Pod Captain Revenue Cycle Services
napa management
📍 sunrise corporate united states🕐 8mo ago🔗 workday
Job Description
Sunrise,FL - USA
**Position Requirements**
Job Description
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
**EEO Statement**
North American Partners in Anesthesia is an equal opportunity employer.