Supervisor Billing | Patient Financial Services

Description

Essential Functions :

• Provides direct supervision and support of staff and processes related to billing.
• Responds to Caregiver concerns ensuring consistent application of Monument Health policies and procedures.
• Demonstrates the ability to recognize problem situations in the reimbursement process and initiate an appropriate response as evidenced by documentation and feedback.

Supervise compilation of necessary data for billing.

Demonstrates working knowledge of specific payer requirements and regulatory changes made by third party payers, as evidenced by documentation, observation and feedback.

Completes applicable reviews for Medicare / Blue Cross with other departments to ensure any changes in billing practices are updated.

• Identifies and assists in tracking performance improvement initiatives. Monitors and records activities to meet or exceed best practice baseline Key Performance Indicators.
• Demonstrates knowledge of the Epic computer system and other applications needed to perform job duties.
• Identifies patterns of payment transmission issues that require contact and follow up with the third party payer. Informs staff of status of issues.
• Identifies and seeks input from Billers regarding patterns on denied claims. Partnering with Revenue Integrity, Coding and others to resolve issues.
• Organizes and reinforces the collaborative role the team member assumes through interaction with the team in order to meet the needs of the Department.
• Attends mandatory training sessions, Updates job knowledge by participating in educational opportunities and professional publications.
• Delegates assignments and special projects to staff and provides support as needed.
• Ensures the integrity of medical billing workflows, billing policies and procedures. Ensures billing operations are performed in an accurate and timely manner.
• Monitor productivity and scorecards of caregivers to ensure metrics are met and work flows are worked efficiently.
• Responsible and manages assigned supervisor work queues.
• Accomplishes billing human resource objectives by selecting, orienting, training, scheduling, coaching, and disciplining employees.

Guides employee actions by researching, developing, writing, and updating billing practices, guidelines.

All other duties as assigned.

Additional Requirements

Required :

Education - High School Diploma / GED Equivalent

Certifications - American Association of Healthcare Administrative Management CRCS Institutional or CRCS Professional within one year of hire

Preferred :

Experience - 1+ years of Medical Terminology Experience; 3+ years of Billing / Collections Experience; 3+ years of Claims Experience

Education - Bachelors degree in Business

Physical Requirements :

Sedentary work - Exerting up to 10 pounds of force occasionally and / or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.

Sedentary work involves sitting most of the time.

Job Category

Revenue Cycle

Job Family

Credit and Collections

Shift

Employee Type

Regular

15 Corporate Services Division

Make a difference .

Monument Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.