Insurance Supervisor – Government Program

This is a fully remote position, open to applicants in United States.

📋 Description

• Support the Manager and Director in managing the daily activities of the Insurance Operations department.

• Supervise the daily functions of the billing and insurance follow-up teams.

• Implement billing and follow-up strategies, review department reports, and monitor user productivity.

• Oversee client communications, project updates, billing system assistance, and service implementations.

• Facilitate internal and external meetings with key stakeholders.

• Address account balances and intricate billing or denial challenges.

• Monitor and rectify inappropriate denials, underpayments, and overpayments.

• Stay informed about payer guidelines, regulations, and industry best practices.

• Identify issues within the billing system and assist in system enhancements and process improvements.

• Respond to RAC, MIC, and ADR audits while supporting the appeals process.

• Develop and sustain tracking tools for interdepartmental communication and reporting.

• Mentor and support staff to achieve quality and productivity benchmarks.

• Manage staffing requirements, assist in hiring decisions, and ensure compliance with time and attendance policies.

• Build and maintain relationships with clients, internal teams, and external stakeholders.

• Ensure adherence to HIPAA regulations and maintain patient confidentiality.

• Act as a liaison between Management, Supervisors, and Staff.

• Drive initiatives aimed at reducing payer rejections and denial rates.

• Contribute to revenue cycle projects and offer insights on operational effectiveness.

⛳️ Requirements

• High School Diploma is mandatory; Associate’s or Bachelor’s degree is preferred.

• 5-7 years of experience in healthcare revenue cycle operations.

• A minimum of 3 years of direct management or supervisory experience.

• Preferred certifications include AAHAM, HFMA, NAHAM; Project Management certifications are a plus.

• In-depth knowledge of patient accounting systems, EHRs, billing forms (UB04, HCFA 1500), and CPT/HCPCS/ICD-10 coding.

• Proven experience in appeals, denial management, and payer regulations.

• Advanced understanding of billing processes and insurance collection standards.

• Exceptional communication skills with the ability to present updates to senior leadership and clients.

• Proficient in Microsoft Office and experienced with payer portals and billing platforms.

• Strong analytical, problem-solving, and conflict resolution abilities.

• Capable of leading teams, handling multiple projects, and meeting deadlines in a fast-paced environment.

🏝️ Benefits

• Insurance/401k match

• PTO/Paid holidays

• Referral bonuses