Revenue Cycle Management Billing Supervisor

3 weeks ago

Vancouver, United States Lifeline Connections Full time
Job DescriptionJob Description

Our Vision

As the premier provider of substance use and mental health services in the Pacific Northwest, we are respected and the most trusted resource for behavioral health treatment and whole person care. We provide a comprehensive continuum of coordinated quality services, foster enduring relationships, and empower our communities to truly thrive.

Our Mission

Through superior customer service, high quality programs, and a well-trained and dedicated staff, we inspire hope and support lifesaving changes for people affected by substance use and mental health conditions.

Salary: $20.50-$24.00 per hour

MAJOR DUTIES: The RCM Billing Supervisor position works under the supervision of the RCM Manager. This position shares supervisory duties of the staff with the Revenue Cycle Manager. They also ensure acceptable resolution of failed claims in the EHR to promote timely submission of claims and in EPIC Charges/invoices. The incumbent may be responsible for coding and mapping in the EHR, maintaining payer information, billing configurations, fee matrices, and rules for the claim engine and performs RCM Billing Audits. They may assist in running regular reports to track department goals and progress. In fulfilling these duties, the incumbent performs the following duties:

  • Oversee the position of Provider enrollment and provide support as needed.
  • Provide department orientation, training, and oversight to team members on appropriate procedures and practices.
  • Provides supervision to staff assigned to be supervised, meeting with them as needed to guide and direct them in their duties, providing quarterly and annual reviews, and assist them in setting goals to meet the objectives of the job.
  • Problem solves and resolves failed claims in the claim engine daily.
  • Assists as needed in configuring billing settings for payers, bill next mapping, and adjust reason mapping.
  • Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze failures.
  • Identify patient, provider, department and insurance company concerns, requests and problems related to billing issues; communicate them to the billing team as appropriate.
  • Performs monthly billing audits.
  • Prioritize tasks to meet multiple deadlines and productivity requirements.
  • Communicate effectively using professional communication with team members and clinical staff ;
  • Maintains strictest confidentiality; adheres to all 42 CFR part 2 and HIPAA guidelines/regulations;
  • Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation;
  • Establishes and maintains professional and effective relationships with peers;
  • Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function;
  • Works as part of the agency’s revenue cycle management team;
  • Attend meetings as required.
  • Complete required training.
  • Supports and implements agency policies and procedures;
  • Other duties as assigned.

KNOWLEDGE AND SKILLS REQUIRED BY THE POSITION

  • Posses a degree in Medical Billing and Coding or related to Health Information Management, preferred.
  • Possess five years’ experience in medical/non-profit billing and coding.
  • Possess three years’ experience in EHR administration and coding.
  • Requires an understanding of insurance billing, Medicaid billing in Provider One, ICD-10/CPT codes, HCFA 1500, UB-04 and an understanding of insurance requirements for payment.
  • Two years’ experience with Qualifacts’ CareLogic electronic health record preferred.
  • Skilled in Microsoft Excel (sorting, filtering, conditional formatting, pivot tables)
  • Ability to communicate clearly and effectively
  • Great attendance;
  • Collaborative: Ability to work well with others.
  • Must be highly organized, detail oriented, possess good analytical skills, effective verbal and written communication skills, and be able to work well under pressure.

GUIDELINES

Requires that the incumbent relies on specialized training and/or equivalent experience and performs duties in accordance with Washington Administrative Codes, Federal regulations governing the confidentiality of patient files, and Lifeline Connections Policy and Procedure Manual.

PERSONAL CONTACTS

Contacts are with the members of the treatment team, consumers, significant others of the consumers, representatives of various community agencies specializing in the treatment of chemical abuse and mental illness and payers. All personal contacts are carried out in accordance with federal and state laws dealing with the confidentiality of patient records.

PHYSICAL DEMANDS

While performing the essential functions of the job, the employee is regularly required to sit, speak clearly, hear, and use hands and fingers to manipulate writing utensils and keys on a keyboard.

WORKING ENVIRONMENT

Working hours are spent indoors in offices or other meeting rooms. Participation in staff retreats and staff development activities will be required.

IMMEDIATE SUPERVISOR: Revenue Cycle Manager

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