Billing Operations Supervisor

2 weeks ago

Grand Forks, North Dakota, United States InsideHigherEd Full time
Compensation/Position Overview
  • Annual Salary: $70,000, Commensurate with Experience, Non-Exempt (Eligible for Overtime)
  • Work Schedule: 40 hours per week
  • Remote Work Availability: Not Applicable
  • Hybrid Work Availability: Not Applicable
Role Objective

The Billing Operations Supervisor oversees the daily activities of billing departments, ensuring adherence to accurate coding and billing practices. This role is crucial in ensuring that insurance claims are correctly coded and submitted promptly, thereby maintaining the integrity of accounts receivable.

Key Responsibilities
  • Billing Operations Management
    • Facilitate the implementation of daily operations and standardize procedures within the billing department.
    • Provide daily leadership and support to team members, addressing issues related to accounts receivable and billing.
    • Generate and analyze financial reports derived from the billing system.
    • Supervise the reconciliation of daily deposits and electronic funds transfers.
    • Conduct annual performance evaluations for billing department personnel.
    • Assist in the recruitment process for new billing department staff.
    • Support the training of medical residents in billing and coding practices.
    • Educate both new and existing staff on proper billing procedures and organizational policies.
    • Address and resolve complaints and concerns from billing staff, collaborating with management as needed.
    • Foster positive relationships with internal and external stakeholders to clarify policies and enhance financial processes.
    • Deliver exceptional customer service to patients and staff, ensuring accurate and timely information is provided.
    • Act as a representative of the organization, promoting a positive image to patients and staff.
  • Revenue Cycle Oversight
    • Maintain a comprehensive log of billing and payment activities for organizational accounts.
    • Submit medical insurance claims to third-party payers.
    • Monitor and collect outstanding accounts receivable, reporting delinquent accounts for further action.
    • Assist patients with inquiries regarding their accounts and insurance claims.
    • Evaluate accounts receivable for discrepancies and determine resolution strategies.
    • Oversee and analyze work queues to rectify errors, ensuring claims are ready for processing.
    • Manage the refund process for overpayments to patients and insurance accounts.
    • Accurately post insurance and private payments in the database.
    • Collect and input patient insurance information into the system accurately.
    • Maintain effective communication with stakeholders to resolve issues and clarify financial processes.
    • Provide courteous assistance to patients and staff to enhance customer satisfaction.
    • Answer phone inquiries professionally and in accordance with organizational standards.
    • Review patient records to verify and audit submitted diagnoses and procedure codes.
    • Utilize coding principles to ensure maximum reimbursement for clinic and inpatient visits.
    • Assist physicians in understanding coding guidelines to ensure compliance.
    • Process electronic insurance claims submissions and address denials appropriately.
Essential Qualifications
  • In-depth knowledge of revenue cycle management, including billing, coding, payment processes, and insurance claims.
  • Current understanding of CPT, HCPCS, and ICD-10-CM coding standards.
  • Familiarity with insurance payer coding and reimbursement policies.
  • Experience with health information systems, including billing and medical record applications.
  • Ability to build and maintain effective working relationships with various stakeholders.
  • Strong interpersonal skills, attention to detail, and the ability to manage multiple projects simultaneously.
  • Demonstrated critical thinking abilities and ethical decision-making.
  • Capability to handle patient inquiries efficiently and professionally.
  • Proficient in identifying, evaluating, and resolving issues.
Minimum Qualifications
  • Two years of post-secondary education in accounting, business administration, health information management, or a related field.
  • A minimum of five years of experience in a medical billing office, focusing on billing and insurance processing.
  • At least three years of supervisory experience.
  • Certification as a Professional Coder (CPC).
  • Experience with data entry and Microsoft Office applications (Word, Excel).
  • Familiarity with Epic electronic records system, particularly the billing module.
  • Successful completion of a background check.
Preferred Qualifications
  • Eight or more years of experience in medical billing.
Application Process

All application materials must be submitted in full for consideration.

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