Medical Billing Supervisor

Job Summary:

The Medical Billing Supervisor is responsible for managing the revenue cycle for all Health Care Partners of SC’s services. The primary duties will include training and supervision of billing staff; oversight of all billing related processes, monthly reporting, and maintenance of the schedule of charges. The position will report to the Chief Operating Officer, while working closely with all levels of management and provider staff.

Essential Duties And Responsbilities:

• Develop, implement and oversee effective billing procedures.
• Train and supervise appropriate billing staff to assist with the revenue cycle functions.
• Maintain fee schedule for each service area.
• Develop, implement and oversee procedures to ensure coding accuracy.
• Ensure timely monthly close of the billing function.
• Prepare and distribute end of month management reports.
• Provide support and training to providers to ensure accurate, timely filing of claims.
• Ensure the timely submission of all claims for payment to third party payers.
• Manage the reconciliation of all discrepancies found in billing records in a timely manner, and provide reports to management or outside entities, as appropriate.
• Develop, implement and oversee procedures for the posting of all third party payments received and the reconciliation of identified differences.
• Analyze claims data and suggest/implement procedures to maximize HEDIS and incentive revenue collections (i.e., level II HCPCS codes, ICD-10 and CPT modifiers).
• Provide oversight and management of billing staff work assignments.
• Conduct quality assurance and accuracy audits of patient accounts.
• Compile requested statistical, financial, billing or auditing reports.
• Responsible for timely refund of account over-payments.
• Maintain and manage all applicable registrations and periodic reporting for CMS (Medicare and Medicaid).
• Performs other duties as assigned.

Required Qualifications :

• Demonstrated knowledge of medical coding and billing (medical coding or billing certification preferred)
• Associate’s degree or higher; or three years of relevant experience (FQHC billing/coding/revenue cycle experience preferred)
• Proficiency in Microsoft Office – Excel, Word, Outlook
• Previous supervisory experience

Knowledge, Skills, And Abilities:

• Excellent customer service skills
• Ability to establish and maintain effective working relationships with patients, staff, and clinical team
• Ability to work in a fast-paced office setting
• Ability to work independently on assigned tasks, as well as to accept direction on given assignments
• Ability to handle confidential information and/or issues using discretion and judgment

Note:

Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Job Type:

• Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Weekly day range:

• Monday to Friday

Ability to commute/relocate:

• Conway, SC 29526: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical Billing: 2 years (Preferred)

License/Certification:

• Medical Coding Certification (Preferred)

Work Location:

• In person