Medical Billing Operations Supervisor

1 week ago

Saginaw, Michigan, United States Spark Talent Acquisition, Inc. Full time

Billing Operations Manager

Overview

The Billing Operations Manager is responsible for overseeing the daily functions of the billing department within the Medical Billing Division. This role entails managing client projects and ensuring the delivery of exceptional service. The manager will provide guidance, coaching, and support to team members to help them achieve both client expectations and personal growth.

Key Responsibilities

  • Direct the operations of the billing department, which includes medical coding, charge entry, claims submissions, payment processing, accounts receivable follow-up, collections, and reimbursement management.
  • Collaborate with the President of Medical Billing to develop and implement effective procedures and policies that govern staff workflow and personnel activities.
  • Organize and supervise daily operations to ensure billing deadlines are consistently met and payments are optimized.
  • Provide training and mentorship to staff, serving as a subject matter expert in the field.
  • Maintain comprehensive knowledge of insurance carriers, payers, and revenue cycle processes.
  • Manage the onboarding process for prospective new clients.
  • Engage in planning, troubleshooting, and processing across various billing functions.
  • Conduct thorough analyses of billing and claims to ensure accuracy and completeness.
  • Audit existing processes to enhance the efficiency of billing and collections operations.
  • Ensure compliance with all HIPAA regulations and guidelines.

Qualifications

  • Associate's degree in a related field or equivalent professional experience.
  • A minimum of three years of experience in medical billing, coding, healthcare, or a related sector.
  • Proficient understanding of medical information systems, claims payment processes, medical terminology, coding practices, managed care, and Medicaid programs.
  • Familiarity with CPT codes, ICD-10-CM codes, HCPCS codes, HIPAA regulations, and HCFA 1500 forms.

Preferred Qualifications

  • Certification as a Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA) is preferred.

Skills and Abilities

  • In-depth knowledge of the healthcare industry's current and future trends.
  • Strong problem-solving skills and the ability to address employee-related issues effectively.
  • Capability to perform under pressure and adapt to a dynamic business environment.
  • Leadership skills to guide and support team members.
  • Analytical skills to investigate and interpret information accurately.
  • Effective verbal and written communication skills.
  • Ability to manage multiple tasks and meet established deadlines.

Business Development

  • Oversee client accounts to ensure their service needs are met.
  • Identify opportunities for sales growth within existing accounts.

Leadership Responsibilities

  • Report directly to the President of the organization.
  • Supervise the medical billing staff, overseeing both personnel and workflow.
  • Conduct annual performance evaluations for medical billing staff.
  • Facilitate career development opportunities for staff, including training and constructive feedback.
  • Foster strong working relationships with peers, supervisors, and clients.
  • Review employee timesheets and report on technical accuracy.
  • Collaborate with the Talent Manager to recruit and retain high-performing employees.

Technology Management

  • Coordinate with vendors to ensure smooth implementation and ongoing maintenance of systems.
  • Train and oversee the use of software utilized within the organization, including clearinghouse and medical billing software.

Physical Requirements

  • Frequent use of hands and fingers associated with computer tasks.
  • Ability to sit for extended periods.
  • Occasional bending, kneeling, or crouching may be required.
  • Normal visual acuity and the ability to communicate effectively.
  • Occasional lifting or moving of items up to 20 pounds.

Work Environment

  • This is an on-site position within a standard office environment.
  • Occasional exposure to loud sounds and distracting noise levels may occur.

About Spark Talent Acquisition:

Spark Talent Acquisition is a recruiting and staffing firm based in Michigan, dedicated to connecting exceptional talent with outstanding employers. We prioritize understanding our clients' needs to ensure successful placements and retention. Our approach emphasizes face-to-face interactions and a thorough understanding of our clients' businesses, allowing us to create meaningful career opportunities.

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