Billing Operations Supervisor

4 weeks ago


Floresville, Texas, United States Connally Memorial Medical Center Full time
Job Overview

Position Summary: The Billing Operations Supervisor is responsible for managing all aspects of the inpatient and outpatient billing department. This role includes overseeing a team of credit, collection, insurance, and coding specialists, as well as payment processors and referral coordinators. The supervisor coordinates workflows and schedules to ensure compliance with strict billing timelines while providing guidance on office policies and procedures.

Key Responsibilities: The following duties are essential to the role. Additional responsibilities may be assigned as needed.

  • Formulates, assesses, implements, and updates policies and procedures pertinent to billing and reimbursement processes.
  • Ensures that accounts receivable records are handled confidentially and adhere to established accounting standards.
  • Maintains robust internal controls over accounts receivable operations.
  • Monitors accounts sent for collection and oversees reimbursements from insurance providers and other third-party payers.
  • Reviews and evaluates compliance with third-party reimbursement policies and investigates discrepancies.
  • Stays informed about all billing procedures for third-party and private insurance payers, as well as government regulations.
  • Supervises the charge posting, billing, and collection processes for both inpatient and outpatient services to ensure consistent application of policies.
  • Plans work schedules and delegates tasks to staff to guarantee sufficient service and coverage.
  • Conducts departmental meetings to discuss updates or changes in procedures.
  • Develops, manages, and oversees the annual budget for the department.
  • Establishes and maintains budgetary controls.
  • Coordinates departmental activities with other hospital departments.
  • Prepares reports, statistics, and analyses related to billing, collections, and reimbursements.

Qualifications:

Education and Experience: An Associate's degree (A.A.) or equivalent from a two-year college or technical institution; or six months to one year of relevant experience and/or training; or a combination of education and experience that meets these criteria.

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