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Billing Supervisor

Expired Job

Usmm Troy , MI 48007

Posted 2 weeks ago

Billing Supervisor

U.S. Medical Management (USMM), an affiliate of a leading Fortune 250 company, manages a nationwide continuum of premier providers of medical services delivered primarily to the homes of elderly and home-bound patients. Providing primary home care is the future of medicine, and at USMM, the future is now. With the knowledge and experience to address the evolution of healthcare, USMM is poised for a phenomenal future.

Position Description

Under 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

  • Develop and maintain business relationships through effective and timely communication

  • Oversee 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

  • Serve as USMMs billing subject matter expert for billing questions and direction

  • Work directly and in strong collaboration with all internal and external customers, inside and outside of revenue cycle

  • Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues using various systems

  • Run monthly reconciliation, production, dashboard and other requested reports

  • Audit current procedures to monitor and improve efficiency of billing and collections operations

  • Ensure 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

  • Participate in the development and implementation of operating policies and procedures

  • Review and interpret operational data to assess need for procedural revisions and enhancements

  • Participate in the design and implementation of specific systems to enhance revenue and operating efficiency

  • Analyze trends impacting charges, collection, and accounts receivable and take appropriate actions to realign staff and revise policies

  • Run quality audits on a monthly basis, that is shared with both management and staff

  • Supervise, train, and ensure staff is knowledgeable on all billing programs

  • Collaborate with Billing Manager to maintain collections goals and account receivable performance levels

  • Attend meetings to report billing related matters and staffing performance

  • Perform miscellaneous job related duties as assigned

REQUIRED 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

  • Strong knowledge of computer systems and all other applications required

  • Knowledge of Health Care administration practice and Payer Requirements

  • 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 activities

preferred Knowledge, Skills and Experience

  • Associate degree in health or business administration

  • Certification in Medical Billing/Coding

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Billing Supervisor

Expired Job

Usmm