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Insurance Collections Supervisor Managed Care - Tampa, United States - AdventHealth Tampa
Description
All the benefits and perks you need for you and your family:
Paid Days Off from Day One
Student Loan Repayment Program
Career Development
Whole Person Wellbeing Resources
Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time
Shift : Days
The community youll be caring for: AdventHealth Tampa
AdventHealth Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
Surgical Pioneers the first in Tampa with the latest robotics in spine surgery
Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
Awarded the Get With The Guidelines Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.
The role youll contribute:
Under general direction of PFS Operations Manager, supervises all functions of collecting insurance reimbursement areas for assigned payers. Maintains effective working knowledge of assigned payers, staying in constant communication with provider representatives/contract managers. Monitors A/R by reviewing all payer listings in Cerner queues averaging from $30 million to $100 million per team, ensuring all accounts are processed and identifies barriers causing delay in payment. Reports all issues identified at quarterly JOC meetings at discretion of Director. Performs supervisory duties in the absence of the Operations Manager by oversight of the day to day operations. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Adheres to Florida Hospital West Florida Division Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies.
The value youll bring to the team:
Plans, develops, organizes, and supervises all staff in daily operations of working payments, denials, correspondence and credit balances as appropriate. Responsible for all insurance reimbursement outcomes in assigned areas.
Monitors A/R by reviewing all payer account listings in Cerner queues averaging from $30 million to $100 million per team, ensuring all accounts reaching days in A/R over 60, 90 and 150 are processed, and identifies barriers causing delay in payment. Follows up as appropriate with payers and contract manager for resolution. Reports all issues identified at quarterly JOC meetings at discretion of Director.
Monitors all accounts pending DNFB and ANSB on a weekly basis ensuring timely billing per payer requirements and Federal Regulations; escalates as needed to resolve issues holding accounts.
Qualifications
The expertise and experiences youll need to succeed :
Five (5) years experience (including two years supervisory experience) in Patient Access/Patient Financial Services Department or related area (registration, finance, collections, customer service, medical office, or contract management).
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Patient Financial Services
Organization: AdventHealth Tampa
Schedule: Full-time
Shift: 1 - Day
Req ID:
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
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Insurance Collections Supervisor Managed Care professionals in Tampa
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Ramesh Kumar M V S
Lead PLSQL Developer