BILLING SUPERVISOR
JOB DESCRIPTION- EXEMPT
PURPOSE: Oversees the day-to-day operations of the billing operations and billing staff. The position is responsible for the support of all billing operations services, including billing/statement runs, audits, and regulatory compliances mandated for an FQHC.
DESCRIPTION
The Billing Supervisor will supervise billing staff and organize daily activities for the billing department, encompassing medical coding, charge entry, claim submission, payment posting, accounts receivable follow-up, and reimbursement.
JOB RESPONSIBILITIES (include, but are not limited to)
- Oversee billing office personnel, which includes work allocation, training, and problem resolution.
- Assess productivity and effectiveness of the department on a daily basis, developing and implementing policies and procedures, assigning responsibilities, creating the department’s work flow, distributing projects, and monitoring efficiency.
- Hold individual meetings and monthly department meetings.
- Assists in annual performance evaluations, setting goals, and monitoring progress.
- Monitor and report account volumes, productivity, turnaround times, quality measures and other related metrics.
- Assist with interviews, hire and orient new billing staff.
- Maintain and update clinic’s billing policies and procedures manual and distributing billing updates to the team.
- Train staff on new billing policies and procedures and reinforcing existing policies.
- Oversee billing department, including but not limited to claim submission, payer reconciliation, unbilled claims and payer denials.
- Daily resolution of electronic billing errors.
- Follow up on the electronic transmission to ensure correct submission. Resubmit claims/batches when required.
- Review the Aged and Summary billed reports and assure that appropriate follow-up of outstanding balances occurs.
- Follow HIPAA guidelines and maintaining confidentiality of patients, providers, and employees’ records
- Develop and implement strategies to achieve revenue improvements.
- Lead multi-disciplinary work groups to capture revenue by applying process improvement techniques.
- Advise key executives by providing insight on current challenges and new ideas or innovations to achieve results.
- Provide support and assistance to the credentialing liaison related to provider enrollment, site certification and billing issues.
- Participate in ongoing clinical projects related to billing.
- Provide feedback to management and billing team on new and ongoing projects, for example new database assessment, review, setup, testing, and analysis.
- Participate in audits, including preparation and review of requested audit schedules, reports and documentation.
- Train and supervise billing staff.
- Recruit and maintain a qualified office staff to meet the needs of the department.
- Assure adequate coverage during staff absences to guarantee minimal disruption of billing services activities.
- Demonstrate a leadership style that promotes enthusiasm and dedication to the facility and its administration.
QUALIFICATIONS:
- Bachelors’ or Associates Degree in Business Administration, Health Care Administration, Finance or Accounting or equivalent experience, preferred.
- Minimum of 2 years’ experience supervising billing staff, preferred.
- FQHC Experience, preferred.
- Professional Coder Certification, preferred.
OTHER QUALIFICATIONS:
- Ability to interpret, analyze, evaluate data, and to conduct research.
- Ability to prioritize, focus, set, and accomplish goals.
- Ability to analyze problems and formulate plans, solutions and course of action.
- Strong managerial and leadership skills.
- Ability and judgment to handle confidential and sensitive information with discretion and tact.
- Proficiency in understanding and applying methods, techniques and skills required to perform job. Knowledge of medical coding, billing, follow up, and collection process.
- Knowledge of third party payers, State and Federal Programs.
- Knowledge of Athena and medical records information system.
- Proficiency using a PC and various software applications (i.e. Word, Excel, Microsoft and Outlook).
- Knowledge of medical terminology, CPT (Current Procedural Terminology) and ICD10.
- Ability to establish and maintain effective working relationships with administrators, physicians, and peers. Ability to develop and implement strategies for efficient workflow.
- Ability to develop, analyze, implement, and monitor productivity levels and quality improvement strategies. Work experience in handling cash, checks, and donations.
- Excellent communications skills, verbal and written.
- Punctuality, dependability, and reliability.