Reimbursement Supervisor

Myriad Genetics & Laboratories Mason, OH
Overview

This Supervisor leads and directs health insurance eligibility/determination (in and out of network, primary and secondary) and the claims process from the operational strategies, processes, front end billing tasks and people of this department to achieve clean claims and reimbursement by patients/payers. This position works in a high performance fast paced customer-focused team environment performing key billing functions and customer-oriented tasks in a call center setting.

Responsibilities

* Develop, maintain and implement standard operating procedures (SOPs) and processes for insurance eligibility, patient data management, claims submission and patient call and collection management including appropriate internal controls and key performance indicators (KPIs). · Day-to-day team tasks include (but not limited to) insurance eligibility checks, accurate patient data and order entry, claim submission and resolution, billing call management and collections, billing anomaly and error management and continuous communication between our systems vendor and partnering internal teams ( Finance and Billing). · Work with internal department leaders including Back-End Billing (Group/Team 2), Customer Support, Reimbursement and Payer Markets, Compliance, Finance and others to ensure effective, streamlined end to end Assurex Health revenue cycle management / billing and collection processes. Work cross functionally to drive accuracy, efficiency and effectiveness. · Lead and direct collections. Establish department and individual goals in line with company goals. Develop appropriate monitoring and reporting processes to identify and communicate metric and issues. · Responsible for entire performance management cycle of direct reports, including hiring, performance management, training and development. · Maintain a competent and knowledgeable billing staff to perform call center activities that adequately address and resolve clinic and patient exceptions and billing questions and issues. Provide clear and accurate reimbursement consultation pre and post sales including all patient assistance programs. · Responsible for identifying and recommending required systems support to achieve department goals. · Monitor trends and patterns and maintain an actionable dashboard with parts visible to the team and senior leadership. · Proficient at utilizing a billing and CRM system, running applicable billing reports and following up on open action items. · Ability to solve problems, deal with changing variables and participate in the implementation and continuous improvement process of the department. · Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Qualifications

* Bachelor's degree preferably in Finance or Business Administration · 3-5 years of medical billing and collections / transactional processing management experience · Proficient in Microsoft Excel, Word and PowerPoint · Strong problem solving, critical thinking and analytical skills · Strong systems and financial acumen · Ability to establish and maintain effective working relationships with third-party payers and other functional areas · Must be well organized and detail-oriented · Strong team skills · Must be analytical, flexible, innovative, and self-motivated · Exceptional written and verbal skills · Excellent time management, scheduling, and organizational skills · Ability to manage multiple tasks in a fast-paced environment · Ability to work effectively under tight timelines and schedules · Ability to work independently and as a contributing team member · Ability to sense the importance or impact of issues and situations and take appropriate actions · Must be flexible, innovative, and self-motivated · Must have the flexibility to work extra hours to meet corporate and departmental goals · Strong communication, interpersonal and organizational skills · No relocation package is available

At Assurex the physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit; talk; or hear. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; and stoop; kneel; or crouch The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision and depth perception.

About Our Company

Assurex is a personalized medicine company that specializes in pharmacogenomics and is dedicated to helping healthcare providers get the genetic information they need to determine the genetically appropriate medication(s) for individual patients suffering from neuropsychiatric and other medical conditions. Assurex Health's proprietary technology is based on pharmacogenomics— the study of the genetic factors that influence an individual's response to drug treatments—as well as evidence-based medicine and clinical pharmacology. The GeneSight test was developed in the Assurex Health clinical laboratory and is based on patented technology licensed from two world renowned medical centers, Mayo Clinic and Cincinnati Children's Hospital Medical Center, who continue to be research collaborators. The company was founded in 2006 and is located in Mason, OH. Assurex Health is a subsidiary of Myriad Genetics, Inc.

Assurex is an equal opportunity employer and as such, affirms in policy and practice to recruit, hire, train and promote, in all job classifications without regard to race, color, religion, gender, age, sexual orientation, gender identity, national origin, disability status or status as a protected veteran.

Reasonable accommodation will be provided for qualified individuals with disabilities and disabled veterans in job application procedures. We believe that diversity lends a regional, national, and global advantage to the clients we serve. Our workforce consists of dynamic individuals, with a range of backgrounds, talents, and skills.