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Billing Supervisor

Company: US Medical Management
Location: Troy
Posted on: January 12, 2021

Job Description:

Billing SupervisorU.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals working together. Our Mission - "Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services" - Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In Home Health Assessments (IHA). Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on "We are Unified in our Work through our Continuum of Services" "We can Find Comfort that We are Making a Difference for our Patients" & "We make a Broader Positive Impact on Society", allows USMM to be poised for a phenomenal future. We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do. Benefits We Have to Offer: * Health, Dental, Vision, Disability & Life Insurance* 401K Retirement Plan* Paid Holidays* PTO * Flexible Spending Account* Tuition Reimbursement (coming 2021)Position DescriptionUnder the direction and support of the Billing Manager, the Billing Supervisor directs and coordinates all functions of the Billing department to ensure maximization of cash flow while improving patient, provider and other customer relations. The Billing Supervisor requires critical thinking skills and willingness to develop and embrace leadership skills to lead the back end of the revenue cycle and directly manage the claim submissions and accounts receivable follow-up for designated payor groups.Essential Duties and Responsibilities* Responsible for driving the USMM culture through values and customer service standards* Develops--and maintains business relationships through effective and timely communication* Oversees the day to day operations of the Billing department for Centene, including but not limited too - charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management* Serves as USMM's billing subject matter expert for billing questions and direction* Works directly and in strong collaboration with all internal and external customers, inside and outside of revenue cycle* Analyzes billing and claims for accuracy and completeness; submits claims to proper insurance entities and follow up on any issues using various systems* Runs monthly reconciliation, production, dashboard and other requested reports* Audits current procedures to monitor and improve efficiency of billing and collections operations* Ensures that all activities of the billing operations are conducted in a manner that is consistent with overall departmental protocol, and in compliance with Federal, State and payer regulations, guidelines and requirements* Participates in the development and implementation of operating policies and procedures* Reviews and interprets operational data to assess need for procedural revisions and enhancements* Participates in the design and implementation of specific systems to enhance revenue and operating efficiency* Analyzes trends impacting charges, collection, and accounts receivable and takes appropriate actions to realign staff and revise policies* Runs quality audits on a monthly basis, that is shared with both management and staff* Supervises, trains, and ensures staff is knowledgeable on all billing programs* Collaborates with Billing Manager to maintain collections goals and account receivable performance levels* Attends meetings to report billing related matters and staffing performance* Performs miscellaneous job related duties as assignedREQUIRED Knowledge, Skills and Experience* High School Diploma or equivalent* 3 years of supervisory experience in the medical field* Knowledge of patient registration, insurance billing, CPT coding and ICD-9 coding* Knowledge of Health Care administration practice and Payer Requirements * Strong knowledge of computer systems and all other applications required* Skills in gathering, analyzing and interpreting information, written and verbal communication skills; must be able to exercise initiative problem solving and decision making* Must be able to work effectively with patients/customers, staff, and the public* Ability to identify problems, recommend solutions and set priorities and coordinate work activitiesPreferred Knowledge, Skills and Experience* Associate Degree in Health or Business Administration * Certification in Medical Billing/Coding

Keywords: US Medical Management, Troy , Billing Supervisor, Other , Troy, Michigan

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