Insurance & Patient AR Supervisor

HealthTexas Primary Care Doctors; San Antonio (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

HealthTexas Primary Care Doctors is seeking an Insurance & Patient AR Supervisor to oversee an AR team, review and audit accounts, and manage insurance follow-up processes. The role supports department objectives aligned with our mission and values, emphasizing quality care and outstanding service.

The position requires deep knowledge of medical claims, Medicare guidelines, and AR workflows, with leadership experience and proficiency in EMR systems.

Qualifications

• Minimum 5 years working experience in medical claims with at least 1 year of managerial or lead experience.
• Medicare guidelines and healthcare claims regulation knowledge.
• Previous Accounts Receivable experience in a healthcare environment.
• Experience with EMR software.

Responsibilities

• Oversee and direct a specific assigned AR team.
• Assist with review and audit of Accounts Receivable.
• Create, distribute and monitor reports related to insurance follow-up procedures.
• Support workflow coordination to meet productivity and quality goals.
• Maintain knowledge of industry trends and regulatory requirements.

Skills

Medical claims

Accounts Receivable

Leadership

Excel

Regulatory knowledge

Education

Advanced degree preferred

5 years relevant experience

Tools

EMR software

Job description

The Insurance & Patient AR Supervisor is responsible for overseeing and directing a specific assigned team as well as assisting with review and audit of Accounts Receivable. Responsibilities include report creation, distribution, monitoring and coordination of insurance follow-up procedures.

In addition, you will be responsible for contributing to the growth and success of HealthTexas while upholding our Mission, Vision and Values.

Culture and Values Expectations

At HealthTexas, we believe that our workplace culture is the cornerstone of our success. We are committed to fostering an inclusive, collaborative, and innovative environment where every Associate feels valued, empowered and motivated to reach their full potential. Our culture is the driving force behind our mission “to deliver quality and compassionate care with outstanding service, every patient, every time”. As a Insurance & Patient AR Supervisor at HealthTexas we expect you to embody and promote our Values and defined behavioral expectations.

• Integrity: Do the right thing, the right way, every time.
• Be honest and uphold commitments and responsibilities, earn the trust and respect of the team and those we serve, and maintain privacy and confidentiality.
• Compassion: Treat everyone with respect and dignity.
• Foster an environment of inclusivity and well-being, practice patience and empathy, and assume positive intent.
• Synergy: Collaborate to improve outcomes.
• Invite and explore new opportunities, promote effective communication and teamwork, take pride in yourself, your work and HealthTexas.
• Stewardship: Use resources responsibly and efficiently.
• Implement effective strategies to attain goals, achieve maximum productivity and results, and seek continuous knowledge and improvement.
• Coordinate the workflow and staffing of day-to-day activities as well as assigning and monitoring work of staff in order to adhere to productivity and quality standards to meet stated goals.
• Administer day-to-day workflow in order to meet stated goals.
• Follow departmental policies and procedures as well as assisting with keeping them up to date.
• Perform production and quality audits.
• Complete performance evaluations in a timely manner.
• Be readily available to support team operations by stepping into functional roles as needed during staff absences, ensuring continuity, consistency, and timely completion of work. This includes directly performing team member responsibilities (i.e., managing BCBS accounts) when coverage is required.
• Create, review, and/or update departmental policies, workflows, and resource material.
• Assist with loading and auditing payer fee schedules.
• Effectively manage escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through.
• Monitor and evaluate assigned team performance and take steps to improve the efficiency and quality of operations.
• Assist in the review of regulations, laws, contract language and implement appropriate changes to internal policies, procedures and workflows.
• Maintain knowledge of industry trends, best practices, and regulatory requirements.
• Other duties, as assigned.

Experience

• Minimum 5 years working experience in medical claims with at least 1 year of managerial or lead experience
• Medicare guidelines and healthcare claims regulation knowledge
• Previous Accounts Receivable experience in a healthcare environment
• Experience with EMR software

Education

• Advanced degree is preferred. In lieu of degree, 5 years of relevant experience.

Knowledge, Skills & Abilities

• Proficiency with computers and PC applications
• Intermediate to advance knowledge in Microsoft Excel and other Microsoft Office products.

Work Hours, Travel Requirements

• Monday - Friday, 8:00 a.m. - 5:00 p.m., and as needed to complete projects.
• Travel to medical offices may be necessary for the purpose of providing benefit education.

Working Conditions & Physical Requirements

• This job operates in an office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, scanners, filing cabinets and fax machines.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.