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Professional Billing Supervisor

FirstHealth of the Carolinas, Inc.
Southern Pines, USA
Full-time
Senior · 2+ years experience
Onsite
Discovered 2 weeks ago
EPICCPT-4HCPCsUB-04ICD-10

Full Job Posting

If you have a passion for continuous improvement and possess strong leadership skills, this is the position for you!

  • · Direct and coordinate the follow-up and balance resolution efforts for outstanding accounts receivable under area of responsibility.
  • · Design, plan, and implement new technology and processes to improve professional claims follow-up and denials operations.
  • · Supervise personnel directly responsible for resolving outstanding professional claims.
  • · Assist employees in resolving outstanding claims issues, to prevent and/or work denials and allow for expected reimbursement.
  • · Review A/R reports and coordinate productivity of appropriate personnel to resolve outstanding claims and reduce denials.
  • · Actively participate in the implementation and maintenance of claim systems and claim editing processes, as well as collaborating with IT/EPIC and Coding resources on system and operational enhancements.
  • · Work collaboratively with other departments to share data and create effective workflow to positively impact AR management.
  • · Review payor websites for bulletins, transmittals, program memorandums, payor specific medical review policies, and other billing and reimbursement information.
  • · Educate and distribute relevant information to appropriate staff.
  • · Collaborate with other RCM leaders to improve operational flow and employee satisfaction.
  • · Work with management to solve problems, enhance productivity, and handle special situations.
  • · Assist with patient inquiries related to claims/billing issues, working with our Customer Service Department for patient communications and resolutions.
  • · Assist other departments with billing problems.
  • · Assist with new system upgrades, changes, and testing.
  • · High School graduate plus two years' additional education in accounting or business administration, or equivalent work experience.
  • · Minimum of five years' experience in similar healthcare Revenue Cycle Management role, preferred.
  • · Strong interpersonal and verbal communication skills.
  • · Ability to manage multiple tasks in an organized manner.
  • · Excellent analytical and problem-solving skills.
  • · Leadership skills with the ability to reach consensus.
  • · Demonstrated strong computer skills. EPIC experience, preferred.
  • · Knowledge of CPT-4, HCPCs, UB-04, and ICD-10 Coding, as well as various payor guidelines and requirements.
  • · Ability to work independently, exercising sound judgment, discretion, and initiative.

Requirements

  • · Direct and coordinate the follow-up and balance resolution efforts for outstanding accounts receivable under area of responsibility.
  • · Design, plan, and implement new technology and processes to improve professional claims follow-up and denials operations.
  • · Supervise personnel directly responsible for resolving outstanding professional claims.
  • · Assist employees in resolving outstanding claims issues, to prevent and/or work denials and allow for expected reimbursement.
  • · Review A/R reports and coordinate productivity of appropriate personnel to resolve outstanding claims and reduce denials.
  • · Actively participate in the implementation and maintenance of claim systems and claim editing processes, as well as collaborating with IT/EPIC and Coding resources on system and operational enhancements.
  • · Work collaboratively with other departments to share data and create effective workflow to positively impact AR management.
  • · Review payor websites for bulletins, transmittals, program memorandums, payor specific medical review policies, and other billing and reimbursement information.
  • · Educate and distribute relevant information to appropriate staff.
  • · Collaborate with other RCM leaders to improve operational flow and employee satisfaction.
  • · Work with management to solve problems, enhance productivity, and handle special situations.
  • · Assist with patient inquiries related to claims/billing issues, working with our Customer Service Department for patient communications and resolutions.
  • · Assist other departments with billing problems.
  • · Assist with new system upgrades, changes, and testing.
  • · High School graduate plus two years' additional education in accounting or business administration, or equivalent work experience.
  • · Minimum of five years' experience in similar healthcare Revenue Cycle Management role, preferred.
  • · Strong interpersonal and verbal communication skills.
  • · Ability to manage multiple tasks in an organized manner.
  • · Excellent analytical and problem-solving skills.
  • · Leadership skills with the ability to reach consensus.
  • · Demonstrated strong computer skills. EPIC experience, preferred.
  • · Knowledge of CPT-4, HCPCs, UB-04, and ICD-10 Coding, as well as various payor guidelines and requirements.
  • · Ability to work independently, exercising sound judgment, discretion, and initiative.

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