Medical Billing Supervisor

Job Description

POSITION SUMMARY

The Medical Billing Supervisor is responsible for managing the revenue cycle for all Health Care Partners of SC's services. The primary duties will include training and supervision of billing staff, oversight of all billing related processes, monthly reporting, and maintenance of the schedule of charges. The position will report to the Chief Operating Officer, while working closely with all levels of management and provider staff.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Develops, implements, and oversees effective billing procedures.

Trains and supervises appropriate billing staff to assist with the revenue cycle functions.

Maintains fee schedule for each service area.

Develops, implements, and oversees procedures to ensure coding accuracy.

Ensures timely monthly close of the billing function.

Prepares and distribute end of month management reports.

Provides support and training to providers to ensure accurate, timely filing of claims.

Ensures the timely submission of all claims for payment to third party payers.

Manages the reconciliation of all discrepancies found in billing records in a timely manner, and provide reports to management or outside entities, as appropriate.

Analyzes claims data and suggest/implement procedures to maximize HEDIS and incentive revenue collections (i.e., level II HCPCS codes, ICD-10 and CPT modifiers).

Provides oversight and management of billing staff work assignments.

Conducts quality assurance and accuracy audits of patient accounts.

Compiles requested statistical, financial, billing or auditing reports.

Responsible for timely refund of account over-payments.

Maintains and manages all applicable registrations and periodic reporting for CMS (Medicare and Medicaid).

Performs other duties as assigned.

EDUCATION / QUALIFICATIONS / REQUIREMENTS

Demonstrated knowledge of medical coding and billing (medical coding or billing certification preferred)

Associate’s degree or higher; or three years of relevant experience (FQHC billing/coding/revenue cycle experience preferred)

2+ years previous supervisory experience required

Proficiency in Microsoft Office – Excel, Word, Outlook

Excellent customer service skills required

Ability to establish and maintain effective working relationships with patients, staff, and clinical team

Ability to work in a fast-paced office setting

Ability to handle confidential information and/or issues using discretion and judgment