North Penn Comprehensive Health Services Job Description: Billing Supervisor
Primary Location: Wellsboro, PA
Reports To: Director, Revenue Cycle
Schedule: Full-Time, EXEMPT
Role Objective:
Under the direct supervision of the Director, Revenue Cycle, the Billing Supervisor is responsible for the Supervision of the billing team and the billing process. Billing Supervisor is responsible for revenue cycle activities, including ensuring that billing and processing of payment receipts are consistently completed in a timely manner and in accordance with organizational, state, federal, and payer specific policies. Billing Supervisor will strive to minimize bad debt, improve cash flow, and effectively manage accounts receivables. This position will coordinate effective management of revenue cycle activities.
Responsibilities:
1. Prepares and processes timely and accurate accounts receivable invoices
2. Responsible for the daily supervision of the Account Representative Seniors, Billing Specialists, and medical coders, including mentoring, hiring, onboarding, and managing work schedules.
3. Act as a liaison between the billing team members and management.
4. Ensures completeness, accuracy, and compliance of billing with standard operating procedures and best practices. Identifies and assists in addressing errors and other issues discovered.
5. Advises Director of Patient Financial Services of problems and concerns within the billing department; communicates to the Director any recommendations, questions, concerns, or recommendations for department operation improvements.
6. Coordinates with the billing team to improve processes associated with gathering and passing data required to create billings that meet customer expectations and minimize disputes and potential payment delays. Support providers and maintain a positive two-way communication among providers and billing team to foster teamwork.
7. Develops and maintains work schedules to cover the Billing Office. Helps to cover vacation and sick time. Ensure billing team has adequate PTO available before approving requests for time off.
8. Reviews, processes, prints, mails and e-mails with customer invoices and statements. Monitors filing of insurance claims, secondary insurance filings and ensures that all billing questions are answered in a timely manner.
9. Research and respond to patients’ questions and concerns in a thorough, considerate, and timely manner; all while exercising discretion and professional judgement.
10. Contacts past due accounts to verify payment intentions and identify and attempt to correct any potential issues that may delay collections.
11. Supports Management by providing timely and accurate payment and account standing information, including updating activity reports to management, and proactively escalates billing issues to management. Maintains required records and files.
12. Assists in developing policies and procedures, including updates. Also monitors adherence to internal procedures and continuously evaluates current policies and procedures, providing recommendations for process improvements.
13. Implements and maintains appropriate internal controls over accounts receivable and cash receipts functions. Monitors activities with collection agencies, insurance companies, information technology, customers, and providers.
14. Audits charts for accuracy of CPT and ICD procedural coding. Verify charges against chart documentation and determine if all documented services were captured for billing purposes. Provides education to providers when deemed necessary.
15. Coordinates with the Laurel Health Center Outreach and Enrollment program coordinator for efficient program administration.
16. Collaborates with North Penn Leadership Team and participates in work groups and committees assigned. Attend seminars and meetings and participate on committees as directed. Stays informed on billing regulations and distributes information to billing staff.
17. Works with Director to complete month end reporting and provides information regarding accounts receivable and other insurance/payer related information. Sustains and improves billing performance to be measured in financial statistics appropriate for patient accounts receivable, such as days in AR, AR turnover, etc.
18. Other duties as assigned.
Qualifications:
1. Previous medical office and supervisory experience preferred. ICD 9 and CPT coding expertise required. Knowledge of insurance benefits and referral procedures for local payors as well as knowledge for submitting “clean” Medicare and other insurance claims. Computer skills are essential.
2. The Billing/Collection Supervisor should have an excellent working knowledge of medical practices. Must be able to communicate well with physicians, dentists, employees, patients, insurance companies and other providers. Must possess the ability to supervise people. Must possess the knowledge to properly code all procedures and tests.
3. Ability to listen to and understand information and ideas presented through spoken and written work; tell when something is wrong or is likely to go wrong; combine pieces of information to form general rules or conclusions and apply general rules to specific problems to produce answers that make sense; multi task, attend to detail; work independently, set priorities and advocate team concepts.
Education and Experience:
1. Minimum of three (3) years’ billing and supervisory experience in healthcare billing activities preferred.
2. BA/BS Degree in Finance/Accounting/Billing or an equivalent level of directly related billing experience preferred.
3. Five years’ experience in medical coding, billing, and collections experience required.
4. Minimum High School Diploma required. Behavioral health, chiropractic, and dental coding and billing experience preferred.
5. Well-developed analytic and problem-solving skills
6. Highly developed communication and interpersonal skills
7. Highly organized with ability to manage multiple priorities.
8. Excellent listening, written and verbal communication skills
9. Successful in dealing with customer and company personnel at all levels
10. High degree of integrity including ability to successfully deal with sensitive or confidential information
11. Ability to exhibit poise, composure and confidence when confronting stressful or high-pressure situations
12. Exhibits a strong commitment to dependability and reliability with the ability to gain the confidence and respect of patients.
13. Hands-on, self-starting, disciplined, and detail-oriented individual with ability to work independently in a high-volume environment that requires a work product that is highly accurate and timely.
Physical Requirements:
1. Prolonged periods sitting at a desk and working on a computer.
2. Must be able to lift 15 or more pounds at times.
Licensure, Certifications, and Clearances:
1. Driver’s License
2. Act 33
3. Act 34
4. Act 73
North Penn is an Equal Opportunity Employer/Disability/Veteran
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
