Insurance Reimbursement Assistant Manager

» Insurance Reimbursement Assistant Manager
Finance & Accounting
in Maitland
, FL
Reference: 19-02520

General Summary: 

  • Under management, accountable for day-to-day functions of all insurance reimbursement areas and teams
  • Ensure proper reimbursement on patient accounts, identifying error trends and reporting to leadership as needed
  • Coordinate with insurance payers and interpret contracts to ensure proper reimbursement on patient accounts
  • Ensure team success in meeting and exceeding accuracy and productivity goals set by PA/PFS department
  • Specifically take responsibility for patient satisfaction and employee engagement scores, meeting goals
  • Perform managerial duties in absence of manager
  • Actively participate in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all
  • Adhere to compliance plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies

Knowledge and Skills Required: 

  • Ability to use discretion when discussing personnel/patient related issues that are confidential in nature
  • Ability to be responsive to ever-changing matrix of hospital needs and act accordingly
  • Self-motivator, quick thinker
  • Proficiency in performance of basic math functions
  • Capable of communicating professionally and effectively in English, both verbally and in writing

Education and Experience Required:

  • Three (3) years experience in patient access/patient financial services department or related area (registration, finance, collections, customer service, medical office, contract management)
  • At least six (6) months team lead or supervisory experience

Preferred Education and Experience: 

  • Minimum (2) years college degree (business, healthcare or health services administration, health information management, communications, finance, accounting, public administration, human resources, management, or marketing)
  • (2) or more years in patient access/patient financial services department or related area as defined above

Preferred Licensure or Registration: 

  • Certified Patient Access Representative or Certified Patient Account Technician

Principal Duties and Job Responsibilities: 

  • Demonstrate core values of integrity, compassion, balance, excellence, stewardship, and teamwork as outlined in the organization’s Performance Excellence Program
  • Coordinate with insurance payors to ensure proper reimbursement on patient accounts
  • May be required to participate in conference calls, review accounts receivable reports, and/or create reports to compile issues in order to expedite resolution of accounts
  • Responsible for examining and interpreting contracts to ensure patient accounts are properly reimbursed
  • Trend and report any issues to leadership or as requested
  • Review quality assurance reports with appropriate leadership and staff
  • Create, prepare and update various weekly and monthly reports as assigned by management within specified time frame
  • Analyze and review statistical reports when requested by leadership
  • Specifically take responsibility for patient satisfaction and employee engagement scores
  • Promote an atmosphere of open communication for staff at all times
  • Assist customer service with patient concerns/questions to ensure prompt and accurate resolution is achieved
  • Present written and verbal directions to employees to ensure well-informed status in performance of their job requirements as indicated, and provide feedback for employee performance evaluations
  • Identify problems proactively to expedite resolution, offering training whenever needed
  • Provide continuing education of all team members on process and A/R requirements
  • Provide team members with tools and training needed to assist in meeting productivity and accuracy goals
  • Conduct interviews for open positions
  • Oversee new hire training to successfully meeting 90 day standards
  • Required to constantly ensure a high level of team productivity by proactively assigning and directing workload distribution amongst all team members
  • Enable staff to meet goals and deadlines by monitoring time management of staff
  • Limit use of overtime
  • Document employee performance and attendance
  • Adhere to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account