Top 973 Work from home Jobs in Falmouth Ma

Professional Billing & Follow-Up/Denials Supervisor
Cape Cod Healthcare —Hyannis, MA
- $70,000 - $90,000 a year
- Weekends as needed
- Remote
- Bachelor's degree
- Business Administration
- Senior level
Licensed Mental Health Therapist
Headway —New Bedford, MA
- Up to $131 an hour
- Remote
- Private practice
- LMFT
- Licensed Clinical Social Worker
Licensed Mental Health Therapist
Headway —Massachusetts
- Up to $131 an hour
- Remote
- Private practice
- LMFT
- Licensed Clinical Social Worker
Outpatient Clinician
Weise Counseling Collaborative Inc —Massachusetts
- Full-time
- Remote
- Private practice
- Licensed Clinical Social Worker
- Mid-level
- Professional development assistance
- Flexible schedule
Quick Apply
Licensed Psychiatric Nurse Practitioner
Headway —New Bedford, MA
- Up to $206.36 an hour
- Full-time
- Remote
- Private practice
- Nursing
- Psychiatry
Licensed Clinical Social Worker
Headway —New Bedford, MA
- Up to $131 an hour
- Remote
- Private practice
- Licensed Clinical Social Worker
- Mid-level
Licensed Clinical Social Worker
Headway —Massachusetts
- Up to $131 an hour
- Remote
- Private practice
- Licensed Clinical Social Worker
- Mid-level
Software Engineer - AI Trainer
DataAnnotation —New Bedford, MA
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Licensed Psychiatric Nurse Practitioner
Headway —Massachusetts
- Up to $206.36 an hour
- Full-time
- Remote
- Private practice
- Nursing
- Psychiatry
Independent Contract Attorney - Litigation
Cowart Dizzia LLP —Massachusetts
- $55 - $65 an hour
- Contract
- Remote
- Writing skills
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
MA Inside Sales Insurance Trainee - Personal Lines
AAA Northeast —Massachusetts
- $23.75 - $28.75 an hour
- Full-time
- Remote
- Sales
- Customer service
- Research
- Paid training
- Wellness program
16h
Neuro- Psychologist for Part Time Disability File Reviews
Brown & Brown Absence Services Group —Massachusetts
- $225 - $2,500 a week
- Contract
- Remote
- Clinic experience
- Psychology
- Neurology
- Disability insurance
Quick Apply
3d
Software Developer - AI Trainer
DataAnnotation —New Bedford, MA
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Staff Software Engineer - AI Trainer
DataAnnotation —New Bedford, MA
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Licensed Clinical Psychologist
Headway —New Bedford, MA
- Up to $174 an hour
- Remote
- Private practice
- Master's degree
- Psychology
Licensed Clinical Psychologist
Headway —Massachusetts
- Up to $174 an hour
- Remote
- Private practice
- Master's degree
- Psychology
AI Data Quality Specialist - AI Trainer
DataAnnotation —New Bedford, MA
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Licensed Psychiatric Mental Health Nurse Practitioner
Headway —New Bedford, MA
- Up to $206.36 an hour
- Full-time
- Remote
- Private practice
- Psychiatry
- Mid-level
Licensed Psychiatric Mental Health Nurse Practitioner
Headway —Massachusetts
- Up to $206.36 an hour
- Full-time
- Remote
- Private practice
- Psychiatry
- Mid-level
Senior Quantitative Analyst - AI Trainer
DataAnnotation —Massachusetts
- $50 - $100 an hour
- Part-time
- Remote
- Computer Science
- English
- Mid-level
- Flexible schedule
Quick Apply

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Professional Billing & Follow-Up/Denials Supervisor

Cape Cod Healthcare -
Hyannis, MA

Apply Now

Job Details

Full-time
$70,000 - $90,000 a year

Qualifications

Quality control corrective actions
Performance monitoring
Cash flow management
Contract management
Staff supervision
Accounts receivable optimization
Performance improvement leadership
Strategic management
Team member evaluation
Defect resolution root cause analysis
Healthcare staff management
Accounts receivable management
Automation
Overseeing healthcare denial management
Coaching
Insurance claim appeals processing
Regulatory compliance in claims processing
Contract performance monitoring
Performance feedback (performance evaluation method)
Metrics Reporting
Contract management experience in healthcare
Bachelor's degree in business administration
Bachelor's degree
Quality compliance management
Medical denial root cause analysis (RCA)
Medical insurance appeals management
Managing insurance claims teams
Management reporting
Medical claims submission
Filing patient billing claims

Full Job Description

Purpose of Position:

The supervisor is responsible for leading professional billing, accounts receivable follow-up and denial management operations to optimize reimbursement, improve cash flow, reduce revenue leakage and ensure regulatory compliance. This position provides strategic and operational leadership, leverages technology and industry benchmarks and partners across Revenue Cycle functions to drive continuous improvement

Description:

Oversee day-to-day operations of the Billing and Follow Up teams to ensure professional (PB) claims are worked timely and accurately. Position will work under the supervision of the Manager of Professional Billing AR Resolution.
Collaborate with Revenue Cycle teams to ensure complaint and accurate billing of claims, facilitating problem resolution of billing issues.
Define, implement, and monitor strategies to improve billing and accounts receivable management processes.
Oversee performance and productivity measures of the team as it relates to, AR follow-up, denials management, underpayment recoupment and credit balance resolution.
Consistently complete performance monitoring processes and implements corrective actions as required.
Monitor, analyze and report key revenue cycle metrics to ensure the team is aligned with CCHC leadership and the MGMA Key Performance Indicators such as Days in A/R, Aged A/R, Denial rates, etc. Define and implement action plans when performance is not meeting expectations.
Maintain up-to-date knowledge of regulatory and compliance changes impacting area of responsibility and ensures employees are appropriately educated and processes are modified as needed.
Ensure employees and vendor staff who are performing functions are doing it in a manner which complies with established policies, processes and quality assurance programs and addresses areas of non-compliance.
Evaluate and implement opportunities for workflow automation and optimization.
Partner with CCHC IT analysts to leverage technology and improve efficiency.
Utilize technology and reporting to identify trends, risks, opportunities and root cause to implement corrective strategies.
Support implementation of changes needed to address payer contract changes and payer/regulatory requirement changes and to improve overall processing efficiency.
Confirm that all control processes are effectively minimizing denial appeal related timely filing denials.
Collaborate with other disciplines to implement changes needed to address payer contract changes and regulatory requirement changes.
Maintain positive relationships with; attends monthly meetings with key payers to discuss reimbursement issues and payor publication notices affecting claims processing and account follow-up.
Support work needed for external audits
Support and assist in department functions/responsibilities as needed based upon volume and workload.
Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.

Qualifications:

Bachelor's degree related to Business Administration or Healthcare preferred.
Minimum two years’ experience required in healthcare revenue cycle methodologies.
Supervisory experience in healthcare environment preferred.
Experience and knowledge of professional billing/registration systems.
Experience and knowledge of regulatory requirements, payer requirements and reimbursement.
Excellent communication and interpersonal skills.
Ability to evaluate personal performance against established goals.
Ability to coach and support staff in their efforts to improve overall performance.
Ability to communicate with a wide variety of CCHC and external users, including senior management and physicians, as well as outside vendors and consultants.
Capable of learning reporting systems and other new tools.
Exceptional time management skills.

Schedule Details:

Full-Time, Monday-Friday, Occasional Evenings, Weekends, & Holidays. Remote Candidates Considered.

Organization: Cape Cod Healthcare, Inc.

Primary Location: Massachusetts-Hyannis

Department: HCI-Revenue Cycle Physicians

Annual/Hourly: Annual - Based on Full Time Employment

Hiring Pay Range: $70000 - $90000

Apply Now

Refine Your Search

work from home jobs in falmouth ma

Professional Billing & Follow-Up/Denials Supervisor

Licensed Mental Health Therapist

Licensed Mental Health Therapist

Outpatient Clinician

Licensed Psychiatric Nurse Practitioner

Licensed Clinical Social Worker

Licensed Clinical Social Worker

Software Engineer - AI Trainer

Licensed Psychiatric Nurse Practitioner

Independent Contract Attorney - Litigation

MA Inside Sales Insurance Trainee - Personal Lines

Neuro- Psychologist for Part Time Disability File Reviews

Software Developer - AI Trainer

Staff Software Engineer - AI Trainer

Licensed Clinical Psychologist

Licensed Clinical Psychologist

AI Data Quality Specialist - AI Trainer

Licensed Psychiatric Mental Health Nurse Practitioner

Licensed Psychiatric Mental Health Nurse Practitioner

Senior Quantitative Analyst - AI Trainer

I want to receive the latest job alert for work from home in falmouth ma

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