Insurance Collections Supervisor

AOM Healthcare Solutions (formerly Access Diabetic Supply), an Owens & Minor company, is a premier medical supply distributor located in Deerfield, Florida, is seeking a Collections Supervisor to join a dynamic department in a growing company.  Founded in 2000 with eight employees, AOM has grown to almost 500 teammates in just eight short years.  Our patients depend upon us for medical products ordered from the comfort of their homes and conveniently delivered to them with little or no out-of pocket expense.  We are continuing our phenomenal growth through expansion and acquisition.

 

JOB SUMMARY:

The Collections Supervisor is responsible for supervising the members of the Collection Team assuring that all responsibilities within the area are in compliance with Medicare/Medicaid, Insurance, Third-Party and private payor guidelines and that established Collection techniques are followed  consistently.  Promotes adherence to all Reimbursement and Corporate policies, practices and compliance programs.  Enables the Collection Team to meet production and quality goals by encouraging increased production and being available for questions and additional coaching when necessary.  May research, formulate and execute reports for review by Manager detailing production, revenues collected and reimbursement issues which may impact the ability of the organization to meet revenue goals. 

 

ESSENTIAL JOB FUNCTIONS:

1)  Trains and introduces new members of the department to the functions and responsibilities of the Team.  Assures that they are familiar with equipment, routine and standards of the department.  Monitors progress of team members and informs them of changes in procedures, technologies, policies and practices.

2)  Assists Team with the efficient analysis and resolution of all open balances; monitors productivity and reports shifts to Manager to assure that the Team can meet production and collection goals established by management.

3)  Works with the Manager to attain weekly/monthly goals for Team; promotes a positive and cooperative attitude with Team in order to facilitate a high degree of morale in the department; translates that positive attitude into a productive and loyal workforce.

4)  Generates daily reports that facilitate work flow metrics and audit processes for department; distributes to designated management staff.

5)  Assures that teammates are in compliance with departmental policies and procedures and are applying HIPAA and PHI regulations effectively. May audit systems usage and teammate performance; reports results to Manager and may facilitate coaching and counseling of team mates as directed by Manager.

6)  Assists with the implementation of new technologies, tools or system applications that have the ability to increase production via streamlines processes or procedures. 

7)  Review collection issues that impact the Team’s ability to process work within the department; conduct periodic audits of collection process for quality assurance purposes and to assure that the Team is utilizing most efficient methods for processing of work.

8)  Assists the Manager in maintaining good employee relations within the department; conducts interviews, initiates the need for counseling and disciplinary action, as needed; supports the success of the department by assisting team members in reaching their potential and meeting departmental expectations.

9)  Promotes the concept of patient satisfaction by encouraging proficiency and pride in the Team.

 

 

SUPPLEMENTAL JOB FUNCTIONS:

1)  Communicates effectively with management, teammates and other departments to source and collect data; supports the team culture within the organization by adhering to policies, practices and the Company’s mission statement

2)  Performs job responsibilities within established regulatory guidelines (HIPAA / PHI, Medicare/Medicaid, et. al.) and reports non-compliant activity to Director; protects patient and company confidentiality in all matters of Reimbursement

3)  Provides exceptional service to patients, internal and external customers and third party payors; interacts in a professional manner with all contacts in order to promote effective exchanges of information

4)  Looks for ways to improve and promote quality processes within and outside of the department

5)  Manages by example by reporting to work on time and ready to work; promotes the company Dress Code by maintaining a professional appearance and appropriate attire

6)  Adapts to stressful situations and demonstrates multi-tasking capabilities when dealing with frequent changes in an ever evolving work environment; inspires staff to remain focused during high productivity periods

7)  Implements change in a constructive and beneficial manner, recognizing the need for change and the results of improved work processes

8)  Maintain knowledge of all regulatory requirements by attending in-service classes and annual HIPAA updates

9)  Other duties as dictated by business conditions or management directive

 

QUALIFICATIONS:

 

A.  EDUCATION & FORMAL TRAINING:

 

  Attainment of an Associate Degree in Business, Accounting, Management or strongly-related discipline from an accredited university. In lieu of Degree, incumbent may present an additional two years of progressively responsible work experience with a Durable Medical Equipment supplier or other health-care provider in a computerized billing, credit or collections function at a lead or supervisory level.  Advanced knowledge of English, both verbal and written, including correct grammatical form to articulate and/or correspond with problem accounts.  Accuracy in checking, posting, and auditing numbers.  Familiarity with automated office equipment including computers, calculators, copiers and telephone systems.  Ability to master to diverse software applications in a fast paced department and translate raw data into effective reports and presentations.

 

  Knowledge of Medicare and other regulatory billing codes and practices in order to assess billing for accuracy prior to submission to appropriate agency or company for processing and payment.  Such knowledge may be derived from graduation from an accredited educational program or on-the-job training of no less than two years in a Durable Medical Equipment or health-care setting.  Should be well-versed in regulatory guidelines and industry standards for Medicare and/or specific payor benefit providers.

 

  May require familiarity with Fair Credit Reporting practices as they apply to specific billing/collections situations; exercises prudence in determining payment abilities and qualification for discounted or hardship consideration.

 

B.  WORK EXPERIENCE:

 

  Two to three years of progressively responsible experience with a Durable Medical Equipment supplier or in another health-care provider environment performing collections functions.  Minimum of two years experience performing duties of a supervisory or managerial nature in a department of no less than ten people responsible for a diverse range of functions is desired but not necessary.  Familiar with health-care reimbursement guidelines and practices; able to meet month-end deadlines and productions goals.  Advanced ability to multi-task in an ever-changing environment that can be stressful at times. 

 

C.  KNOWLEDGE, SKILLS, & ABILITIES:

 

1)  Familiar with accepted billing/collection practices in a health care reimbursement setting

2)  Possesses good interpersonal skills; ability to work independently and as part of a team.

3)  Facilitates work production results by incorporating exceptional planning and organizational skills

4)  Utilizes clear verbal communication skills to source and exchange information; utilizes written communication skills to prepare documentation and report results as warranted by job responsibilities

5)  Applies analytical skills to pre-established work processes that may require preparation of reports or documents for further review or analysis.

6)  Ability to identify problems within the work routine that can be handled at level and refer escalated matters for further resolution and follow-up to Supervisor, Manager or Director

7)  Computer literacy in standard office applications; i.e. Windows, MS Word, Excel; ability to learn and master industry specific software applications such as ACP, Noble House, etc.

8)  Promotes a philosophy that is customer driven with excellent service results.

 

Our team members enjoy an enriched benefit program that includes:

 

·  Up to $150,000 employer paid Basic Life & AD&D

·  Up to 7X salary Voluntary Life & AD&D

·  Employer paid Long & Short Term Disability

·  401 (k) Plan – 100% vesting with up to 6% employer immediate match

·  Subsidized gym membership

·  Choice of 2 AVMED health insurance plans

·  Choice of 2 optional Guardian dental plans

·  Vision care discount plan

·  Flexible Savings Accounts

o Medical

o Dependent

·  Wellness initiative

·  Company paid smoking cessation program

If working in a fast-paced, dynamic department that recognizes individual achievement through the reward of quarterly bonuses appeals to you, please forward your resume to: Careers@aomhs.com