Pod Captain, Revenue Cycle Services (Remote)

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:

• Generous benefits package, including:

• Paid Time Off

• Health, life, vision, dental, disability, and AD&D insurance

• Flexible Spending Accounts/Health Savings Accounts

• 401(k)

• Leadership and professional development opportunities