Supervisor, Insurance Verification & Authorization

Job Description

Job Description

PRIMARY RESPONSIBILITIES:

• Manage the upfront billing team and processes, assign and ensure timely resolution and follow through on billing work queues
• Provide training, coaching and support for new and existing staff regarding billing standard operating procedures and best practices
• Resolve complex customer, patient and payer inquiries
• Maintain customer and payer database and instructions for in-house and outsourced billing departments
• Responsible for new hire interview and onboarding processes
• Create, update and organize SOPs, Reimbursement SharePoint site and training documents
• Participate in weekly calls with outsourced billing team and provide feedback when necessary
• Provide feedback regarding Medical Billing and Reimbursement Specialist team performance, customer and payer performance to leadership team
• Responsible for Medical Billing and Reimbursement Specialist job functions
• Effectively identify and report insurance contract opportunities and communicate with leadership team
• Ensure team’s execution of exceptional customer service
• Report on monthly performance and activities
• Facilitate and document staff meetings and outcomes
• Work a 40-hour schedule within the operating hours of the department, 8:30 AM to 9:30 AM start time and ending 5:00 PM to 6:30 PM
• Based on business and departmental need, work occasional overtime and/or weekends

QUALIFICATIONS, SKILLS & COMPETENCIES:

• Bachelor’s degree preferred
• Minimum of 5 years of experience in customer service, insurance verification, authorization, and insurance billing (required)
• Demonstrated success in a Medical Billing and Reimbursement Specialist role
• Proficient with Windows PC applications, including Microsoft Word and Excel; strong keyboard and navigation skills; ability to learn new systems and applications
• Previous experience in medical claims processing, insurance verification, authorization, medical records, and insurance terminology (required)
• Highly organized, focused, and detail-oriented
• Able to make decisions, solve problems, and work independently using sound judgment and established departmental procedures
• Skilled in prioritizing tasks and managing time effectively
• Proficient in communicating ideas clearly and appropriately across diverse contexts
• Experienced in quality control, productivity, confidentiality, and HIPAA compliance, with a strong commitment to adhering to these standards
• Adept at identifying and reporting opportunities for process improvement to the management team
• Flexible and able to assist with and adapt to departmental and organizational procedural changes
• Strong interpersonal skills; able to maintain and promote positive, professional relationships with peers and management

BENEFITS:

• Competitive salary and bonus structure
• Health, dental and vision insurance as well as other ancillary benefits
• Retirement savings plan – 401(k) – with company match
• Paid time off (PTO) and holidays
• Professional development and training opportunities
• Employee wellness programs

RMX Monitoring, LLC. is an equal opportunity employer who openly supports and fully commits to recruitment, selection, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, and/or local laws. Inclusion and diversity amongst our teams is essential to our success.