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Billing Supervisor

2 months ago

Fort Worth, United States Palm Medical Centers Full time
Job DescriptionJob DescriptionThe Billing Supervisor manages and oversees the medical billing process to ensure accurate and timely reimbursement claims submission to third-party payers. This role involves supervising a team of medical billing specialists, coordinating with insurance companies, and interfacing with patients to streamline billing and payment processes. The ideal candidate will have in-depth knowledge of CPT codes, insurance guidelines, and billing procedures, as well as experience handling complex claims and resolving billing issues.

Duties & Responsibilities
  • Supervise and mentor a team of medical billing specialists, providing guidance and support as needed.
  • Assign tasks and manage the workflow to ensure timely and accurate billing processes.
  • Review and process reimbursement claims using CPT codes, ensuring accuracy in assembling and submitting claims.
  • Verify patient treatment codes and patient bills (statements) for completeness and accuracy, obtaining any missing information as necessary.
  • Prepare, review, and transmit claims using billing software, including both electronic and paper processing.
  • Review claims under patient claims status daily, ensuring balances are correctly assigned and allocated.
  • Oversee verification of patient eligibility and benefits, and ensure compliance with insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
  • Follow up on unpaid claims within the standard billing cycle and resolve any discrepancies.
  • Check insurance payments for accuracy and compliance with contract discounts, addressing issues with insurance companies as needed.
  • Work on claims under “client Intervention” status assigned by the DM, addressing and resolving issues.
  • Handle phone calls from payers, patients, or centers, addressing inquiries and resolving billing issues.
  • Manage patient billing inquiries and complaints professionally, setting up payment plans and managing collection accounts.
  • Process refunds and address related issues.
  • Coordinate the sending of medical records invoices to attorneys and other necessary parties.
  • Scan and/or send correspondence to the billing department for processing.
  • Research and appeal denied claims to ensure appropriate resolution.
  • Identify and bill secondary or tertiary insurances as applicable.
Qualifications:
  • Proven experience in medical billing and coding, with a thorough understanding of CPT codes and insurance guidelines.
  • Strong knowledge of HMO/PPO, Medicare, and state Medicaid guidelines.
  • Proficiency in billing software and electronic claim processing.
  • Excellent organizational and supervisory skills with the ability to manage a team effectively.
  • Strong analytical and problem-solving skills with attention to detail.
  • Effective communication skills for interacting with patients, insurance companies, and internal team members.
Benefits:
  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
Schedule:
  • 8 hour shift
  • Day shift
  • Monday to Friday
Work setting:
  • Office
Experience:
  • ICD-10: 1 year (Preferred)

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