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Medical Billing Operations Supervisor
2 months ago
Billing Operations Manager
Position Overview
The Billing Operations Manager is responsible for overseeing the daily operational functions of the medical billing division. This role involves managing client projects and ensuring the delivery of exceptional service. The manager will provide guidance, coaching, and support to team members to help them achieve both client and personal development goals. Additionally, this position will assist with personnel administration tasks.
Key Responsibilities
- Manage the operations of the billing department, including medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, collections, and reimbursement management.
- Collaborate with leadership to develop and implement policies and procedures that streamline staff workflow and personnel activities.
- Organize and supervise daily activities to ensure billing deadlines are met and payments are maximized.
- Provide training and mentorship to staff, acting as a subject matter expert in billing processes.
- Maintain comprehensive knowledge of insurance carriers, payers, and revenue cycle processes.
- Oversee the onboarding process for prospective new clients.
- Participate actively in planning and troubleshooting across various billing functions.
- Conduct analysis of billing and claims for accuracy and completeness.
- Audit existing processes to enhance the efficiency of billing and collections operations.
- Ensure compliance with all relevant regulations and guidelines.
Qualifications
- Associate's degree in a related field or equivalent experience.
- A minimum of three years of experience in medical billing, coding, or a related healthcare field.
- Proficient knowledge of medical information systems, claims payment processes, medical terminology, and coding practices.
- Familiarity with CPT, ICD-10-CM, HCPCS codes, HIPAA regulations, and HCFA 1500 forms.
Preferred Qualifications
- Certification as a Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA) is preferred.
Skills and Abilities
- Understanding of current and future trends in the healthcare industry.
- Strong problem-solving skills and the ability to address employee-related issues.
- Ability to work effectively under pressure and adapt to changing environments.
- Leadership skills to guide and support team members.
- Analytical skills to investigate and interpret information.
- Effective communication skills, both verbal and written.
- Capability to manage multiple tasks and meet deadlines.
Business Development Focus
- Manage client accounts to ensure their service needs are met.
- Identify opportunities for expanding sales within existing accounts.
Leadership Responsibilities
- Report directly to the President of the organization.
- Supervise the medical billing staff, overseeing personnel and workflow activities.
- Conduct annual performance evaluations for billing staff.
- Support career development opportunities for staff through training and feedback.
- Foster strong working relationships with peers, supervisors, and clients.
- Review employee timesheets and report on technical accuracy.
- Collaborate with HR to recruit and retain high-performing employees.
Technology Management
- Coordinate with vendors for the implementation and maintenance of billing systems.
- Oversee training and implementation of software utilized within the organization, including billing and data management systems.
Physical Requirements
- Frequent use of hands and fingers for computer tasks.
- Ability to sit for extended periods.
- Occasional physical activities such as stooping or lifting up to 20 pounds.
Work Environment
- This is an on-site position in a standard office setting.
- May encounter moderate noise levels from office equipment.
About Spark Talent Acquisition:
Spark Talent Acquisition is a recruiting and staffing firm dedicated to connecting exceptional talent with outstanding employers. We prioritize understanding our clients' needs and fostering strong relationships to ensure successful placements and retention. Our commitment to team development aligns with our mission to create meaningful career opportunities.
