Billing Supervisor

2 weeks ago


East Longmeadow, Massachusetts, United States The MH Group LLC Full time
Job Overview

The MH Group LLC is seeking an experienced Billing Supervisor to join their team. This role will be responsible for improving the efficiency, quality, and financial outcome of the third-party Revenue Cycle.

Key Responsibilities
  • Perform advanced technical and analytical reporting to identify trends and optimize workflows.
  • Review outstanding aging regularly to assign workloads to staff and ensure adequate staff coverage.
  • Forecast expected revenue, reconcile forecasted earnings with payment receipts, and report on key performance indicators.
  • Meet regularly with direct staff to provide guidance and direction on claim submission, denial management, and outstanding AR.
  • Build and utilize 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.
  • Directly oversee third-party Billing Representatives and confirm billing and payments comply with payer guidelines.
  • 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.
Requirements
  • 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.).


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