Medicare Audit & Appeals Supervisor

As the Medicare Audit & Appeals Supervisor for Baxter Respiratory Health team, you will be responsible for supervising employees in the Revenue Cycle Management function. Additionally, they will act as a resource for problem-solving individual accounts issues identified by staff. Directly supervise assigned staff, including on-going performance feedback. Apply corrective measures as appropriate to ensure standards are maintained and goals are achieved. Provide work direction and content expertise to direct reports. Supervise medical reimbursement including Clinical Review for coverage and Medicare Appeals. Prepare and submit pre- and post-payment Audits to Medicare programs. Evaluate and process daily adjustment requests as needed. Assist staff in career development and training. Provide training and mentorship to new team members. Monitor workloads, including daily performance metrics, overdue activities and pending files. Identify and resolve issues on complex patient files. Prepare and submit persuasive appeal request to Medicare (determination, Reconsiderations and Administrative Law Judge (ALJ). Collaborate with supervisory team to ensure consistency in communications and procedures across Payer, Customer, Operations, Revenue Cycle Management. Identify and develop new processes and streamline existing workflows. Maintain daily, positive communication with other departments. Answer questions and aid new and existing team members. Coordinate problematic accounts with management. Coordinate teamwork and ensure quality objectives and work deadlines are being met. Act as a liaison to other departments related to payer or patient-specific issues. Maintain understanding of department policies and procedures. Perform other duties and projects as assigned.