Billing Supervisor

Acts a resource for staff, assists in overseeing the daily operations of the billing functions; employee reviews, daily, weekly and monthly work assignments for billing staff, adjusts and processes remittance advice forms by verifying accuracy and completeness of forms to ensure timely and accurate reimbursement by third party payers of services rendered

ESSENTIAL FUNCTIONS:

• Supervises billers and collectors regarding operational processes, billing practices, etc.
• Assigns daily, weekly and monthly workload for assigned personnel
• Identifies and provides training needs of assigned personnel
• Assists with production review, performance audits, etc.
• Receives and reviews daily unprocessed patient visit report and patient medical record to verify accuracy and completeness including, but not limited to: encounter information, ICD-10 and CPT procedure coding and revenue codes
• Enter NPI information into billing system and maintains those records
• Data enters encounter information into patient billing system from source documents; generates UB-04 or CMS1500 claim forms based on visit type and procedures performed
• Consults with claims processors of third party payor regarding disputed and/or denied claims; provides copies of requested documents as needed to facilitate timely reimbursement of charges
• Reviews patient registration information for updates and/or changes to primary and secondary insurance coverage to ensure accuracy of billing
• Reviews patient chart to verify system information and/or validate encounter documentation
• Receives and reviews daily, weekly and monthly production/error reports and EOB statements to identify errors; makes corrections and/or performs follow up as needed to ensure reimbursement of charges
• Prepares electronic transmission of claims, makes corrections as needed to identify responsible insurance program based on provided service.
• Prepares adjustments to bills as needed, forwards for review and approval
• Maintains current, all files of claims activities
• Participates in departmental orientation, on the job training and quality assurance programs/initiatives
• Participates in a variety of department and hospital educational programs to maintain current skill and competency levels; identifies and discusses performance or training needs with Supervisor
• Assist other departments relative to billing needs, questions, processes and training
• Assists Collector as needed to ensure achievement of established collection goals
• Performs other duties as requested
• Three years of related experience
• Associate's Degree in Accounting, Bookkeeping or related field
• Medical billing certification preferred

Indian Preference and Equal Employment Opportunity

SCAHC gives preference in hiring to San Carlos Apache Tribal members and other Native Americans in accordance with the San Carlos Apache Tribe's Tribal Preference Policy, as set forth in Section 402 of the Tribe's Human Resources Department Policies and Procedures Manual. Otherwise SCAHC does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect him/her because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, citizenship, veteran status, military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, SCAHC complies with all applicable federal, and Tribal laws governing nondiscrimination in employment.