Job Title: Supervisor, PFS Back End - Remote

Company Name: Ambry Genetics

Job Details: $32-$36/hrRemoteFull,Time

Job Url: https://hiring.cafe/viewjob/mokk4tvcybm9di60

Job Description: Posted 2mo agoSupervisor, PFS Back End - Remote@ Ambry GeneticsView All JobsWebsiteAliso Viejo, California, United States$32-$36/hrRemoteFull TimeResponsibilities:coaching staff, supervising team, analyzing policiesRequirements Summary:Lead collections team to improve cash collections and reimbursement; supervise accounts receivable, review payer policies, generate management reports, and implement process improvements.Technical Tools Mentioned:Xifin, Practice Management systems
Compensation:$32.00 - $36.00 an hour per year. You are eligible for a Short-Term Incentive Plan with the target at 7.5% of your annual earnings; terms and conditions apply.

Job OverviewThe PFS Supervisor's main role is to lead the collections team towards department goals of increasing cash collections and improving upon reimbursement rates. This supervisor should have the ability to work any claim, regardless of aging, and must work with both commercial and government payers, review EOB’s and medical policy to evaluate and submit for appeals, as well as perform in-depth research to appropriately obtain coverage for any denied claims. The collections supervisor will also develop and deliver reports to management to summarize payer and claims issues and contribute suggestions for policy and process improvements. This role will take point on implementing process changes within the team, as well as operationally guiding the team on a day-to-day basis to ensure department goals are met.Essential FunctionsAssists manager with coaching, disciplining, and otherwise managing the performance evaluations and appraisals for all staff in a timely manner as well as ensures that company and departmental employee policies are followed (e.g. Timecard Management)Supervises collections team to ensure daily productivity and quality standards are met, as well as assist with training to ensure all team members are operating at full potentialCreate notes on the patients account for auditing and actions taken per the Standard Operating Procedures or as outlined by the team managerWorks the total patient accounts outstanding A/R including credits and denials to reduce A/R aging buckets per the department’s goalsResearches and understands different payer policies and reimbursement history to improve ability to successfully overturn claim denials through the claims processUnderstands the various Ambry products and tests and can present reasonable arguments for medical necessity on behalf of the patient to obtain coverage from the insurance payerWorks hand in hand with the other team members to correct errors, communicate with team members about payer policy updates and improve workflow processes (e.g. billing integrity)Send corrected claims and appeals based on payer guidelines in a timely mannerManages write-offs or adjustments on accounts when applicable, as well as process refund requests received from payers to determine if payment errors were madeDevelop and delivers detailed reports to management regarding overall payer issue to support denial management and works to resolve issues at both the claim and payer levels New hire training Other projects as assignedOther duties as assigned QualificationsHigh school diploma plus some college preferred5+ years’ experience in a clinical laboratory preferred, especially genetic billing5+ years’ experience in working as Supervisor role in Accounts ReceivablesKnowledge of CPT codes, medical terminology, insurance plans, ICD 10 codesMust have ability to adapt to a fast paced, dynamic environmentMust have experience with Practice Management systems, Xifin experience preferredMust have excellent computer skillsMust be able to coach staff and walk employees through collection processesMust understand the different payer plans and basic understanding of A/RMust be detail-oriented, analytical, and experienced in writing appeals

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