Supervisor, Payment Variance Follow Up

Job Purpose

The Supervisor, Payment Variance Follow Up will mentor, monitor and evaluate Underpayment Analysts and Follow-up Representatives. This position will consistently communicate with the Manager, Managed Care Services to ensure efficiency and productivity in the everyday operations and recovery process.

Duties & Responsibilities

Perform payment variance analysis to identify trends in underpaid claims

Identify and report underpayments and denial trends

Analyze, identify and resolve issues causing payer payment delays including billing and coding errors 

Manage team productivity to ensure departmental goals are achieved

Develop and mentor team members and provide career coaching while motivating and supporting all employees

Provide the appropriate orientation to new and existing employees. Give the information, technology and reference materials necessary to perform their job.

Responsible for ensuring that all work is done properly in a timely manner

Perform internal audits of everyday recoveries

Report and trend revenue by client, staff, etc.

Compile together client reporting packages, provide clients with regular updates on project status

Hold quarterly staff meetings/learning sessions

Maintain confidentiality at all times

Maintain a professional attitude

Perform special projects and other duties as needed

Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Understand and comply with Information Security and HIPAA policies and procedures at all times

Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

High School Diploma or equivalent required

Working knowledge of the insurance follow-up, and underpayment processes with and understanding of the fundamental concepts in healthcare reimbursement methodologies

Detailed knowledge of Managed Care reimbursement methodologies

Ability to multi-task and prioritize under stressful situations

Proficiency in business writing and email correspondence

Must have leadership experience and the ability to manage employees

Proficiency in Microsoft Office Suite

Strong interpersonal skills, ability to communicate well at all levels of the organization

Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses

High level of integrity and dependability with a strong sense of urgency and results oriented 

Excellent written and verbal communication skills required

Gracious and welcoming personality for customer service interaction

Working Conditions

Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.

Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.

Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.