Revenue Cycle Supervisor

3 days ago

Huntington Beach, California, United States First Responder Wellness Full time
Job Title: Revenue Cycle Supervisor

First Responder Wellness is seeking a highly skilled Revenue Cycle Supervisor to join our team. As a key member of our financial operations team, you will be responsible for overseeing the day-to-day activities of our billing department, ensuring that all aspects of patient accounts, billing, and collections are handled efficiently and effectively.

Key Responsibilities:
  • Supervise and train billing staff to ensure accurate and timely submission of claims to various insurance companies, contracted agencies, government entities, and patients.
  • Develop and implement policies and procedures to ensure compliance with federal, state, and insurance regulations, as well as agency contracts and managed care contracts.
  • Monitor and analyze billing and collections activities to identify trends, resolve issues, and implement improvements.
  • Liaise with contracting to ensure compliance with contract terms and pricing.
  • Work closely with VOB, prior auth, UR, and clinical staff to ensure accurate and timely information flow that affects billing and reimbursement.
  • Ensure timely and accurate submission of claims, handle complex billing issues and insurance claims, including denials and appeals.
  • Maintain up-to-date knowledge of coding, billing regulations, and compliance requirements.
  • Communicate with client agencies regarding billing issues.
  • Prepare and review reports on billing activities, accounts receivable, and other key performance indicators.
  • Provide strategic insights to management regarding financial performance and opportunities for revenue enhancement.
  • Oversee patient billing inquiries to ensure high levels of customer satisfaction.
  • Ensure that patients receive clear and accurate billing statements and understand their payment responsibilities.
  • Conduct regular audits to ensure adherence to established procedures and compliance with applicable laws and regulations.
Requirements:
  • High School Diploma. Bachelor's degree in Business Administration, Finance, Health Administration, or related field preferred.
  • Minimum of 5 years of experience in medical billing, with at least 2 years in a supervisory or managerial role.
  • Extensive knowledge of medical billing software, electronic health records (EHR), and insurance portals.
  • Strong understanding of behavioral health billing, including specific issues related to mental health and substance abuse treatment.
  • Excellent leadership, organizational, and communication skills.
  • Proven ability to manage and improve revenue cycle processes.
  • Detail-oriented with a strong analytical mindset.

Onsite role location: Newport Beach or San Bernardino

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