Job Summary : Responsible for supervising and coordinating daily operations related to the billing, timely follow-up, and payment of Medicare / MediCal claims to achieve established financial and productivity goals.
Considered the point person for staff, effectively monitors, supervises, audits, and mentors staff to ensure exceptional performance.
Monitors payer performance / trends acting as a liaison with our Medicare Administrative Contractor (MAC) / our MediCal Intermediary and / or payer reps for long-term or ongoing account problems.
Has overall responsibility for maintaining the daily integrity and accuracy of billing software and for ensuring their alignment with current billing regulations and the hospital's revenue cycle objectives.
Provides input regarding policies, systems, methods, and procedures for the effective management and control of billing operations.
May perform other duties as assigned.
Job Qualifications : High School or equivalent. Completion of the CMS Medicare / MediCal Billing certification program is to be completed with a passing percentage within 6 months of employment and re-certification annually thereafter.
Two+ years Medicare billing and follow-up experience. Demonstrated understanding of revenue cycle processes and workflows, billing and reimbursement regulations, CERT, and RAC.
Must have a working knowledge of medical terminology, CPT-4, HCPCS, ICD-9 and revenue codes. Must have strong analytical, investigational, and leadership skills, excellent oral / written communication and presentation skills, and demonstrated mastery of personal computers, MS Word, Excel, Outlook, and Internet Explorer applications.
Preferred Qualifications : Bachelor's Degree. Previous experience in an hospital setting; one year of supervisory experience.
Past experience in denial management, performance improvement, root cause analysis, acute care / hospital information technologies within the Revenue Cycle.
Salary Range : $67,246 - $94,640 annually. Salary will be commensurate with experience.
PI251325465
Supervisor, Government Programs
Previous experience in an hospital setting; one year of supervisory experience. ...
Program Manager (ABA) - Buena Park
Under the direct supervision of the BCBA, the Program Manager is responsible for managing client caseloads. This consists of providing supervision, managing the programs (including new programs), monitoring data collection, and collaborating with Clinical Supervisor to provide high quality...
Wendy's General Manager
The General Manager is the leader of the team who establishes the tone of the work environment, and the level of customer hospitality. The General Manager is responsible for the operation of the entire restaurant and building a strong team that consistently provides customers with great food and a f...
Warehouse Operations Manager
We are a rapidly growing Furniture Distribution company looking for a Warehouse Operations Manager to oversee an estimate of 50 employees, including supervisors, leads, and associates. The Operations Managers role is to ensure that products, inventory, and parts, move from our suppliers to our stora...
Manager, Branch Operations I
Distribution Center operations experience. ...
EL Shift Supervisor
To supervise an assigned shift, designed to develop leadership skills required for the Restaurant Manager position. Directs and establishes priorities for the crewmembers during their shift. Ensures a harassment free work environment for all employees and guests during the shift. May cover a work st...
shift supervisor - Store# ARCHIBALD & SCHLEISMAN
We believe our shift supervisors are leaders in creating an uplifting experience for our customers and partners alike. You’d make a great shift supervisor if you:. You’ll lead each shift, working alongside a team of baristas to deliver quality customer service and expertly-crafted products. ...
Shift Supervisor - University
If you are interested in a hands-on, continuous improvement-oriented, fast-paced role in a world-class manufacturing environment then our Shift Supervisor role is for you. Front-line manager role supervising operators on rotating shifts. Willingness to work rotating shifts required (days, afternoons...
Program Manager - Psychology Department
The program manager will work closely with the Program Directors, Principal Investigators (PI), and the Department Chair in an effort to recruit for academic programs, assist with internal and external grant management efforts, support faculty and leadership with research development activities, and...
Project Manager
You will also showcase your expertise by leading the project team members to achieve project requirements, deliver contracted deliverables, and meet the committed project result. You will be mainly accountable for: • Leading the project team, establishing the project execution approach, and overseei...