Insurance Supervisor Job Description
Insurance Supervisor Duties & Responsibilities
To write an effective insurance supervisor job description, begin by listing detailed duties, responsibilities and expectations. We have included insurance supervisor job description templates that you can modify and use.
Sample responsibilities for this position include:
Insurance Supervisor Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Insurance Supervisor
List any licenses or certifications required by the position: CPC, CRRN, BLS, CAC, CRMP, FLMI, CLU, EPIC, INS
Education for Insurance Supervisor
Typically a job would require a certain level of education.
Employers hiring for the insurance supervisor job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and High School Degree in Business, General Education, Associates, Education, Leadership, Accounting, Healthcare, Management, Finance, Business/Administration
Skills for Insurance Supervisor
Desired skills for insurance supervisor include:
Desired experience for insurance supervisor includes:
Insurance Supervisor Examples
Insurance Supervisor Job Description
- Works with Insurance payers to ensure proper reimbursement on patient accounts
- Assisting the Supervisor with managing the day to day operations
- Works follow up report daily, maintaining established goal(s), and notifies Supervisor, of issues preventing achievement of such goal(s)
- Reviews previous account documentation, determining appropriate action(s) necessary to resolve each assigned account
- Documents billing, follow-up and/or collection step(s) that are taken and all measures to resolve assigned accounts, including escalation to Supervisor/Manager if necessary
- Remains in consistent daily communication with team members, including new process education, disciplinary actions, regarding all aspects of assigned projects
- Monitors and assists team members regularly, providing feedback, ensuring both goals and job requirements are met as assigned by Supervisor and/or Manager
- Three years’ work experience in managed care/commercial billing or collections or related area (registration, finance, collections, customer service, medical, contract management)
- Two years of supervisory, team leader or management level experience
- Four (4) year college degree in Health Services Administration, Business Administration or Finance
- Strong call center and operations experience highly preferred
- Excellent organizational and leadership skills are required
- Minimum5 years supervisory experience in healthcare
- Minimum 5 years related supervisory experience in healthcare insurance verification
- Experience with insurance contracting/provider relations
- Experience with various insurance plans
Insurance Supervisor Job Description
- Promotes employee development through effective planning, verbal and written communications, and cross-training
- Effectively communicates objectives to the department, sets action plans and monitors results
- Directs and monitors the day-to-day operations of the Claims Contact Center Customer Service Representatives (CSR's) and Senior Customer Service Representatives (Sr
- Selects, develops and manages a high performance team that supports the Claims Contact Centers
- Trains new hires and/or current employees as needed on new claims systems, product rollout, customer satisfaction, to maintain consistency and adherence to established corporate/department policies/procedures/objectives
- Conducts Quality Assurance (QA)
- Serves on site leadership team to plan and manage the implementation of the Service Organization vision, mission, strategy, and values
- Supervises and evaluates the work of CSR staff
- Promotes employee development through effective planning, verbal and written communications, and cross-training initial orientation
- Uses the objective setting and performance evaluation process to ensure employees understand the expectations, receive regular feedback, and are appropriately rewarded
- Excellent interpersonal skills to communicate effectively and diplomatically with staff, and internal and external customers in a courteous manner, both in person and over the telephone, with attention to detail in resolving issues in unfamiliar or unusual payor/customer situations
- Collaboration skills (including active listening skills, presentations skills) and proven ability to work effectively in a diverse, inclusive organization and environment
- Maintain files in a logically organized fashion
- Skill in performing all daily tasks independently, while working as part of a team, within a demanding environment that requires the ability to effectively multi-task
- Ability to accept and carry out oral and written instructions accurately
- Excellent skill in performing under the stress of frequent interruptions and/or distractions
Insurance Supervisor Job Description
- Plans, develops, organizes, and supervises all staff in daily operations of working payments, denials, correspondence and credit balances as appropriate
- Monitors A/R by reviewing all payer account listing logs averaging from $30 million to $100 million per team, ensuring all accounts reaching days in A/R over 60, 90 and 150 are processed, and identifies barriers causing delay in payment
- Monitors all accounts pending DNFB and ANSB on a weekly basis ensuring timely billing per payer requirements and Federal Regulations
- Establishes and maintains working relationship with all payers, staying in constant communication with provider representatives/contract managers, ensuring contract language is followed, and if not, appropriate action is taken with contract management
- Monitors all department changes/updates to ensure communication with team by holding weekly meetings including any continuing education that might be needed
- Accountable for patient satisfaction and employee engagement scores, meeting goals set by Florida Hospital and PA/PFS department
- Monitors all employees ensuring compliance with HIPAA and all other Federal Regulations are followed
- Five (5) years’ experience (including two years supervisory experience) in Patient Access/Patient Financial Services Department or related area (registration, finance, collections, customer service, medical office, or contract management)
- Four (4) year college degree (business, healthcare or health services administration, health information management, communications, finance, accounting, public administration, human resources, management, or marketing)
- Supervise a team primarily comprised of non-exempt employees or contingent workforce with well-defined, limited scope, including directing daily work activities/priorities, time tracking, people recruitment and development, cost management and workforce planning
- Ability to lift 5lb ream of paper
- Should be able to handle reports on excel, PPT, Viso
- Knowledge of department's business, organizational structure, systems, office equipment, and Company/department policies and procedures as normally obtained through an associate's degree or equivalent plus minimum of 5 years of progressively responsible related work experience
- Minimum 3 years multi-line experience required
- Licensed professional
- 1-3 years of supervisory experience preferred in an insurance/claims or health care environment
Insurance Supervisor Job Description
- Work with manager and staff to ensure that department meets organization financial goals and objectives
- Understand the importance of a standardized work flow process and works with manager to ensure the processes are developed, documented through the procedure notice process and monitored to support improved work flow and business objectives
- Be responsible for supervising the pre-billing, insurance follow-up and payment posting teams of the insurance department
- Monitor daily activities of each team and makes the necessary adjustments in work assignments
- Work with manager to facilitate the coordination between teams
- Maintain knowledge of insurance payer and government rules and regulations and works with manager to make the necessary changes in policies and procedures
- Demonstrate a high level of integrity and innovative thinking and actively contributes to the success of the organization
- Work with the manager to consistently reduce accounts receivable and improve cash flow for the organization
- Be responsibile for interviewing, hiring and training employees, planning, assigning and coordinating work
- Perform human resource duties, such as employee training, performance evaluation, hiring
- Or Certified Public Accountant (i.e., CPA) designation by state accountancy board
- Advanced understanding of documentation processing systems, tools and technologies
- Certified Pharmacy Technician is preferred
- Four-year college degree or commensurate work experience required
- Demonstrate strong leadership and critical thinking skills
- Ability to multitask and complete projects timely
Insurance Supervisor Job Description
- Supervises and performs follow up activities in a timely manner with all collectors on all accounts to ensure prompt payment from all payers
- Supervises/monitors the flow of work in the collectors and reassigns workload demands
- Maintains daily review of collector’s queues on desktop so queues remain in a current status based on Best Practice requirements
- Tracks and trends denials from EOBs and communicates it in a timely manner with CBO Director/Assistant Director
- Maintains monthly rebill and denial logs for each center, identifies trends, documents actions taken and communicates it in a timely manner with CBO Director/Assistant Director
- Reviews filing and follow-up on insurance denials for all collectors to assure appeals are completed within 24-48 hours from the receipt of the necessary documentation
- Assists in identifying carrier guidelines and where and how to find them
- Notifies Director/Asst
- Completes 20 account reviews per month for each center
- Responsible for supervision of all collectors in achieving and maintaining accounts receivable days at the established ASD goal
- Ability to motivate, resolve conflict, coach and develop team members
- Able to develop department standards and manage accordingly
- Remain flexible and adapt to changing regulations
- 5 years' experience and excellent working knowledge of payer regulations including Medicaid, Medicare, Federal & State Funded programs and thorough understanding of Managed Care contracted plans
- Demonstrated success with building and guiding a team to develop and monitor collection processes to meet organization goals and objectives required
- Understanding of insurance claims processing including ICS-9, CPT, and HCPC codes