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Billing Supervisor (CPC) Job in Brandon, Florida

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Job Title: Billing Supervisor (CPC)

Employer:Women's Care Florida
Type:FULL TIME
Job Location:Other
Skills:Supervision,coding,medical billing
Specialties:OB/GYN
Required Certifications:CPC
Required Experience:3 to 4 years
Location: Brandon 33511, FL, US
Date Posted:3/26/2021

Overview

The overall operational responsibility for the billing and coding functions through billing and clerical staff including front desk, authorization/verification, and charge entry to ensure billing and coding compliance while continuously improving accounts receivable for the Unit.  Refers matters outside their scope of duties to the Unit Administrator.

Responsibilities

Staff and provider resources – always appropriate in terms of performance, ability, attitude and capacity. Counsels, disciplines and/or recommends termination of employees as required
Training and development – meets the coding/billing needs and objectives of the Unit through ongoing training and development of staff and providers
Customer Service – Maximizes patient experience by assisting the patient with understanding their financial obligations. Reviews and handles patient billing complaints

AR Improvement –                
Reviews, coordinate and implements claim reimbursement methodologies to ensure accurate and timely collection of revenue
Continuously monitors and reviews Unit specific benchmarking reports and provides recommendations for improvement
Constantly review payer denial trends. Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers when necessary
Ensure constant use of managed care tools and references  
Systems and processes are documented, adhered to and continuously improved. Includes:

Revenue Generation

Ensures timely and accurate entry of charges, visit encounters and receipts into the eCW system
Charges are reviewed to detect for variations and patterns in order to prevent lost revenue this includes daily balancing all payment and charges
Reviews lab and ultrasound service utilization, physician charges and coding accuracy, and capture of charges
Problem solving – Provides feedback and input to assist in resolving any billing/coding problems. Contributes to putting plans in place to avoid recurrence and ensure improvements where necessary.
Develops and maintains effective communications between all levels of personnel.
Oversees and ensures compliance with all WCF billing/collections policy and procedures
Decreases days in A/R by ensuring all office charges are entered within 1 day from date of service and hospital charges are entered within 5 days from date of service.
Generate practice activity report for service date and sort on entry date to determine lag days between date of service and date charge was entered in eCW
Randomly select encounter and compare to documentation
Consistently use Encoder Pro and other coding resources ie. payer reimbursement guide and insurance web portals to ensure coding accuracy
Generate SPLIT bill report monthly to ensure charge capture of antepartum
Generate insurance aging report to review details of unpaid claims
Monitor cord blood log and track payments monthly
Continuously monitor utilization of payer and system resources to ensure accuracy of insurance verification process
Review and process all claims on the 'on hold” in the Insurance Follow-up module weekly
Review Insurance follow-up module office responsible worklist to determine coding errors and manage denials
Oversee time of service collections process in accordance with WCF financial policies
Use insurance web portals and patient responsible estimators to determine patient financial responsibility
Review OB Budget agreements and ensure collection of monthly budget installments
eCW pre check to determine in house collection balance, collection agency, credit balances
Monitor and review patient responsible collection module and collection processes monthly
Review financial analysis report of all patient responsible debt sorted by statement code
Review the C5 worklist in the patient collection module and report status of delinquent accounts. Reviews accounts and determine if account should be placed with an outside collection agency 
Review patient credit balances and approve refunds bi monthly
Constantly monitor credit balance worklist in patient collection module
Review EOBs  and financial history to determine accuracy of credit balance

Approve refund check to be issued to patients

Generate daily recap to determine total refunds issued given a specific period       
Continuously increases utilization of managed care tools and improves eligibility and benefit
Accuracy measured by number of monthly electronic transactions for the Units (includes, eligibility & benefits and claim status)
Review monthly benchmark data distributed by CBO
Continuously improves coding and documentation as measured by the Units favorable position on the bell curve as benchmarked against WCF and CMS
Review physician coding trends distributed bi annually by CBO and provide educational feedback regarding documentation
Review bi annual results of ABN and Healthy Start screening review
Attend billing supervisor meetings held at the CBO every other month

Qualifications

QUALIFICATIONS:

 

High school diploma or equivalent.
Minimum three years medical coding and medical billing experience in medical office environment.

CPC (Certified Professional Coder Certification)
Ability to interpret financial statements.
Working knowledge of electronic claims submission and remittance procedures
Ability to multi-task in a stressful, deadline-oriented environment.
Ability to communicate with coworkers, providers and patients in an effective manner.
Ability to use a computer and enter data in electronic medical record system.
Knowledge of governmental regulations and compliance requirements.

 

PREFERRED QUALIFICATIONS:

 
3+ years billing experience in medical office environment.
2+ years of billing supervisory experience preferred.
Accounts Receivable experience helpful.
OB/GYN experience a plus.
eCW electronic medical record experience a plus

Applying

www.womenscarefl.com/careers

Job ID
2021-5439

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