Compliance Specialist
ADP
Supervisor, Accounts Receivable Escalation
Medsuite Inc
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Lead and manage a team of accounts receivable specialists, providing guidance, support, and coaching to ensure high performance and productivity
- Develop and implement strategies to optimize the accounts receivable process, reduce the aging of accounts, and improve cash flow
- Monitor KPIs and metrics related to accounts receivable (AR days, denial rates, cash collection ratios) and address deviations from targets
- Oversee billing and claims processing functions, ensuring that claims are submitted accurately and timely, and that issues are promptly addressed
- Manage payment posting activities, reconciling payments with billed charges, and identifying discrepancies
- Coordinate denial management, analyzing denial trends, implementing corrective actions, and appealing denials to maximize revenue recovery
- Collaborate with coding, billing, and compliance to ensure alignment in revenue cycle processes
- Stay updated on changes in healthcare regulations, payer policies, and industry trends related to AR management and compliance
- Conduct regular team meetings and performance reviews, providing feedback and development opportunities
- Foster a positive, collaborative work environment with accountability and continuous improvement
- Serve as a point of contact for escalated issues from internal and external stakeholders
- Maintain accurate records of AR activities and generate reports to track progress
Requirements
- High School Diploma
- Minimum of 5 years of experience in healthcare revenue cycle management, with a focus on accounts receivable
- AAHAM CRCS/CRCP or HFMA CRCR certification is a plus
- Strong leadership experience, preferably in a healthcare setting
- Proficiency in Outlook, Word, Excel (pivot tables), and database software
- In-depth knowledge of medical billing processes, reimbursement methodologies, and regulatory requirements
- Strong communication, analytical, and problem-solving skills
- Ability to lead and motivate a team; manage performance and drive results
- Familiarity with healthcare payer policies and claims adjudication processes
