A Reimbursement Supervisor is primarily responsible for working with insurance companies and medical billing staff, to manage the reimbursement process. The job description includes ensuring that the physicians and medical professionals are paid appropriately for their services. To complete the core task of managing the billing and reimbursement process, the following duties mentioned on the Reimbursement Supervisor Resume is carried out – identifying methods of payment for patients, correlating insurance coverage with services to be provided, managing financial and medical records, medical coding, reviewing records, coding, and billing practices to ensure compliance, and preparing insurance claims.
To do the job well, the following characteristics or traits will be useful – a good understanding and competency in medical billing, willingness to adhere to high standards of professionalism and training, and knowledge of insurance claims and processes. Employers prefer Reimbursement Supervisors who have earned a degree in relevant fields or a certificate in medical billing.
Objective : Trusted Reimbursement Supervisor leveraging 11 years of experience in all aspects of billing, collections, and recovery. Delivers skills in hospital operations centered around customer service, patient care, and account management, while leveraging exceptional skills in prioritization, policies and procedures, and communication. Additionally, delivers hands-on leadership experience in the area of training and development that drives departmental performance, productivity, and efficiency in order to meet goals.
Skills : Proficiency With Microsoft OfficePatient Management, Medical Terminology ICD.9, ICD.10, CPT, HCPCS, E&M Coding Bilingual English And Spanish.
Description :
Provided leadership and directed related to daily department operations, reimbursement processing, team management, staffing, employee performance, cost containment, and resource allocation.
Supervised 15-25 direct reports and up to two team leads.
Led workgroup focused on improving productivity and achieving departmental goals.
Ensured delivery of high-level customer service with new patients.
Managed new employee training, performance metrics, patient account errors and resolution, as well as shipments and returns.
Closely monitored productivity analyzed performance metrics, and implemented improvement strategies, ensuring all goals were met.
Demonstrated excellence in problem-solving and prioritization in order to facilitate efficient inpatient care services.
Experience
2-5 Years
Level
Junior
Education
Business Management
Reimbursement Supervisor Resume
Headline : To secure a Reimbursement Supervisor position that will utilize my healthcare reimbursement knowledge, customer service skills, and strong organizational skills.
Assisted the Regional Reimbursement Manager in planning, implementing, and administering orientations and training programs for staff.
Provided and monitored ongoing, clear, and measurable performance expectations for staff and reports to Regional Reimbursement Manager on a regular basis.
Coordinated staff workload and assigns staffing schedule.
Assisted staff with review and input on appropriateness of billing and collection techniques.
Served as a resource to all staff regarding questions or problems with billing and collection techniques.
Reviewed new contracts, incorporates new contracts into systems, and educates staff as appropriate.
Researched and resolved problem accounts to ensure collection standards and decrease DSO.
Experience
5-7 Years
Level
Executive
Education
B.A. In Liberal Arts
Reimbursement Supervisor Resume
Summary : Enterprising, Hard-Working, and Technically Skilled Accounts Receivable Analyst, known for accuracy, attention to detail, and timeliness in managing disbursement functions for diverse-industry employers. Accounts Receivable career expands over 26 years of experience in Infusion Pharmacy, Institutional Pharmacy, Durable Medical Equipment, retail, higher education, and other industries which include accountability for the collection and training of many throughout my career.
Oversaw the daily operations of non-emergency medical transportation and medical billing services.
Supervised over 20 people.
Responsible for billing, routing, scheduling, dispatch, payroll, human resources, receivables, and credentialing.
Improved revenue for most recent provider over 32% with same patient load.
Experienced billing for Family Medicine, Skilled Nursing, Home Health, and Long-Term Care specialties to Medicare, HMOs, PPO and Medicare Replacement Plans.
Experienced in the processing of Part A and Part B claims and the submission of secondary claims.
Retrieved Electronic Remittance Advice (ERA's).
Experience
10+ Years
Level
Senior
Education
AA In Accounting
Reimbursement Supervisor Resume
Objective : Seeking a role with a progressive company where I can utilize all of my abilities and make a meaningful contribution to the overall success of the firm. I am recognized as a strong leader and team player with excellent skills in communication, time management, and organizational processes. Able to function efficiently in multi-task environments, adapt quickly to challenging situations, achieve immediate/long-term goals, with a personal commitment in continuing to acquire new business knowledge, grow professionally, and contribute to the success and profitability of an organization.
Skills : Management, Reimbursement, Customer Service, Analytical, Process Improvement.
Description :
Directed Report to Business Office Director.
Managed a team of 15 employees to perform all back-end operations to resolve accounts, daily cash posting of payments received, processing of refunds, review of discrepancies for accuracy in payments.
Supervised daily activities for cashiering, managed care logging, government logging, and refund staff.
Completed monthly SMA exhibits for financial reporting.
Ensured monthly completion of discrepancy and unpaid claim reports ensuring timely processing of underpaid/overpaid accounts.
Monitored governmental denials to provide the requested information for proper resolution.
Developed departmental goals, objectives standards of performance, policies and procedures.
Experience
2-5 Years
Level
Junior
Education
Bachelor Of Science
Reimbursement Supervisor Resume
Summary : Desire a responsible Reimbursement Supervisor position in the medical field where my skills and qualifications will be utilized to provide outstanding service to others.
Skills : Microsoft Office, Excel, Coding, Management, Typing, Phones, Billing.
Description :
Supervised seven employees.
Worked directly with the Practice Operations Manager for a smooth productive day.
Directed hiring and training processes for all practice personnel.
Disciplined and/or terminated employment of non-productive personnel.
Resolved billing problems and/or receives insurance updates and sends to the appropriate personnel.
Assisted with the installation of OrthoSelect in practice including all aspects of coding, billing, and integration of Vision.
Enforced all personnel policies; work with the Director of Physical Therapy to ensure cross-department continuity of policies and enforcement.
Experience
7-10 Years
Level
Management
Education
Diploma
Reimbursement Supervisor Resume
Headline : Experienced in urgent care, outpatient clinics, and HIGH VOLUME ORTHO/TRAUMA Flexible and proficient team player assimilating easily into existing team dynamics in various departments as well as working independently to meet workloads and patient needs Mature professional with strong work ethic.
Skills : SHRM Member Skills, Developing Skills.
Description :
Responsible for receivables' management of approximately 20 million dollars in annual agency revenue for a community mental health, mental retardation, and substance abuse agency.
Developed and administered procedures and efficiency standards for the submission and collection of automated service claims to Medicare, Medicaid, Third Party Insurers, Managed Care Organizations, HMO, and State and Federally funded programs, including grant programs.
Included the management of direct client billing and collections with a focus on maximizing revenue while providing a continuum of excellent customer service.
Supervised, planned, and evaluated the work of a 15-member reimbursement department operating from multiple program sites.
Responsible for nurturing and maintaining a team approach to realize departmental, divisional, and agency goals.
Developed and administered a comprehensive departmental budget and business plan.
Responsible for compliance with all state and federal billing and collection regulations.
Experience
5-7 Years
Level
Executive
Education
MS
Reimbursement Supervisor Resume
Summary : A patient-focused individual is skilled at medical billing, coding, and office management. Highly efficient and reliable with experience in billing hospital claims and durable medical equipment. Excellent multi-tasker and demonstrated team player with a positive attitude, great people skills, and dedicated work ethic.
Skills : Budget Management, Customer Service, Team Work.
Description :
Managed all laboratory billing, collections (third party included), and payment posting.
Successfully managed a company merger combining laboratory back-end operations for two facilities Outstanding AR < 90 days after merger completion Supervised 38 Reimbursement Analysts in account audits, charge entry, and claims billing.
Additionally, handled a very heavy scheduling volume along with entering Medicare and Medicaid claims directly into FSS and TMHP.
Enacted new workflows along with required productivity for each employee.
Created new budget requirements, and hired a new staff of customer service agents.
Ensured adherence to established policies and procedures.
Created routine communication with lockbox bank to ensure the 835 file and EFT's uploaded daily.
Experience
10+ Years
Level
Senior
Education
Master's
Reimbursement Supervisor Resume
Summary : Highly qualified Reimbursement Supervisor with experience in the industry. Enjoy creative problem solving and getting exposure on multiple projects, and I would excel in the collaborative environment on which your company prides itself.
Skills : Leadership, Cash Application.
Description :
Supervised a team of Reimbursement Specialists, Reimbursement Assistants and Cash Application Specialists.
Trained, monitored, and mentored staff o Verifies that all appropriate reimbursement paperwork has been obtained, completed and accurate prior to billing.
Performed all reimbursement auditing functions o Assures the timely and accurate submission of invoices to the responsible payer for services and products provided o Assists Reimbursement Specialists with first level reviews/appeals.
Completed all second level reviews/appeals to payers o Ensure Cash Application Specialists post daily cash deposits to A/R from Company Treasury Report, including lock-box receipts, credit card payments and ACH settlements.
Applied cash to correct clients/accounts accurately, and in a timely manner to meet given deadlines Client Resource Manager o Supervision of the Intake Department and Receptionist/Front Desk o Track the number of referrals received.
Reviewed completed Risk Assessments on incoming referrals to establish the trend on payments received o Intake Coordination - Insurance verification and education support for remote sites.
Ensured all benefits are verified within in the policy set time frame.
Experience
10+ Years
Level
Senior
Education
Associate Of Science
Reimbursement Supervisor Resume
Summary : To obtain a management Reimbursement Supervisor position in which my knowledge can be utilized to increase accuracy by leading a team to improve processes and productivity to increase revenue.
Skills : Team Work, Data Analyst.
Description :
Created a climate of trust, high performance, quality, and performance excellence managing a reimbursement team to ensure the accurate and timely billing of government payor accounts to maximize reimbursement for several healthcare facilities.
Led collection efforts of third party payors and focuses efforts on the achievement of collection revenue goals and days in accounts receivable.
Analyzed reporting data on a continuous basis to monitor individual and team performance, including quality assurance invoice reports and the large balance report to stay abreast of progress on the reporting of accurate revenue.
Requested, prepared, and analyzed reports on billing and collection activities for the team and identify adjustments and follow-up actions.
Develop, recommend and implement practices, procedures and controls to ensure appropriate, accurate and timely billing in accordance with established internal and third party payor requirements.
Established individual and team goals; perform performance evaluations and coaching/counseling plans when appropriate; recognize team and individual performance to reward excellence.
Ensured compliance with company guidelines as well as government standards.
Experience
10+ Years
Level
Senior
Education
Bachelor Of Applied Science
Reimbursement Supervisor Resume
Summary : Directly supervised two teams with 15+ members; conducted all management activities including coaching, disciplinary actions, employee relations, team building, conducting annual reviews, entering time sheets into the payroll system, Managing escalated client issues and represented the team at management meetings.
Skills : Payroll Management, Patient Care, Supervising Skills.
Description :
Provided phone support to the Service Center via the Intel phone system Client Billing (Patient Pay) Supervisor.
Supervised for the patient collections department.
Resolved collections and billing issues for infusion services.
Collected monies owed from patients due to copay, deductibles and coinsurances.
Established collection policies and procedures.
Ensured all patient invoices were distributed on a monthly basis.
Submitted bad debt accounts to outside collections.
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