Billing Supervisor

Job Description

Job Description

COMMUNITY HEALTH:

Community Health is a primary care network that provides nationally-recognized programs, a focus on wellness, dental, behavioral health and pediatric specialties, walk-in Express Care, a culture of community and quality health care that almost everyone, insured or uninsured, has come to depend on. As an equal opportunity employer, we offer a team-oriented, collaborative work environment for close to 400 employees at eight different locations in Rutland and southern Addison counties.

ABOUT THE ROLE:

Under the direction of the Billing & Coding Manager, the Billing Supervisor is responsible for the quality control of the entire revenue cycle including but not limited to; charge entry, claims submission and tracking, collecting, and payment posting.

FUNCTIONS OF THE POSITION:

• Administers prescribed medications and treatments in accordance with nursing standards.
• Performs certain lab tests.
• Takes and records patients vital signs, immunization status, and brief history.
• Maintains patient confidentiality.
• Cleans and autoclaves procedural equipment and instruments.
• Observes records and reports to physician patient’s condition and reaction to drugs and treatments, according to the nursing process.
• Oversees appointment scheduling, assures priority is given to patients in emergency situations.

SKILLS REQUIRED FOR SUCCESS:

• Expertise in processing insurance carrier payments/denials.

• Strong knowledge and accuracy in processing charges into practice management system.

• Strong attention to detail and analytical skills to identify areas of charge capture delay and/ or denials.

• Resolve patient/customer complaints in a timely manner.

• Ability to assign CPT/HCPCS/ICD 10 diagnosis codes according to CPT and insurance carrier guidelines.

• Maintains current knowledge of billing system and coding changes

• Ability to contact and work with patients setting up payment plans for CHCRR services

• Provide training and oversight of the billing and collections employees.

• Review charge entry batches and provides feedback to appropriate staff.

• Ensure correct coding, timely charge entry, billing compliance, and with the Billing & Coding Manager, provide on-going education to billing staff.

• Reporting to the Billing & Coding Manager, the Billing Supervisor has input into the selection of staff, training employees, planning, assigning and directing work, addressing complaints and resolving problems.

OTHER DUTIES:

• Participates in improvement projects, initiatives and related training in areas of responsibility.
• Attends required meetings
• Participates as a team player
• Assumes other tasks as assigned

HOW WE SUPPORT YOU: