Sunrise,FL - USA

Position Requirements

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.

This is a virtual positions, however, the ideal candidate will be located near the Sunrise FL metro area or Melville NY.

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.