Billing Supervisor

3 months ago

East Longmeadow, United States The MH Group LLC Full time
Job DescriptionJob DescriptionDescription:

The MH Group is recruiting an experienced Billing Supervisor (Accounts Receivable). The ideal candidate will improve the third-party Revenue Cycle's efficiency, quality, and financial outcome. The role will be fully remote.

Responsibilities

  • Perform advanced, highly complex levels of technical and analytical reporting.
  • Review outstanding aging regularly to identify trends and assign workloads to staff as necessary.
  • Ensures adequate staff coverage to meet department needs in addition to hiring and terminating staff in conjunction with the Billing Operations Manager.
  • Forecasts expected revenue, reconciles forecasted earnings with payment receipts and reports and organizes and analyzes requested data for internal and external department staff.
  • Meets regularly with all direct staff and provides guidance and direction to all daily claims work about claim submission, denial management, and outstanding AR.
  • Builds and utilizes analytic reports from the clearinghouse to direct denial management and assist the team with efficiently working receivables.
  • Review denials and outstanding aged receivables to identify and assign workloads to billing representatives based on various data points daily, weekly, and monthly.
    Participates as an active team member in developing new programs/coding within the Electronic Health Records systems.
  • Directly oversee third-party Billing Representatives
  • Confirms billing and payments for new programs or new coding/guidelines comply with directions published by pay sources.
  • Presents data collected and escalates topics to higher-level management when necessary.
  • Acts as a liaison between the Billing Department, program staff, vendors, and payer representatives.


Experience and Skills
  • An associate degree or 3-5 years prior health care revenue cycle analyst experience is preferred.
  • 2-3 years of management experience.
  • Ability to resolve conflict and delegate tasks within the scope of work.
  • Ability to schedule, meet, and maintain daily and monthly routines, as well as preserve the integrity of the EHR
  • Identify team goals and evaluate progress, in addition to coaching team members to achieve these goals
  • Extensive knowledge of medical insurance and an overall understanding of managed care products (HMO, PPO, ACO, etc.), as well as billing and collections with CPT, ICD-10, and HCPC coding and medical terminology.
  • Proficient in Microsoft Office products with strong skills in Excel (VLOOKUPs, pivot tables, formulas, etc.).
Requirements:


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