Job Summary:
The Billing Supervisor will work closely with the RCM Manager overseeing operations for all assigned clients. They will work closely with the global team on processes and performance to improve workflow efficiencies and overall client performance.
The Billing Supervisor will be responsible for eClinicalWorks report analysis and preparation for presentations at client meetings. They will respond to the global team and client billing questions, and other inquiries. They will focus on providing timely and quality responses. They will be instrumental in assisting with identifying, creating, and updating client billing rules.
The Supervisor is a key member of the management team, working with other leaders to cultivate a collaborate culture within the organization while encouraging high performance in all areas.
Duties/Responsibilities:
- Communicates regularly on day-to-day operations with assigned clients.
- Develop client specific and/or standard operating procedures (SOPs) to streamline workflows, ensure consistency and accuracy of the revenue cycle process, maximizing technology to enhance productivity and performance.
- Based upon exposure to feedback from client, global team members or HPI team the Supervisor will advise leadership regarding opportunities for improvement related to client or HPI performance metrics.
- Identifies key areas of process improvement and recommends methods of modification, implements approved changes.
- Contributes as needed in the design, communication, and implementation of new approaches to reporting, policies, client billing rules, and SOPs, to increase reporting accuracy and influence continuous improvements in operation efficiency.
- Gathers and evaluates the results of billing operations regularly and reports these results to the Manager and/or Director.
- Uses reports, workflow to monitor daily operations and performance and works with leadership to address positive/negative trends.
- Ensures that quality of work is maintained, and that compliance policies and procedures are followed through billing operations.
- Supports client RCM meetings by preparing requested material in collaboration with the Manager and Director. Able to document meeting minutes.
- Compile periodic and ad-hoc reports and communicate them to the team including review of codes and carrier specific reports weekly.
- Manages day-to-day global team activity through established workflow, continuous communications including new processes, changes, projects, and issues.
- Able to respond to questions from HPI team and may assist with Billing Specialists duties related to:
- Cash flow and balancing
- Aging
- Credit balances and collections
- Rework targets
- Log resolution
- Adjustments
- Patient Team emails
- Offshore questions
- Other duties may be assigned.
Required Skills/Attributes:
- Responsible for team specific training and development of team members, providing feedback and monitoring
- Provides leadership, direction and effective communication.
- Manages staff level team members.
- Carries out responsibilities in accordance with the organization’s policies and applicable laws.
- Mentors team members on the planning and assigning of work as well as training and development.
Education and Experience:
- eClinicalWorks reporting experience required. Previous experience with Tebra, athenaOne or NextGen billing systems desired but not required.
- 2-3 years’ experience in Medical Billing preferred
- Degree in Medical Billing or a similar field is desirable
- Proficient with Microsoft Office suite of products, Excel, Word, PowerPoint and Outlook in addition to excellent 10 key and mathematical skills
- Knowledge of insurance submittal procedures and medical forms (including UB04 and HCFA 1500) and physician reimbursement preferred
- Actively supports change
- Ability to effectively manage 1-3 employees
- Capable of making timely independent decisions
- Inspires respect and trust
Physical Requirements:
- Prolonged periods sitting at a desk and working on a computer
- Must be able to lift up to 15 pounds
Health Prime is an Equal Opportunity Employer