The Remote Medical Insurance Follow-Up Manager manages and directs the daily activities of the agency to ensure compliance with all applicable policies, procedures, laws, and regulations while ensuring that established corporate, client and divisional goals are met or exceeded.
ESSENTIAL RESPONSIBILITIES:

• Oversee daily operation of the Insurance Follow Up department. Serves as strategic partner to management in ensuring the efficiency and productivity of the department.
• Accountable for department cash collection goals and for ensuring team members meet goals and understand expectations.
• Lead operation assessment, development and implementation of operation systems and procedures to improve process cycle times and assure timely billing and collection of fees for services rendered.
• Ensure timely and complete follow up with insurance companies on unpaid or denied claims.
• Monitor denial and no-activity trends by the payer and help identify root cause issues, whether it be internal or payer related
• Identify denial trends or change in payments and participate in development and deployment of tactics to reverse denials.
• Report payer issues to leadership and assist in the development of strategies and tactics to address and resolve.
• Tracking Unit Key Performance Indicators and completing assessment on a monthly, quarterly and annual basis to identify trends and develop tactics to improve revenue cycle metrics.
• Oversee department’s billing and collection activities for accuracy and productivity, provide feedback to Leaders and staff for continuous improvement of service quality.
• Provide guidance in problem resolution through identification and validation of issues, design and recommendation of corrective actions.
• Provide daily coaching, training, and guidance to Client AR team members.
• Assess, organize, and prioritize daily workloads for Client AR team members.
• Make collection calls and manage escalated accounts due to difficulty or complexity. Answer questions, provide support, and assist in resolution of issues brought forth by team members, accounts, and internal departments as requested.
• Assess and establish performance benchmarks. Communicate to team on the performance standard and quality expectation to help achieve or exceed performance goals.
• Ensures compliance with Company, Medicare, Medicaid and other payor guidelines and performs routine audits as outlined in policy or as necessary
• Continuously evaluate department efficiency, design and implement improvement strategies as needed
• Performs other duties as assigned by Manager

EDUCATION & EXPERIENCE:

• A high school diploma or equivalent; Bachelor degree is preferred
• 2 or more years of experience managing Insurance Follow-Up teams within the medical industry

KNOWLEDGE, SKILLS & ABILITIES:

• Knowledge of Medicare, Medicaid, and other third-party payor regulations and billing procedures
• Solid ability to troubleshoot, research, analyze, and interpret data and reports
• Strong interpersonal and oral communication skills
• Detail oriented
• Ability to assist and train billers in prioritizing and accomplish their work assignments
• Effective leadership, strong supervisory, organizational and computer skills
• Ability to work under pressure and manage multiple initiatives concurrently.
• Knowledge of insurance terminology and processes
• Medium to advanced proficiency in computer skills using Microsoft Word and Excel software

"Winner - 2021 Best Places to Work in Collections" by insideARM
Hollis Cobb is an Equal Opportunity Employer

Education
Preferred

• High School or better

Job Type: Full-time

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