Insurance Billing Supervisor (FT- 1 FTE) Hybrid Possible

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Requirements:

• Associate's degree in Business or Accounting; an equivalent combination of education and experience will be considered.
• Three (3) years of experience in a medical billings and claims.
• One (1) year of supervisory experience.
• Prior experience in healthcare administration, revenue cycle, or accounts receivable management.
• Knowledge of electronic healthcare payment transactions.
• Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Billing.
• Prior experience with Epic billing.

Responsibilities:

• Assists department leadership with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and hospital requirements
• Ensures a collaborative departmental approach to long-range strategic operational planning, care and service design and development of organizational policies, which reflect the mission of the organization
• Coordinates and oversees the organization-wide departmental services.
• Continuously assesses, measures and improves departmental performance utilizing key performance indicators.
• Helps plan initiatives to increase performance as needed
• Demonstrates responsible management of all departmental resources
• Monitors quality and productivity levels for all billing staff members
• Manages WQ assignments in Epic and ensures accounts are not left unworked
• Demonstrates clinical/technical and supervisor competency. Ensures staff professional needs are met
• Leads, teaches, inspires, helps and consistently demonstrates hospital behavioral standards
• Analyzes data and prepares reports on performance as required or requested
• Reviews denial and underpayment trends in collaboration with PFS Manager, Contract Specialist, and Compliance as appropriate and follow up staff to develop improvement initiatives; communicated with payers to resolve issues and foster working relationships
• Identifies payer trends and communicates with PFS Manager for escalation
• Ensures timely billing and proactively investigates and addresses potential billing process inefficiencies
• Approves appropriate account adjustments within identified thresholds and ensures PFS Manager is aware of trends in adjustment spaces (timely filing etc.)
• Oversees recruiting, hiring, and training practices; monitors and provides performance evaluations for billing staff
• Works with external resources as appropriate and brings issues that arise to the PFS Manager