BioTAB Healthcare
Accounts Receivable Supervisor
BioTAB Healthcare, Saint Louis, Missouri, United States, 63146
BioTAB Healthcare, LLC has supported patients with lymphatic, wound, and circulatory disorders for more than 20 years. Headquartered in Missouri, we provide pneumatic compression devices and personalized service to help improve patient outcomes and quality of life. As a family-owned company, we deliver expert care with a personal touch service.
Key Responsibilities
Payment Posting:
EFT, credit card, ACH, live check and insurance payments; researches and evaluates insurance payments and correspondence for accuracy. Processing and posting of insurance and patient payments; matches EOB and payment records with payments; write offs. Appeal & Audits:
Support the entire audit process from preparation and coordination to documentation and follow-up, ensuring accuracy and adherence to auditing standards. Identify reasons for claim denials and formulate effective appeal strategies to maximize reimbursement. Use data analysis to identify billing patterns, trends in denials, and opportunities to improve the revenue cycle management process. Experience with Medicare appeals at various levels, including redetermination, reconsideration, and Administrative Law Judge hearings. Billing:
Accurate and timely submission of all claims for all payers, daily claim and invoice submission. Process billing and payment for all Veterans Affairs purchase orders and provide required documentation to the purchasing agent within the contracted timeframe. Ensure all Contract Billing Partner billing is submitted to the appropriate outsourced partner. Collections:
Timely and accurate follow-up on unpaid claims or patient accounts; manage assigned lists of outstanding claim balances and multifaceted issues across different payers and patients. Analyze and resolve billing discrepancies on patient accounts and explain findings to patients. Remediate outstanding balances, research appeals, re-bill, and maintain accurate records. Compliance:
Ensure compliance with relevant healthcare regulations, financial standards, and internal policies. Prepare year-end schedules for review and assist in monitoring compliance with Medicare regulations. Adhere to all relevant regulations and agency policies regarding patient intake and data management, including CMS and OFCCP guidelines related to our Quality Management System, documentation and training. Reporting:
Review and communicate key statistics and trends to the Revenue Cycle Director to ensure consistent and efficient department processes; assist with routine auditing of billing processes and denial practices and reasons; research and monitor applicable trends with recommendations. Management of People:
Oversee assigned AR team members including hiring, training, performance management, timecards, absence and metrics dissemination, and overtime. Collaboration:
Work with other departments, such as sales, operations, and intake, to support workflow. Process Improvement:
Identify opportunities to improve processes and controls. Essential Skills
Analytical Skills:
Ability to analyze financial data, identify trends, and make recommendations. Communication Skills:
Excellent communication and interpersonal skills to effectively collaborate. Technical Skills:
Proficiency in accounting software and other relevant financial systems. Excellent organizational and time management skills:
Ability to manage a high volume of work and ensure timely processing of information. Attention to detail:
Ensure accuracy in patient records and insurance information. Problem-solving skills:
Address issues or challenges that may arise during the intake process. Experience and Qualifications
College degree preferred or related previous experience. 3 year minimum:
claim submission, payment posting, appeal and denial processes; medical device billing and/or general healthcare reimbursement; Medicare and commercial insurance carriers plan configurations related to coinsurance, deductibles, and percentages. Required:
2+ years of prior management experience. Preferred:
In-depth knowledge of healthcare methodologies in coding, coverage, criteria, and payments. BioTAB Healthcare benefits include 401k with company match, healthcare, vision, dental, life insurance and short term disability.
#J-18808-Ljbffr
Payment Posting:
EFT, credit card, ACH, live check and insurance payments; researches and evaluates insurance payments and correspondence for accuracy. Processing and posting of insurance and patient payments; matches EOB and payment records with payments; write offs. Appeal & Audits:
Support the entire audit process from preparation and coordination to documentation and follow-up, ensuring accuracy and adherence to auditing standards. Identify reasons for claim denials and formulate effective appeal strategies to maximize reimbursement. Use data analysis to identify billing patterns, trends in denials, and opportunities to improve the revenue cycle management process. Experience with Medicare appeals at various levels, including redetermination, reconsideration, and Administrative Law Judge hearings. Billing:
Accurate and timely submission of all claims for all payers, daily claim and invoice submission. Process billing and payment for all Veterans Affairs purchase orders and provide required documentation to the purchasing agent within the contracted timeframe. Ensure all Contract Billing Partner billing is submitted to the appropriate outsourced partner. Collections:
Timely and accurate follow-up on unpaid claims or patient accounts; manage assigned lists of outstanding claim balances and multifaceted issues across different payers and patients. Analyze and resolve billing discrepancies on patient accounts and explain findings to patients. Remediate outstanding balances, research appeals, re-bill, and maintain accurate records. Compliance:
Ensure compliance with relevant healthcare regulations, financial standards, and internal policies. Prepare year-end schedules for review and assist in monitoring compliance with Medicare regulations. Adhere to all relevant regulations and agency policies regarding patient intake and data management, including CMS and OFCCP guidelines related to our Quality Management System, documentation and training. Reporting:
Review and communicate key statistics and trends to the Revenue Cycle Director to ensure consistent and efficient department processes; assist with routine auditing of billing processes and denial practices and reasons; research and monitor applicable trends with recommendations. Management of People:
Oversee assigned AR team members including hiring, training, performance management, timecards, absence and metrics dissemination, and overtime. Collaboration:
Work with other departments, such as sales, operations, and intake, to support workflow. Process Improvement:
Identify opportunities to improve processes and controls. Essential Skills
Analytical Skills:
Ability to analyze financial data, identify trends, and make recommendations. Communication Skills:
Excellent communication and interpersonal skills to effectively collaborate. Technical Skills:
Proficiency in accounting software and other relevant financial systems. Excellent organizational and time management skills:
Ability to manage a high volume of work and ensure timely processing of information. Attention to detail:
Ensure accuracy in patient records and insurance information. Problem-solving skills:
Address issues or challenges that may arise during the intake process. Experience and Qualifications
College degree preferred or related previous experience. 3 year minimum:
claim submission, payment posting, appeal and denial processes; medical device billing and/or general healthcare reimbursement; Medicare and commercial insurance carriers plan configurations related to coinsurance, deductibles, and percentages. Required:
2+ years of prior management experience. Preferred:
In-depth knowledge of healthcare methodologies in coding, coverage, criteria, and payments. BioTAB Healthcare benefits include 401k with company match, healthcare, vision, dental, life insurance and short term disability.
#J-18808-Ljbffr