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Billing Supervisor

1 month ago

Miami, United States Advanced Diabetes Supply Full time

Description:

About Our Company

Advanced Diabetes Supply® was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanced Diabetes Supply® to a national leader in the industry. Creating high-performance, adaptive teams requires a relentless commitment to hiring the best. We strive to maintain a casual, fun environment whenever possible, but we don't just play around. We work hard every day to provide a positive work culture and respectful atmosphere. The standards we set for ourselves are high, and we love to be challenged If you enjoy working in a collaborative environment, have a passion for excellence and a bias for action, we may be just what you've been looking for.

Interested in learning more about our company and its culture? Visit us at

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About The Position

The NCMS Billing Supervisor performs day-to-day Billing functions in addition to supervisory and leadership duties to the Billing team, with the goal of ensuring that all policies and procedures related to providing consistent, supervisor customer/patient care are adhered to, and service & production goals are met effectively and efficiently. The Billing Supervisor will work within the scope of responsibilities as dictated below with guidance and support from our Insurance & Billing leadership teams.

Essential Functions

  • Manages the daily/ongoing workflow of Billing functions. Provides ongoing leadership and support to ensure that day-to-day service and production goals are met.
  • Communicates strategic/tactical expectations for staff, reinforces values and provides vision to direct and indirect reports.
  • Manages performance through positive coaching and clear direction. Addresses deficiencies timely and professionally. Partners with HR as appropriate to provide additional structure, improvement plans, or corrective actions.
  • Ensures performance appraisals are completed timely, objectively, and thoughtfully. Provides meaningful goals and supports staff development through training and mentoring.
  • Monitors staff schedules, deliverables, and deadlines to ensure daily coverage and assigned goals are achieved. Reviews timesheets for non-exempt staff as assigned.
  • Acts as a model for ADS core values and ethics.
  • Initiates Prior Authorization submissions and completes all follow ups for all insurance Payors including Medicare Advantage, Medicaid's, HMO, PPO, and Commercial until the case has reached a determination.
  • Compiles pre-certification information to submit prior authorization requests via outbound phone calls and/or web-based sites (familiarity with payors).
  • Performs regular follow-up calls with insurance companies to check status of prior authorization request. Logs approval in database.
  • Conducts outbound and/or inbound calls to patients, doctor's offices, insurance companies as necessary or required to complete tasks.
  • Ensures proper documentation is received and recorded before processing additional supplies to patients, per compliance guidelines.
  • Ensures accurate entry and update of changes as requested by physicians and/or patients.
  • Maintains working knowledge of billing guidelines and resources for Medicare and Private Insurances.
  • Recognizes and reviews billed orders to effectively request authorization for upcoming refills.
  • Researches, follows up, and resolves all open/pending Authorizations in a timely manner.
  • Develops and maintains knowledge of all products and services offered by the company.
  • Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
  • Maintains accurate and detailed notes in the company system.
  • Adapts quickly to frequent process changes and improvements.
  • Is reliable, engaged, and provides feedback as to improve processes and policies.
  • Attends all department, team, and company meetings as required.
  • Appropriately routes incoming calls when necessary.
  • Meets patient service quality standards.
  • Embraces and exemplifies ADS core values:

*We put our people first.

*We serve our members with passion.

*We take ownership.

*We pursue excellence.

*We never stop growing.

  • May perform any additional responsibilities or special projects as required.
  • Duties and responsibilities may be subject to change based upon the needs of the department.
  • May provide cross-functional support as business needs demand.

Requirements:

  • High School diploma or equivalent
  • 3+ years' experience with insurance verification and/or authorization, billing, and processing claims
  • Team lead or supervisory experience
  • Full knowledge of all areas of billing specialization
  • Knowledge of billing guidelines and resources for Medicare and Private insurances
  • Knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices
  • Proficiency in basic math and business calculations
  • Working knowledge of computer/data entry with the ability to learn new systems
  • Basic level of MS Office proficiency

Expected Competencies

  • Friendly, professional, and effective communications skills; able to calmly present solutions in challenging situations
  • Ability to work well in a team environment that promotes inclusiveness and communication among team members
  • Effective interpersonal skills
  • Clear diction and knowledge of the English language, both written and verbal
  • Detail oriented, highly organized; able to work at a fast, productive pace
  • Service-orientation and aptitude to resolve insurance and/or patient matters
  • Self-directed accountability and reliability
  • Cultural competence
  • Cross-trained on all insurance verification, authorization, and billing processes
  • Able to resolve highly escalated billing issues or concerns
  • Able to train
  • Willingness and ability to demonstrate leadership; provide specific, individualized direction and feedback with confidence; and motivate and coach to succeed

Physical Demands

The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions.

While performing the responsibilities of the job, the employee is required to remain in a stationary position most of the time (stand or sit). While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is frequently required to stand, walk, and reach with hands and arms. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.

Other Requirements

  • Candidates must successfully pass a background check.
  • Candidates must be able to provide proof of eligibility to work in the United States without sponsorship.

Pay Range and Compensation Package

Pay ranges may vary depending on location. Actual compensation depends on education, experience, and relevant skills. In addition, benefits include:

  • Health, Dental & Vision options
  • FSA and HSA plan with Employer Contribution
  • Employer paid EAP
  • 401k with 4% Company Match
  • Discretionary Profit-Sharing Plan
  • Paid Time Off (PTO) Including 7 Paid Holidays and a Birthday Holiday
  • On-Site Gym
  • In-house Training Programs
  • A fun culture in a fast-growing organization

Equal Opportunity Statement

Advanced Diabetes Supply® provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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