Insurance Supervisor - Government Program

Revco Solutions; United States; A distancia; USD 75.000 - 110.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

PTO/Paid holidays

Descripción de la vacante

Revco Solutions, Inc. is hiring an Insurance Supervisor for the Government Program, fully remote in the United States.

The role supports the Manager/Director in overseeing day-to-day operations of the Insurance Operations department, focusing on billing, collections, staff development, and client relations. Responsibilities include managing billing follow-up plans, monitoring productivity, and resolving complex denial issues while ensuring compliance with HIPAA and payer guidelines.

Formación

• High School Diploma required; Associate’s or Bachelor’s degree preferred.
• 5-7 years of experience in healthcare revenue cycle operations.
• 3 years of direct management or supervisory experience.
• Certification preferred (e.g., AAHAM, HFMA, NAHAM); Project Management certifications a plus.
• Strong knowledge of patient accounting systems, EHRs, billing forms (UB04, HCFA 1500), and CPT/HCPCS/ICD-10 coding.
• Demonstrated experience in appeals, denial management, and payer regulations.
• Advanced knowledge of billing processes and insurance collection standards.
• Excellent communication skills with the ability to present updates to senior leadership and clients.
• Proficient in Microsoft Office and familiar with payer portals and billing platforms.
• Strong analytical, problem-solving, and conflict resolution skills.
• Ability to lead teams, manage multiple projects, and meet deadlines in a fast-paced environment.

Responsabilidades

• Oversee daily operations of billing and insurance follow-up teams.
• Execute billing and follow-up plans, monitor department reports, and track user productivity.
• Manage client communications, including project updates, billing system support, and service implementations.
• Lead internal and external meetings to discuss project deliverables and updates with key stakeholders.
• Resolve account balances and assist with complex billing or denial issues.
• Monitor and resolve inappropriate denials, underpayments, and overpayments.
• Stay current with payer guidelines, regulations, and industry best practices through webinars, seminars, and research.
• Identify billing system issues and assist in system updates and process improvement initiatives.
• Respond to audits (e.g., RAC, MIC, ADR) and support the appeals process.
• Create and maintain tracking tools for interdepartmental communication and reporting.
• Provide coaching and support to staff members to meet quality and productivity standards.
• Manage staffing needs, assist with hiring decisions, and ensure time and attendance compliance.
• Maintain effective working relationships with clients, internal teams, and external stakeholders.
• Ensure HIPAA compliance and maintain patient confidentiality at all times.
• Act as a liaison between Management, Supervisors, and Staff to promote department success.
• Lead initiatives aimed at reducing payer rejections and denial rates.
• Support revenue cycle projects and provide feedback on operational effectiveness.

Descripción del empleo

All Jobs > Insurance Supervisor - Government Program

Insurance Supervisor - Government Program
Fully Remote

Description

Our Company: Revco Solutions Inc provides best-in-class Revenue Cycle management to Hospital and Physician Service clients.

Position Summary:

The Insurance Supervisor is responsible for assisting the Manager and Director in overseeing the day-to-day operations of the Insurance Operations department. This role focuses on managing billing and collections processes, developing team members, maintaining client relationships, and ensuring quality, compliance, and productivity standards are consistently achieved. The Supervisor also plays a critical role in client communications, project management, payer issue resolution, staff coaching, and process improvement initiatives.

Key Responsibilities:

• Oversee daily operations of billing and insurance follow-up teams.
• Execute billing and follow-up plans, monitor department reports, and track user productivity.
• Manage client communications, including project updates, billing system support, and service implementations.
• Lead internal and external meetings to discuss project deliverables and updates with key stakeholders.
• Resolve account balances and assist with complex billing or denial issues.
• Monitor and resolve inappropriate denials, underpayments, and overpayments.
• Stay current with payer guidelines, regulations, and industry best practices through webinars, seminars, and research.
• Identify billing system issues and assist in system updates and process improvement initiatives.
• Respond to audits (e.g., RAC, MIC, ADR) and support the appeals process.
• Create and maintain tracking tools for interdepartmental communication and reporting.
• Provide coaching and support to staff members to meet quality and productivity standards.
• Manage staffing needs, assist with hiring decisions, and ensure time and attendance compliance.
• Maintain effective working relationships with clients, internal teams, and external stakeholders.
• Ensure HIPAA compliance and maintain patient confidentiality at all times.
• Act as a liaison between Management, Supervisors, and Staff to promote department success.
• Lead initiatives aimed at reducing payer rejections and denial rates.
• Support revenue cycle projects and provide feedback on operational effectiveness.

What We Offer:

• PTO/Paid holidays

Requirements

• High School Diploma required; Associate’s or Bachelor’s degree preferred.
• 5-7 years of experience in healthcare revenue cycle operations.
• 3 years of direct management or supervisory experience.
• Certification preferred (e.g., AAHAM, HFMA, NAHAM); Project Management certifications a plus.
• Strong knowledge of patient accounting systems, EHRs, billing forms (UB04, HCFA 1500), and CPT/HCPCS/ICD-10 coding.
• Demonstrated experience in appeals, denial management, and payer regulations.
• Advanced knowledge of billing processes and insurance collection standards.
• Excellent communication skills with the ability to present updates to senior leadership and clients.
• Proficient in Microsoft Office and familiar with payer portals and billing platforms.
• Strong analytical, problem-solving, and conflict resolution skills.
• Ability to lead teams, manage multiple projects, and meet deadlines in a fast-paced environment.