Supervisor Business Office - Trinity Clinic West Medical Plaza - Full Time

Summary:

Performs all functions necessary to accomplish accurate billing and follow-up/collections of patient hospital accounts. Works as a back-up biller and/or collector when needed. Responsible for training all new billers/collectors. Works proficient with other departments resolving issues. Ensures systems and procedures are in place to maximize reimbursement from patients and all third-party payers. Prepares statistical and analytical reports for management review.

Responsibilities:

• Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability
• Ensures all accounts are processed for billing and follow-up activity
• Supervises the day-to-day work effort for billing and follow-up functions ensuring that established productivity and quality goals are achieved
• Maintains knowledge of all billing systems, and assist as necessary to troubleshoot issues with clearinghouse and payers
• Ensures the 72 hour and combined billing reports for insurance payers are worked daily
• Keeps abreast of all regulatory changes and communicates these to management, billing, and follow-up staff in a timely and effective manner
• Must have monthly meetings (or more as needed) with associates to review changes and/or new guidelines
• Monitors billing, follow-up/collections, and payment validation workflow, directs work task as necessary to manage fluctuation volumes
• Ensures managed care payments are paid according to managed care contracts and appeals are done for any underpayments
• Ensures overpayments are refunded to payer accordingly
• Provides feedback to Director regarding staff performance productivity and teamwork capabilities
• Analyzes, trends, reports and makes recommendations on billing issues, claim rejections and issues affecting timely follow-up and collections of accounts

Requirements:

Education/Skills

•  High school diploma or equivalent

Experience

•  0 ? 2 years of supervisory/management experience preferred. 
• 4 years of experience in similar or related role preferred. 

Licenses, Registrations, or Certifications

•  None required

Work Type:

Full Time

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