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Supervisor, Payment Variance Follow Up
Med-Metrix. Mentor, monitor, and evaluate Underpayment Analysts and Follow-up Representatives .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Managed Care reimbursement methodologies and the insurance follow-up process, while effectively mentoring and managing team members to achieve departmental goals. Strong communication and problem-solving skills are essential for analyzing payment variances and ensuring compliance with HIPAA standards.
Highest-signal resume keywords
Managed Care Reimbursement MethodologiesLeadership ExperiencePayment Variance AnalysisMicrosoft Office Suite ProficiencyInterpersonal Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payment Variance AnalysisInsurance Follow-Up ProcessesHealthcare Reimbursement MethodologiesInternal AuditsClient Reporting Packages
Soft Skills
Strong Problem-Solving SkillsAbility to Multi-TaskExcellent Written and Verbal CommunicationInterpersonal SkillsAbility to Handle Stress
Tools & Technologies
Microsoft Office Suite
Industry Keywords
HIPAA ComplianceConfidentialityRevenue TrendsUnderpayment AnalysisBilling and Coding Errors
About the role
Key responsibilities & impact- Mentor, monitor, and evaluate Underpayment Analysts and Follow-up Representatives
- Communicate consistently with the Manager, Managed Care Services to ensure efficiency and productivity in daily operations and the recovery process
- Perform payment variance analysis to identify trends in underpaid claims
- Identify and report underpayment and denial trends
- Analyze, identify, and resolve issues causing payer payment delays, including billing and coding errors
- Manage team productivity to ensure departmental goals are achieved
- Develop and mentor team members and provide career coaching while motivating and supporting employees
- Orient new and existing employees and provide necessary information, technology, and reference materials
- Ensure all work is completed properly and timely
- Perform internal audits of everyday recoveries
- Report and trend revenue by client and staff
- Compile client reporting packages and provide regular project-status updates
- Hold quarterly staff meetings and learning sessions
- Maintain confidentiality and a professional attitude
- Perform special projects and other duties as needed
- Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards
- Comply with Information Security and HIPAA policies and procedures
- Limit viewing of PHI to the minimum necessary for assigned duties
Requirements
What you’ll need- High School Diploma or equivalent required
- Working knowledge of the insurance follow-up and underpayment processes, with an understanding of fundamental concepts in healthcare reimbursement methodologies
- Detailed knowledge of Managed Care reimbursement methodologies
- Ability to multi-task and prioritize under stressful situations
- Proficiency in business writing and email correspondence
- Must have leadership experience and the ability to manage employees
- Proficiency in Microsoft Office Suite
- Strong interpersonal skills and ability to communicate well at all levels of the organization
- Strong problem-solving and creative skills, with the ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability, with a strong sense of urgency and results orientation
- Excellent written and verbal communication skills required
- Gracious and welcoming personality for customer service interaction
- Ability to follow directions, collaborate with others, and handle stress
- Ability to perform the stated physical demands and operate office equipment