Billing Supervisor, SC
1 week ago
The Billing Supervisor for Four Winds Health is responsible for providing oversight for Billing, Accounts Receivable and Denials. Responsible for activities and operations in the accounts receivable function to include processing claims, submission of follow-up inquiries, negotiating past due amounts, referral of accounts to collection agencies and resolution of all payment issues in a timely manner. Must maintain open communication with key departments including Credentialing, Operations, RCM and Providers to optimize billing process. Supervisor must effectively prioritize goals and objectives to achieve desired outcomes, maintain appropriate lines of communication with various business partners (internal and external), establish and maintain policies, procedures and training required to achieve goals, monitor, measure and train to ensure optimal customer service experience and financial outcomes are achieved. Supervisor should seek continuous improvement of processes, technology and talent and serve as a mentor/coach to team members. Manager should be adept in utilizing reports and analytics to make objective decisions and present recommendations to Senior Leadership.
Responsibilities
-Leverage data and analytics to make calculated, objective decisions that promote organizational goals
-Comprehension of systems to request / pull data, interpret / analyze and use in daily decision-making
-Foster culture of data-driven decision making among team members
-Active management of Billing, Accounts Receivable, Denials and Training for all WellStreet RCM Divisions
-Resolves escalated reimbursement issues with Payors, Practice, and systems for optimal management of accounts receivable
-Challenges the status quo and champions new initiatives
-Acts as a catalyst of change and stimulates others to change
-Paves the way for needed changes
-Manages implementation effectively
-Steps forward to address difficult issues
-Evaluate and ensure that systems/vendors are utilized to fullest extent to include but not limited to reporting capabilities to drive proactive decision-making and organization
-Monitor denials to identify root cause and trends and put actions / processes in place to mitigate future like-denials
-Actively monitor edits / scrubber and clearing house to achieve optimal clean claim rates and promote timely billing
-Leverage comprehension of full RCM cycle to navigate upstream and downstream, across teams, to mitigate defects and support optimal patient experience
-Use knowledge of market value of services to negotiate favorable terms and ensure pricing is appropriate
- Responsible for establishing SMART goals and providing timely, detailed feedback to team members to support goal achievement and growth of team members
-Hosting regular one on ones with direct reports and colleagues to facilitate constructive feedback and transparent communications so that teams and members remain aligned
-Identify opportunities to challenge team members to expand skill sets
-Foster a culture of gratitude and innovation via creating a 'safe' environment to test new ideas
-Assists with development, implementation , and maintenance of the Practice’s revenue cycle standard operating procedures (SOPs)
-May develop training materials and facilitate staff training of SOPs,
systems, metrics, government regulations and etc.
-Responsible for establishing departmental goals that support organizational vision and goals; includes benchmarking, determining methods to measure, monitor and hold teams accountable
-Establishment of leading and lagging indicators by individual / team to support organizational goals
-Provides communication and visuals to team and colleagues to articulate RCM performance
-Identifies goals and vision for team
-Guides individuals and teams toward priorities
-Clarifies roles and responsibilities of others
-Coordinates resources and arranges organizational systems to meet
objectives
-Develops and implements progressive short-term goals that align with
the company’s vision and business goals
-Support Human Resources & Recruitment Departments
-Accurately assesses strengths and development needs of employees
-Gives timely, specific feedback and helpful coaching
-Provides challenging assignments and opportunities for development
-Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline
-Enforces adherence to Four Winds Health and WellStreet policies
-Performs other duties as requested or assigned
-Proactively foster relationships with all departments and leaders to be identified as trusted RCM resource
-Leverage relationships and information to proactively identify challenges / obstacles as mitigation efforts
-Use of written and oral presentation skills to support in-person conversations, Executive presentations, etc.
-Professional, timely and value-added commentary to be applied in all settings
Minimum Qualifications
• BBA required
• 3+ years of experience in revenue cycle management
• 3+ years of experience in managing a team
• Urgent Care and Occupational Medicine experience is a plus
Required Skills
• Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims
• Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software
• Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced, unstructured start-up environment
• Ability to work within a team environment and maintain a positive attitude
• Excellent documentation, verbal and written communication skills
• Extremely organized with a strong attention to detail
• Motivated, dependable and flexible with the ability to handle periods of stress and pressure
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