Medical Billing Supervisor
Professional to provide coding and billing functions and supervisory of
billing/ front office team members to ensure accuracy, efficiency, and maximum
financial return; including insurance verification, payment posting,
collection/reimbursement services and coding of hospital visits. Team Member
must effectively communicate with clients, insurance companies, support vendors, team
members and other external entities, while adhering to all client, state and
federal guidelines. Team Member in this role is expected to have knowledge of
Medicare and Medicaid billing compliance, reimbursement tracking; maintains
knowledge of billing codes, rules, and regulations. The ability to work
effectively with all types of people and resolve issues is critical while
patient and client satisfaction is essential. Functions
within the standards, policies, procedures and guidelines of the office.
Supervises and/or Performs insurance/billing front
office clerical duties, including review and verification of patient account. Information
against insurance program specifications.
Resolves patient billing inquiries and problems
follow up on balances due from insurance companies, and billing all insurance
companies and patients.
Resolves and appeals insurance denials and follow
up on balances due from insurance companies, and billing all insurance
companies and patients.
Supervises and enters data electronically to
process charges, payments, denials and adjustments.
with governing Board and Administrator to design and implement strong, legal
the Administrator in recruiting, hiring and disciplinary action of front office
and billing team members.
for delegation of front office work, billing work and team member’s hours.
and changes front office and billing team members assignments and job
descriptions as needed
d) Assure that team members are trained and
operates in compliance with all government and other regulatory agencies.
for coverage for team members out sick or on vacation.
and Ensures team member adherence to practices policy and procedures by
promoting policy and procedures to team members and following coaching
accordance with the policy and procedure of the practice, evaluates, performs,
and discusses billing and front team Members pay and performance reviews.
Professional and Corporate
a) Liaison between practice and patients
b) Liaison between practice and managed care companies.
c) Liaison between practice and Practice Management
a) Completion and analysis of monthly billing reports to
make recommendations to management regarding billing procedures and practices.
Compliance and Regulation
a) Operates and assures compliancy of all billing to meet
all federal, government and other regulatory agencies.
for policy development and management of all front office and billing and
compliance policy and procedure manuals to ensure ongoing compliance with all federal, government and other regulatory
agencies and to ensure continued compliancy by
team member and physicians as it relates to the practice.
a) Helps the Administrator with contract negotiation.
b) Current Managed care contract management.
c) Reimbursement analysis of current fee schedules on an
d) Helps the Administrator with credentialing of
physicians with managed care companies and hospitals.
e) Works with Managed Care Company or designee in site
a) Works with Billing team member or designee in daily
billing practices & procedures.
b) Assures proper billing techniques and practices are
used in day to day billing
c) Assures cash flow and Managed Care payments are being
captured and posted properly.
CERTIFIED PROFESSIONAL CODER (CPC) -Preferred
We offer a competitive
compensation and benefit program. Benefits include medical, dental paid time
off, and a 401(k) plan.