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Billing and Credentialing Supervisor

2 months ago

Duluth, Minnesota, United States Pandya Medical Center Full time
Job Overview

Company Culture:

At Pandya Medical Center, we prioritize exceptional patient care and community involvement. Our dedicated team members are committed to making a meaningful impact in the lives of our patients. We actively participate in community health initiatives and volunteer efforts, reflecting our values and mission. As a reputable medical practice in North Atlanta, we offer significant growth opportunities and comprehensive benefits for our staff. Join us and elevate your career within our vibrant team.

Position Summary:

We are looking for a skilled Billing and Credentialing Supervisor to join our team. This role is crucial in ensuring the efficiency of our billing department and the integrity of our credentialing processes. If you possess a strong background in healthcare billing and credentialing management, we encourage you to consider this opportunity.

Key Responsibilities:

  • Leadership: Oversee and guide a team of billing professionals, including Billing Specialists and Credentialing Specialists, to ensure accurate and timely billing across various practice locations.
  • Performance Management: Lead team performance evaluations, including recruitment, training, and ongoing development to foster a high-performing billing unit.
  • Patient Relations: Act as a point of contact for patient inquiries and issues, coordinating with the billing company and clinical teams to resolve concerns.
  • Billing Coordination: Serve as the primary contact for office managers regarding billing-related communications.
  • Billing Oversight: Supervise the preparation and submission of billing claims, ensuring compliance with government and insurance regulations.
  • Error Management: Assign tasks to staff for error resolution and ensure missing documentation is addressed promptly.
  • Account Management: Ensure that follow-ups on accounts are conducted to guarantee accurate and timely claims processing.
  • Contract Compliance: Maintain comprehensive knowledge of insurance contracts to minimize billing discrepancies and enhance payment accuracy.
  • Fee Schedule Management: Ensure annual updates of fee schedules in the billing system.
  • Credentialing Oversight: Ensure all healthcare providers are properly credentialed and maintain necessary certifications and licenses.
  • Audit Functions: Conduct coding audits to ensure billing accuracy and provide constructive feedback to the Medical Director.
  • Reporting: Generate regular performance reports to monitor billing operations and maintain accurate logs of accounts.

Qualifications:

  • Education: High School Diploma required; Bachelor's degree preferred.
  • Experience: At least 5 years of relevant experience, including management of a team.
  • Certification: Certified Professional Coder (CPC) is mandatory.
  • Technical Proficiency: Familiarity with electronic medical records and medical terminology; experience with specific EMR systems is advantageous.
  • Industry Expertise: In-depth experience in billing and credentialing within a large healthcare setting.

Preferred Skills:

  • Demonstrated leadership abilities and team management experience.
  • Capability to thrive in a fast-paced environment while managing multiple priorities.
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal abilities.