Supervisor, Upfront Review

The Upfront Review Supervisor is responsible for quality review of all pertinent customer information for accuracy and completeness in order to meet payer requirements for timely and maximum reimbursement.

• Maintains extensive knowledge of all guidelines and policies set forth by each insurance payer to ensure compliance and timely reimbursement
• Ensures that department has evaluated all received documents to ensure that appropriate information has been obtained to allow for successful accounts receivable
  • Manages timely completion
• Communicates with office staff, department members, and centers to resolve questions, inconsistencies, or missing data
• Reviews various reports for quality assurance
• Ensures staff is recording all activity relating to account in tickler files
• Supports operating centers by providing training to ensure compliance and completeness of paperwork submitted to the regional billing and collection office (RBCO)
• Assists management in the implementation of new policies and procedures relating to compliance
• Supports RBCO collection process and active communication with AR Supervisors
• Prioritizes and distributes assigned work in the UFR Department
• Provides training
• Possible travel into field
• Interviews and hires in UFR Department

#CC

• Computer literacy, minimum key boarding skills, and proficiency in the use of office equipment is required for performance of assigned duties
• Knowledge of telephone etiquette and adequate oral and written communication skills are of primary importance for success in this position
• A positive and cooperative manner in working and communication with individuals at all levels of the organization
• Should be self-directed and possess the ability to follow instructions
• Should exhibit good organization and human relations skills

Education and Experience:

• High school diploma or general education degree (GED)
• Three to five years of related experience and/or equivalent combination of education/experience
• Knowledge of the medical field preferred