Medical Billing Supervisor

Job Description

Job Description

Summary :

The Medical Billing Supervisor is responsible for oversight of the Insurance Billing Specialists, Payment Posters, Financial Counselors, and the Collections process. This supervisor will have a thorough understanding of insurance claim submission procedures, denial management and electronic / paper insurance remit payment posting. Will support the Patient Financial Services staff in Financial Counseling and Self-pay Collections processes. Staff supervision, coaching and training will be a vital part of this Supervisor role; so excellent communication, analytical, and problem-solving skills are a must. Compliance with healthcare regulations and HIPAA guidelines must be monitored and followed.

Typical Schedule :

Monday-Friday; Weekdays

Key Responsibilities :

• Oversight of the daily operations of the billing department
• Supervises, coaches, trains and evaluates assigned staff.
• Ensures the accuracy of claim submission, denial management and payment posting.
• Strong understanding of Medicare, Medicaid and Commercial Payer billing guidelines, regulations and claim requirements. Rural Health and / or Critical Access Hospital knowledge is a plus.
• Manages electronic claims processing, ERAs, EFTs, special billing programs and discount management.
• Creates, implements, and enforces billing and collections policies and procedures.
• Continual process improvement to create efficiencies in workflows.
• Recommendations for EHR system improvement, work queue management, etc.
• Helps resolve difficult patient billing concerns and / or issues that arise in other OMC Departments that affect the billing staff’s ability to do their job.
• Ensures Compliance with healthcare regulations and HIPAA requirements.
• Insurance and patient A / R Management to support best practices and industry benchmarks.
• Assure patient collection processes and policies are being followed to meet state and federal requirements.
• Reviews and manages the productivity of the billing, payment posting, financial counseling and collections staff.
• Special projects as requested by the Revenue Cycle Director or CFO.
• Other duties as assigned.

Qualifications :