Insurance Supervisor – Government Program

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $50k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

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Revco Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

🛡️ Insurance

💼 Consulting

Healthcare • Insurance • Consulting

Revco Solutions is a leading provider of revenue cycle management services specializing in healthcare debt collection and compliance. With a commitment to excellence, they offer tailored solutions that enhance performance while ensuring the highest standards of security and compliance. Their experienced team is dedicated to improving the financial health of healthcare organizations by optimizing collection efforts and providing superior client and patient experiences.

📋 Description

• Assist the Manager and Director in overseeing day-to-day Insurance Operations department activities. • 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, project updates, billing system support, and service implementations. • Lead internal and external meetings with key stakeholders. • Resolve account balances and complex billing or denial issues. • Monitor and resolve inappropriate denials, underpayments, and overpayments. • Stay current with payer guidelines, regulations, and industry best practices. • Identify billing system issues and assist with system updates and process improvements. • Respond to RAC, MIC, and ADR audits and support the appeals process. • Create and maintain tracking tools for interdepartmental communication and reporting. • Coach and support staff to meet quality and productivity standards. • Manage staffing needs, assist with hiring decisions, and ensure time and attendance compliance. • Maintain relationships with clients, internal teams, and external stakeholders. • Ensure HIPAA compliance and patient confidentiality. • Liaise between Management, Supervisors, and Staff. • Lead initiatives to reduce payer rejections and denial rates. • Support revenue cycle projects and provide feedback on operational effectiveness.

🎯 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.

🏖️ Benefits

• Insurance/401k match • PTO/Paid holidays • Referral bonuses