Billing Operations Supervisor

Description

Job Overview

The Supervisor of Hospital Billing is responsible for planning, coordinating, and managing the hospital billing team related to the   activities required to ensure effective accounts receivable management, timely billing and edit management, while maintaining satisfactory staff productivity levels. Responsibilities include direct supervision of metric   performance, providing guidance, training, mentoring, and   following/implementing policies and procedures that ensure compliance standards are met with all payers and client regulations.

Requirements

Job Duties and Responsibilities

• Supervise all billing processes including providing solutions to complex billing issues as they occur

• Working knowledge of Hospital and Physician based Medical Billing, 

• Working knowledge of upstream Revenue Cycle impacts to billing, supportive of root cause analysis and solutioning

• Manage, oversee, and monitor the billing and editing process

• Monitors employee’s productivity to ensure quality and performance objectives are maintained

• Ability to lead inter-departmental and external departmental meetings in collaborative manner

• Medi-Cal, Medi-Cal Managed Care and Medi-Cal Programs billing experience is a must 

• Working knowledge of billing and collections guidelines and requirements for government programs 

• Responsible for managing, monitoring and maintaining a clean claim rate and solving for impactors to the rate

• Identify claim edits, review and correct when necessary 

• Participate in the recruitment process for billing staff

• Conduct training and on-going learning sessions 

• Electronic and paper based billing and Medical Record experience necessary

• All other duties as assigned 

Qualifications

• High school diploma or equivalent.

• At least 3 – 5 years of direct experience in Billing and Supervision

• Proficiency with computer including Microsoft Office Suite/Teams and GoToMeeting/Zoom, etc. 

Knowledge, Skills, and Abilities

• Ability to communicate effectively verbally and in writing 

• Proficient use of PC and MS Office applications including MS-Word, Excel, Outlook Knowledge and CPT codes to include diagnosis symptoms and manifestations

• Ability to critically and systematically analyze billing trends, problems, issues and be able to provide solutions

• Daily, weekly and monthly management of billing performance metrics and solutions

• Skill to prioritize competing workloads and deadlines to ensure job completion and meet deadlines

• Effective interpersonal skills, verbal, and written skills to successfully resolve issues related to claims submission with patient and various reimbursement agencies 

• Demonstrative leadership of billing team and outcomes

• Works collaboratively with internal and external departments to reduce billing delays and ensure accuracy of information

• Collaborate with technology vendors and HPMC IT to ensure tools appropriately support process

• Maintains confidentiality of department and hospital 

• Handles difficult situations in a discrete and professional manner 

• Complies with departmental and hospital policies and procedures 

Disclosure Statement:

As part of the Currance application and hiring experience, all candidates are subject to a criminal background check and a government exclusion check. The government exclusion check is a mandatory screening process that verifies whether an individual is listed on federal or state exclusion or watchlists, including but not limited to, the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) and the System for Award Management (SAM.gov).

These screenings are conducted to ensure compliance with applicable federal and state laws and regulations, to protect the integrity of federally funded programs, the clients we support, and to prevent participation by individuals who are excluded due to fraud, abuse, or other misconduct. By submitting an application, candidates acknowledge and consent to these checks as a condition of employment or engagement.