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Supervisor AR & Denials

Company: UNM Medical Group
Location: Albuquerque
Posted on: November 22, 2021

Job Description:

Supervisor AR & Denials
AR & Denials

Albuquerque, NM

UNM Medical Group, Inc. (UNMMG) is the practice plan organization for physicians and other medical providers associated with the UNM Health Sciences Center. UNMMG is a New Mexico non-profit corporation and is an equal opportunity employer. UNMMG strives to mitigate health disparities brought about by technology; we aim to reach underrepresented populations, making healthcare more equitable and accessible for all of the people in New Mexico; we have a demonstrated commitment to diversity, equity, inclusion, and student success as well as working with broadly diverse communities.
The Supervisor, AR & Denials oversees all aspects of daily operations ensuring compliance with UNM Medical Group, Inc., policies; is responsible for the supervision of staff which includes work allocation based on business need, training opportunities, implementation of internal procedures, problem solving and ensuring that production and quality expectations are met by the staff; meets with the staff monthly for rounding and to share with them their production and quality standings and discussing any concerns and any training opportunities; engages in collaborative meetings with management to review and implement revenue impacting projects to ensure they are completed; shares concepts.
Monitors revenue through available reporting systems, identifying and collaborating with Manager and Director on opportunities for improvement, identifying payer issues, and other processes that may need to be streamlined resulting in the meeting and exceeding the departments metrics, goals and expectations.
Reporting to the AR & Denial Manager, supervises the overall patient billing, back end revenue cycle operations, accounts receivable, claims submission, denial management and collections for the UNMMG. Supervises financial activities to include insurance claims processing and follow-up, accounts receivable and denial management.
Minimum Job Requirements

  • Oversees all facets of the daily operations of the organizational unit, ensuring compliance with UNMMG, state, and federal laws, policies, and regulations.
  • Oversees the supervision of personnel, which includes work allocation, training, promotion, enforcement of internal procedures and controls, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
  • Has input into the development and implementation of mechanisms and controls to ensure appropriate billing and charge entry cycles, and accurate and timely billing, in accordance with established internal and third party payor requirements.
  • Monitors charge posting and billing for compliance with established policies, regulations, procedures, and standards.
  • Reviews medical records and resolves problems concerning the recording or provision of services rendered when escalated by staff.
  • Prepares and maintains required records, files, and reports on billing, charge entry and accounts receivable inventory.
  • Performs miscellaneous job-related duties as assigned.

    Minimum Job Requirements
    High school diploma or GED with 5 years of experience related to the duties and responsibilities specified. Verification of education and licensure will be required if selected for hire.
    UNMMG offers a competitive salary and an attractive benefit package which includes medical, dental, vision, and life insurance as well as tuition assistance, paid leave and 403b retirement for benefits eligible employees.

Keywords: UNM Medical Group, Albuquerque , Supervisor AR & Denials, Other , Albuquerque, New Mexico

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