SUPERVISOR, PROFESSIONAL BILLING

The Supervisor of Physician Billing under the direction of the Manager/Asst Director of Patient Financial Services is responsible for Supervising the day-to-day operations of the Physician Billing Team. This position is also responsible for serving as a resource for problem solving for physician billing accounts and to ensure efficient operations in a fast-paced environment.

JOB ROLES AND RESPONSIBILITIES:

1. Supervise daily operations and processes within the department by monitoring employee workflow and inventory, including distribution of claims/work, when applicable.
2. Train, mentor, motivate, support and supervise staff performance; including coaching when needed.
3.  Monitor individual staff performance metrics and take proactive action when necessary on a timely basis to maintain desired workflow outputs.
4. Assist Manager/Asst Director of Department in Developing and implement workflow changes to improve service and production efficiency of the physician billing area of patient financial services; this may include collaboration with other teams.
5. Collaborate with the Manager/Assistant Director of the department for training team and all other internal teams to implement new and revised procedures, which may include suggested system changes or enhancements.
6. Research and review complex and/or difficult claims or issues to determine best outcome.
7. May act as a liaison in monitoring and supporting specific physician, providers or departmental assignments through reporting and relationship building.
8. Do research on special projects as assigned by Manager or Executive Director
. Develop, staff to ensure the efficient operation of area assigned to Supervise,
10. Collaborate with Manager to Ensure compliance with HIPAA regulations and requirements.
11. Demonstrate Company's Core Competencies and values.









 

12. Make sure that all physician Billing Accounts through the electronic billing System (Quadax) are    appropriately monitored and billed timely, and that Insurance claims are followed up by staff effectively,
13. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE:

The individual impacts efficiency and effectiveness of team operations. This is a people management role that has the authority to initiate and communicate some actions (training, new processes, coaching, mentoring, etc.) but for others, such as hiring, salary adjustments, position change, termination, and other disciplinary actions, the individual collaborates on such issues with the next level up. The individual must have the ability to exercise discretion and independent judgment to judiciously act in situations where specific guidelines may not apply.

JOB REQUIREMENTS (Education, Experience, and Training):

• Minimum high school diploma and three (3) years' related experience in healthcare or managed care industry; preferably with claims processing, auditing, and/or customer service.
• Minimum 2 years' experience in a leadership role
• professional certifications, within one year of hire.
• Knowledge of claims processing and procedure.
• Knowledge of provider billing and collection practices.
• Knowledge of medical coding systems and commonly used medical data resources preferred.
• Communication (written, verbal, listening) problem solving, organization, time management, leadership, and coaching skills
• Ability to convey information clearly, effectively and objectively
• Ability to communicate and process detailed verbal and written instructions.
• Able to demonstrate teamwork, organization, prioritization, and time management.
• Ability to be detail oriented to ensure accuracy, including mathematical calculations
• Ability to maintain commitment to providing a level of service within established standards
• Ability to lead, motivate, manage, coach and mentor others
• Ability to elicit trust and credibility with all levels of the organization
• Ability to identify issues and determine appropriate course of action for resolution
• Ability to adjust/alter workflow and schedule to meet deadlines in a fast-paced environment.
• Ability to analyze data and arrive at a logical conclusion.
• Ability to make decisions using limited or incomplete data, when necessary situations arise.
• Ability to work independently and handle confidential information
• Ability to manage multiple projects at the same time.
• Ability to use Meditech MIS software and Quadax Billing software related to job responsibilities, including MS Word and MS Excel spreadsheets and database software
• Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

JOB SPECIFICATIONS (Minimum Requirements)

1. EDUCATION          High School Diploma Minimum                     Type:      

2. EXPERIENCE          One to three years experience in physician practice or hospital based physician group preferred Professional Certification within one year of Hire,          Type: