Key Facts

Remote From:

Full time

English

Hard Skills

Revenue Management Claims And Litigation Management Industry Trend Analysis Escalation Management Performance Management Accounts Receivable Reimbursement Regulations Vendor Management Employee Onboarding Auditing Workforce Planning Process Improvement Online Communication Vendor Management Presentation Training

Other Skills

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Team Leadership
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Research
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Microsoft Office
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Non-Verbal Communication
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Following Directions
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Analytical Thinking
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Problem Solving

Roles & Responsibilities

Associate degree (A.A.) or equivalent from a two-year college or an equivalent combination of education and experience.
Basic Microsoft Office experience.
Excellent verbal and written communication skills, with the ability to present information clearly and respond to questions from customers and vendors.
Ability to read, analyze, and interpret general business documents, technical procedures, and governmental regulations; ability to interpret various instructions furnished in written, oral, diagram, or schedule form.

Requirements:

Process patient insurance information through intake to ensure timely and accurate submission of insurance claims and collect payments on outstanding patient balances.
Act as first point of contact and assist Representatives with difficult accounts and workload, including directly handling accounts when needed.
Review and audit Representatives' productivity and quality of work; collaborate with the RCM Education department to identify training needs and provide quarterly audit reviews.
Collaborate with third-party vendors and the Manager of RCM to ensure smooth operation, meet productivity standards, provide backup support during absences, and contribute to process improvement initiatives.

North American Partners in Anesthesia

About North American Partners in Anesthesia

As a clinician-led organization, North American Partners in Anesthesia (NAPA) is redefining healthcare, delivering unsurpassed excellence to its partners and patients every day. Since its founding by physicians in 1986, NAPA has grown to become one of the nation’s leading single-specialty anesthesia and perioperative management companies, serving more than 3 million patients annually in more than 500 healthcare facilities nationwide. Our highly skilled teams of clinicians participate in groundbreaking leadership development and customer service training programs to deliver optimal results to patients, surgeons, healthcare administrators, and staff. Through our exceptional perioperative leadership, research, innovations, and state-of-the-art technologies, NAPA offers real solutions driven by evidence-based outcomes to dramatically accelerate operational efficiencies, increase satisfaction ratings, and enhance safety and profitability.

Company type: XLarge

Founded: 2018

Company size: 5001 - 10000

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Job description

Sunrise,FL - USA

Position Requirements

Job Description

Under the direct supervision of the Manager of RCM, the Pod Captain is responsible for revenue cycle duties including but not limited to:

Processing patient insurance information through the patient intake process ensuring the timely and accurate submission of insurance claims collecting payment on outstanding patient balances

ACTIVITY / RESPONSIBILITY:

Act as a first point of contact and assist Representatives with difficult accounts and workload including supporting the team by directly working on accounts.
Ensure RCM Representatives perform appropriate claim processing and/or follow up, including research, resulting in timely claim processing.
Review and audit Representatives’ productivity and quality of work. In collaboration with the RCM Education department, identifies Representatives’ areas of additional training.
Ensures employees in the department are working on assigned work timely.
Collaborates and manages third party vendors as an extension of the Revenue Cycle Management team.
Meet or exceed required departmental productivity standards on a consistent basis.
Performs quarterly audits of Representatives’ work and provides audit reviews.
Provides input into the annual review of Representatives.
Identifies trends and works with the Manager of RCM to implement solutions to prevent denials and minimize any avoidable adjustment.
Maintains up to date knowledge of payer guidelines and reimbursement policies.
Escalates issues to RCM Manager as needed.
Works closely with the Manager of RCM daily to ensure a smooth operation within the department. Provides backup support to department staff during Managers' absence.
Support and contribute to process improvement initiatives as a SME.
In collaboration with the RCM Education department, assists with training all new hire Representatives once the employee has started working accounts and continually provides training to the Representatives.
Reviews and approves timecards, overtime requests and scheduling for Representatives.

REQUIRED QUALIFICATIONS:

Associate degree (A.A.) or equivalent from a two-year college preferred, or equivalent combination of education & experience.
Basic Microsoft Office experience.
Ability to communicate both verbally and written.
Ability to effectively present information and respond to questions from customers and vendors.
Ability to read, analyze, and interpret general business documents, technical procedures, and governmental regulations.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to calculate figures and amounts such as discounts and percentages.

TOTAL REWARDS: