Medical Billing Supervisor

Job Description

INTRODUCTION

Under the supervision of the Director of Patient Financial Services, the Medical Billing Supervisor is responsible for the day-to-day operations of the denial management and accounts receivables follow-up functions. The Supervisor will train staff and provide positive direction, guidance, and leadership for effective teamwork and motivation.

MAJOR DUTIES/ESSENTIAL FUNCTIONS

Essential and other important responsibilities and duties may include, but are not limited to the following:

Oversee all staff in the Accounts Receivable Follow-up department.

Analyzes and researches complex or escalated accounts to determine root cause of open receivables and determine and execute the best approach for rebilling and timely and accurate resolution.

Monitors denial management process and identifies gaps; assesses production and quality performance of Accounts Receivable team.

Continually works with Accounts Receivable team to identify solutions to issues escalated as concerns in process and workflows.

Meets regularly to review staff performance and address any issues and concerns.

Reviews outstanding A/R balances monthly and assist management with collection analysis.

Establishes and maintains professional and effective relationships with peers, payers, and patients and other stakeholders; serves as liaison with various internal departments/staff/providers in coordinating and troubleshooting various revenue cycle-related issues.

Manages relationships with third party payers and patients to obtain information required for account receivables resolution.

Utilizes internal and payer technology and resources to support account resolution activities.

Participates in leadership meetings to provide feedback and critical input to elevate Unity’s core values.

Communicates/facilitates special projects and requests as needed.

Supports development of training and job training for AR workflows and process, utilized daily.

Maintain Unity values by adhering to HIPAA and other confidentiality requirements.

Performs other duties and responsibilities as assigned.

MINIMUM QUALIFICATIONS

High school diploma/GED or above. Associate’s degree in business administration preferred.

Five (5) years of Medical Revenue Cycle Management experience.

Three (3) years of supervisory experience in Medical Revenue Cycle Management.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

Effective verbal and written communication skills to communicate with providers, patients and 3rd party payers via phone, email and through prepared correspondence.

Demonstrates organizational values through job performance, work mindset and actions.

Exhibits superior management abilities that emphasize team-building and strong leadership with the ability to provide clear direction to the team.

Comprehensive knowledge in CPT-4, HCPCS, and ICD-10 billing guidelines

Professionalism and the ability to exhibit composure, patience, and confidence in all situations.

Creativity, flexibility, and goal oriented.

Proficiency in verifying financial or transactional data.

Ability to work independently in a team-oriented environment and interact well with individuals with diverse ethnic and cultural backgrounds and needs.

Excellent English language - verbal and written communication

History of positive customer relations as demonstrated by supervisor recommendation.

Ability to perform presentations and interact with many different levels of UHC leadership.

Ability to work independently with minimum supervision.

Demonstrated proficiency with business software (e.g. Microsoft Office Suite preferred).

SUPERVISORY CONTROLS

This position reports directly to the Director of Patient Financial Services. The position provides supervision to the Medical Billing Specialists.

GUIDELINES

The position abides by all rules and regulations set forth by applicable licensing and regulatory bodies and the UHC policies and procedures.

PERSONAL CONTACTS

The position requires contact with staff at all levels throughout the organization. There are also external organization relationships that may be part of the work of this individual.

PHYSICAL EFFORT AND WORK ENVIRONMENT

Refer to the attached ADA Checklist.

OTHER SIGNIFICANT FACTS

The incumbent must be able to balance the needs of diverse constituencies on a daily basis.

RISKS

The position involves everyday risk and discomforts, which require normal safety pre-cautions typical of such places as offices, meetings, training rooms, and other UHC health Care Sites. The work area is adequately lit, heated, and ventilated. All medical services shall be provided according to medically accepted community standards of care. The employee shall provide evidence of recent (within the past twelve (12) months) health assessment that includes a PPD and/or chest x-ray results.

The statements contained herein describe the scope of the responsibility and essential functions of this position, but should not be considered an all-inclusive listing of work requirements. Individuals may perform other duties as assigned including work in other areas to cover absences or relief to equalize peak work periods or otherwise balance the workload.

Full-time