Help at Home is hiring a
RCM Supervisor

Summary

Join our team at Help at Home as an Accounts Receivable (AR) Supervisor and lead the Revenue Cycle Management AR Team with responsibility for managing invoicing, exporting, claim rejections & denial management across all branch locations in Mississippi. As a People Leader, you will empower and inspire full-time associates through coaching, hold others to high standards, and know how and when to celebrate success.

Requirements

• Self-motivated; reliable; strong attention to details
• Strong communication skills, oral and written
• Excellent interpersonal skills; Demonstrates excellent communication and customer service skills under duress and in a fast pace; ability to function as a positive team member
• Intermediate to advanced skills with Microsoft Office Suite, especially Excel
• Bachelor's degree in accounting, finance, economics or a related field
• Three (3)+ years’ experience of revenue cycle management or billing experience in the healthcare field. Knowledge of Medicaid/Managed Care Organization (MCO) billing practices
• Experience with billing in an Electronic Data Interchange/3rd party clearinghouse environment
• Knowledge of Data Flex, HHAeXchange, MCO portals and Waystar (Zirmed) is preferred

Responsibilities

• Direct team of AR Representatives
• Ensure that client billing data is accurately entered into the system, including payor information and service charges prior to invoicing/exporting claims
• Submit claims to payors in accordance with payor requirements and agency policy
• Supervise claim rejection and denial process by maintaining complete and accurate accounts receivable records to ensure claims are submitted and paid in full
• Review SFTP file logs to ensure all file transmissions are successful, resolve any unsuccessful transfers with the appropriate parties
• Analyze daily remittance reports from the state/managed care organizations and reconciling the approved payments. Must be able to: identify missing or pending invoices or remittances
• Create an aging report for follow up with the state/managed care organizations
• Maintain accurate billing analysis reports and communicating implications promptly to the appropriate parties
• Review all write off, refund and takeback requests
• Communicate with the state and managed care organizations for resolution of issues and submission of exception requests, disputes and appeals
• Make decisions and solving problems - analyzing information and evaluating results to choose the best solution
• Conduct staff meetings at regular intervals for informative and educational purposes
• Perform other related duties as assigned