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Supervisor, Revenue Cycle (Commercial)

PathAI
United Statesfull_timeVerifiedPosted 9 Feb 2023

About the role

Who We Are

PathAI is on a mission to improve patient outcomes with AI-powered pathology. We are transforming traditional pathology methods into powerful, new technologies. These innovations in pathology can help accelerate drug development, improve confidence in the accuracy of diagnosis, and get life-saving therapies to patients more quickly. At PathAI, you'll work with a diverse and talented team of people, who are dedicated to solving complex problems and making a huge impact.

Where You Fit

We are searching for a highly motivated Supervisor for the Commercial Insurance Follow-up Team reporting to the RCM Manager of Insurance Follow-up, RCM Director, or RCM VP at the Diagnostics Division.  The ideal candidate is someone who is self-motivated, organized, a team player and is excited about being a part of a fast-paced and rapidly growing company shaping the category of AI-powered pathology.

What You’ll Do

  • Maintain and supervise the insurance collections for Commercial payors and their subsequent health plans
  • Supervise, train, and evaluate employee performances, recognize and solve problems, and advise employees of expected levels of productivity
  • Maintain PTO & sick time records and collaborate with other department supervisors to ensure proper daily staffing for collections team
  • Assist employees in responding to complex claims, responding to challenging calls and/or difficult situations
  • Work with other departments in the organization to effectively and incrementally improve the process resulting in successful reimbursement
  • Create efficiencies and streamlines department processes as appropriate for new technology, payors, etc
  • Track and report on departmental key indicators/measures as determined by revenue cycle leadership
  • Research and document payor policies as they relate to the department and assist in developing procedures accordingly
  • Review all payer bulletins, subscriptions and payer communications for changes to processes
  • Attend job related conference calls, meetings, and conferences
  • Must be familiar with and abide by the Corporate Compliance Program and all Corporate policies, including the Privacy and Security policies
  • Support PathAI Diagnostics’ mission, vision, goals and management decisions.
  • Perform other duties as requested by the supervisor or manager as deemed appropriate

What You Bring

  • High School Diploma or equivalent; Bachelor's degree preferred
  • 3+ year(s) of insurance collections experience preferred
  • Expert knowledge of insurance collections and reimbursement procedure for the major commercial payors, specifically Aetna, UHC, Cigna, and Humana
  • CPT and ICD-10 coding knowledge is preferred, certification not required
  • Knowledge of correct medical billing procedures and methodology is preferred
  • Strong oral and written communication skills
  • Self-motivated, organized, able to multitask in a dynamic environment
  • Must have positive internal customer service attitude and be a team player

We Want To Hear From You

At PathAI, we are looking for individuals who are team players, are willing to do the work no matter how big or small it may be, and who are passionate about everything they do. If this sounds like you, even if you may not match the job description to a tee, we encourage you to apply. You could be exactly what we're looking for.

PathAI is an equal opportunity employer, dedicated to creating a workplace that is free of harassment and discrimination. We base our employment decisions on business needs, job requirements, and qualifications — that's all. We do not discriminate based on race, gender, religion, health, personal beliefs, age, family or parental status, or any other status. We don't tolerate any kind of discrimination or bias, and we are looking for teammates who feel the same way.  

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Company

PathAI

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