigned accounts receivable balances are within stated objectives.
+ Supervise the maintenance of the provider manuals, patient information updates, and various logs essential to patient clearance/billing processes.
+ Ensure that accounts are billed within the established time frames and that customer service guidelines/guarantees are adhered to. Keep abreast of billing regulations/requirements and changes to national uniform billing forms, and communicate changes to all pertinent personnel.
Use your skills to make an impact
Required Experience/Skills:
+ High School Diploma or the equivalent
+ A minimum of three years healthcare related collection/billing experience
+ Some experience in a lead or supervisory role generally required
+ Strong knowledge of collection and accounts receivables procedures
+ Effective communication skills
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$57,700 - $79,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
This is a hybrid opportunity - 2 days in office and 3 days remote. Must be local to either the Kansas City or Atlanta market.
As the RCM Healthcare Claims Denials (Accounts Receivable) Supervisor , you will:
+ Supervise daily billing and collections activities to ensure maximum efficiency. Provide guidance and direction to staff, covering all aspects of billing and collection standards/procedures, ensure adherence to policies and procedures, and initiate correspondence to insurance companies for reconsideration of claims.
+ Supervise accounts receivable management functions and maintain assigned portfolios at acceptable levels. Ensure that service/supplies are billed appropriately and reimbursements are pursued until full payment is received.
+ Provide guidance and assistance to management at branches assigned on reimbursement issues.
+ Develop and implement plans to ensure assigned accounts receivable balances are within stated objectives.
+ Supervise the maintenance of the provider manuals, patient information updates, and various logs essential to patient clearance/billing processes.
+ Ensure that accounts are billed within the established time frames and that customer service guidelines/guarantees are adhered to. Keep abreast of billing regulations/requirements and changes to national uniform billing forms, and communicate changes to all pertinent personnel.
Use your skills to make an impact
Required Experience/Skills:
+ High School Diploma or the equivalent
+ A minimum of three years healthcare related collection/billing experience
+ Some experience in a lead or supervisory role generally required
+ Strong knowledge of collection and accounts receivables procedures
+ Effective communication skills
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$57,700 - $79,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
Source : CenterWell