INSURANCE/RCM SUPERVISOR

The Insurance & RCM Supervisor is responsible for overseeing the complete medical insurance and revenue cycle processes ensuring efficient claim submission timely reimbursements accurate patient billing and compliance with regulatory and payer requirements. This role acts as the bridge between clinical billing and finance teams to optimize revenue flow and minimize denials.

Key Responsibilities:

Insurance Management:

• Supervise pre-authorization eligibility verification and claims submission processes.
• Ensure accurate documentation coding (ICD-10 CPT) and adherence to payer guidelines.
• Monitor insurance claims status and follow up on delayed or denied claims to ensure maximum reimbursement.
• Coordinate with insurance companies and TPAs to resolve complex insurance queries or disputes.
• Maintain up-to-date knowledge of insurance policy changes and communicate them to relevant teams.
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