Billing and Collections Supervisor

4 days ago

Addison, Texas, United States Behavioral Innovations Full time
Job Summary

We are seeking a highly skilled and detail-oriented Billing and Collections Supervisor to join our team at Behavioral Innovations. As a key member of our revenue cycle team, you will be responsible for coordinating and performing various administrative duties related to provider credentialing and enrollment.

Key Responsibilities:

  • Process Improvement: Define and lead new process improvements for the department to enhance efficiency and productivity.
  • Account Management: Balance and manage accounts related to cash in Central Reach, ensuring accurate and timely payments.
  • Remit Code Management: Possess working knowledge of remit codes related to electronic remits and hard copy remits.
  • Payment Research: Research unidentified payments or recoupments to determine correct transactions using various payer platforms or through the bank.
  • Payment Evaluation: Evaluate payments/denials received for correctness and ensure they are applied accordingly.
  • Bad Debt and A/R Management: Identify bad debt write-offs and A/R adjustments, initiating write-offs and adjustments in accordance with policies and procedures.
  • Overpayment and Duplicate Payment Resolution: Identify any overpayments and/or duplicate payments and investigate and resolve accordingly.
  • Interdepartmental Communication: Maintain contact with other departments to obtain patient or insurance information needed for claim payment.
  • Compliance and Regulatory Adherence: Ensure that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulation, guidelines, and requirements.
  • Account Verification: Verify billing accounts with accounts receivable ledger to ensure that all payments are accounted for and properly posted.
  • A/R Reduction: Reduce outstanding A/R and aging reports.
  • Communication and Interpersonal Skills: Possess strong interpersonal and communication skills with an ability to work effectively with teams, managers, and executive staff.
  • Confidentiality and HIPAA Compliance: Maintain the strictest confidentiality; adhere to all HIPAA guidelines/regulations.
  • Knowledge and Skills: Maintain a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
  • Technical Skills: Basic proficiency with Microsoft Word/Excel.
  • Problem-Solving and Analytical Skills: Possess excellent analytical, problem-solving, organizational skills and ability to communicate and provide feedback in a professional manner; use good judgment and make sound decisions and behave with tact, decorum, and diplomacy.

Requirements:

  • Education and Experience: Associates degree and three (3) years relevant experience in credentialing or related work experience may be substituted in lieu of educational qualifications.
  • Preferred Experience: 1-3 years of knowledge in a behavioral health or medical clinic setting preferred, but not necessary.
  • Core Values: Exhibit high quality work, use excellent judgment, communicate clearly, take the initiative to identify and resolve issues, willing to learn and take on new tasks, demonstrate resourcefulness and cooperation, and exhibit BIs core values in all interactions.

Work Environment:

This position will work in the Corporate (Home) Office location. This is a high growth, fast-paced organization, and the work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Mental Acuity: Mental acuity to collect and interpret data, evaluate, reason, define problems, establish facts, draw valid conclusions, make valid judgments, and decisions.
  • Communication: Must be able to receive detailed information through oral and written communication. Must be able to communicate, convey, and exchange information through oral and written communication.
  • Vision: See near and far distances and distinguish colors.
  • Noise Level: Noise level low to moderate.

Professional:

  • Cultural Values: Demonstrating and promoting cultural values: Caring, Accountable, Collaborative, and Family-Focused. Adherence to policies and procedures (Code of Conduct, HIPAA, documentation standards, etc.).

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