Billing Supervisor
Billing Supervisor
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Job Description
The CORE Institute team is dedicated to making the lives of others better by practicing exceptional patient care. If you would like to be part of a dedicated dynamic healthcare team in a challenging rewarding environment The CORE Institute is the right place for you to grow your career.
The CORE Institute delivers integrated comprehensive musculoskeletal and neurological care. The CORE Institute is built upon a foundation of pioneering research academics community service and a passion for excellence in patient care. The organization continues to be a leader in payorreform initiatives and it is at the forefront of systemsbased quality programs which drive value and improve the quality of patient care.
As the CORE Institute continues to grow we are looking for a Billing Supervisor in our Revenue Cycle Management Department.
Please see below for the functions and requirements to be a Billing Supervisor with The CORE Institute.
ESSENTIAL FUNCTIONS:
1. Ensure all billing is submitted promptly and accurately.
2. Ensure continued timely followup on claim rejections.
3. Responsible for ensuring timely charge capture and revenue integrity of professional charges.
4. Educate providers and staff while maintaining work queue goals and acting as a resource to help maintain patient relations.
5. Maintains positive leadership and gives frequent performance feedback and encourages twoway participation and ideas.
6. Coaches established employees when needs are identified holding employees accountable for results through coaching and development of action plans.
7. Performance management of personnel including reviews corrective action mentoring and development plans and performance improvement plans.
8. Assist in interviewing hiring and training of new staff members.
9. Monitor and manage the productivity and performance of assigned employees including reporting daily/weekly/monthly department metrics to Senior Management.
10. Performs monthly billing audits to ensure timely and accurate claims submission and insurance follow up activities.
11. Assist in the identification analysis and resolution of reimbursement compliance and internal audit issues related to revenue cycle in a timely manner.
12. Implement and monitor the results of billing processes in support of the overall goals of the department.
13. Support and comply with all company policies and procedures and comply with Medicare and Medicaid regulations.
14. Participates in regularly scheduled staff meetings.
15. Must be able to meet deadlines given by Senior Management.
16. Research and resolve discrepancies in a timely manner.
17. Works with sensitive and confidential materials and must be able to exercise discretion.
18. Work with clearinghouse to ensure claim edits are established and implemented.
The job holder must demonstrate current competencies for job position.
EDUCATION:
High School diploma or GED required.
EXPERIENCE:
Requires 2 or more years experience in a supervisory role in a medical billing or revenue cycle department in a healthcare environment. Must be proficient in electronic billing procedures clearing houses HCFA1500 and reprocessing rejected claims. Strong leadership skills with an ability to motivate with a positive attitude that impacts others in a positive way. Prefer previous experience working with a claims management system and advanced knowledge of electronic claims.
REQUIREMENTS:
- Must have a full understanding of the Revenue Cycle Management process to include Collections Billing and Coding.
- Excellent critical thinking troubleshooting and analytical skills.
- Excellent interpersonal skills including conflict management.
- Experience working in Microsoft products Word Outlook and Excel (advanced formulas pivot table)
- Well organized and able to meet deadlines.
- Excellent attention to details.
KNOWLEDGE:
1.
Knowledge of ICD9 ICD10 HCPS and CPT coding medical terminology Medicare reimbursement guidelines billing and collection practices
2.
Knowledge of business office methods and policies regarding productivity/workload analysis and scheduling procedures.
3.
Knowledge of government regulatory requirements and commercial contracts.
SKILLS:
1.
Skilled in Analytical and problemsolving capabilities.
2.
Skilled in establishing metrics and clear objectives including performance management.
3.
Skill in effectively managing multiple projects simultaneously.
ABILITIES:
1.
Ability to multitask and work well under pressure.
2.
Ability to analyze problems and interpret information and to prioritize and reprioritize as necessary. Ability to work independently and as part of a team.
3.
Ability to identify opportunities for process improvement identify solutions and plan for and implement solutions.
ENVIRONMENTAL/WORKING CONDITIONS:
Normal office environment. Extended work hours at or near month end to meet department objectives may be necessary.
PHYSICAL/MENTAL DEMANDS:
Requires sitting and standing associated with a normal office environment. Some bending and stretching required. Manual dexterity using a calculator and computer keyboard.
ORGANIZATIONAL REQUIREMENTS:
1.
CORE Creed must be read and signed.
2.
OSHA Requirements and training to include:
*Safety Training.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities knowledge skills abilities and working conditions may change as needs evolve.
Required Experience:
Manager
Employment Type
Full-Time
