Insurance Supervisor

The Staff Pad has partnered with one of Colorado’s largest accounts receivable management companies to hire an Insurance Supervisor. Headquartered in Longmont, this industry leader works with organizations across all 50 states, providing expert support in managing revenue cycles. Under the supervision of the Director of Insurance Operations, the Insurance Supervisor focuses on the operations, quality assurance and inventory management of the department.

Essential Functions And Responsibilities

• The insurance supervisor will oversee the day-to-day operations of the insurance division, ensuring processes are running smoothly, that the team is on task, and tracking to team KPIs.
• Team functions can be, but are not limited to the following:
• Claims billing / claim edits
• Eligibility verification
• Coverage discovery
• Coordination of benefits resolution
• Support calls from patients with insurance questions or updates.
• Insurance follow-up
• Denials management
• Underpayment review
• Complex claims resolution
• Correspondence
• Credits resolution
• Oversees overall team workflow.
• Performing quality assurance checks for assigned team members.
• Tracking productivity for assigned team members.
• Set monthly one-on-one meetings with assigned team members to review quality and productivity.
• Coordinating with the department manager to assign work to the team, based upon a review of inventory needs.
• Working with assigned leads to review and escalate any accounts that require special attention or client intervention.
• Coordinating the communication of all account escalations to the client.
• Reviewing and approving all adjustments made by assigned team members.
• Leveraging the adjustment approval process for additional quality assurance reviews.
• Requesting, tracking and maintaining assigned team member access to client systems and payer portals.
• Maintaining the operational health of the team by meeting KPIs and metrics established by the manager and director.
• Research, communicate, and update workflows based upon the following changes:
• Market updates
• Payer updates
• Client process changes
• Process improvements
• Working with the manager to identify and implement any process improvements necessary to ensure optimal team workflow.
• Provides feedback to the manager and director any trends or issues that require attention.
• Communicates with various payers via phone or web portals.
• Provides continuous communication with clients via phone, email and in person.
• Assist in the preparation of, and possible participation in, monthly client meetings.
• Participate in in monthly team meetings.
• Meet with the director and manager weekly to discuss staff performance.
• Performs other responsibilities and duties as required.
  
  

Qualifications Required

• Minimum of 5 years of revenue cycle experience
• Minimum of 2 years of leadership experience
• Extensive knowledge of hospital and physician revenue cycle:
• Coverage Verification and Coordination of Benefits
• Claim Billing
• Insurance follow-up
• Denials management
• Ability to quickly adapt to a variety of clients with different EHR systems and internal processes.
• Excellent written and verbal communication skills
• Clean credit history and be able to pass a background check