Billing Operations Supervisor

2 weeks ago

Tempe, Arizona, United States NextCare Full time
Position Overview

Company Introduction: NextCare is dedicated to being a frontrunner in accessible healthcare, providing urgent care, occupational health, virtual health, and primary care services across multiple states. With over 170 urgent care facilities, we deliver exceptional and affordable healthcare to our patients nationwide.

Core Values: At NextCare, we prioritize caring, growth, integrity, results, and teamwork. These core values guide our interactions with patients, clients, investors, and each other. Our commitment to high-performance standards is evident in our daily operations and decision-making processes, enabling us to maintain the highest quality of service in accessible healthcare.

Role Summary: We are seeking a skilled Claims Management Supervisor to oversee our billing operations. This role is crucial in ensuring that all patient visit claims are processed accurately and in compliance with various carrier requirements.

Key Responsibilities:

  • Manage the daily billing operations for claims submitted to insurance providers, patients, and employers, ensuring adherence to contractual obligations and payer guidelines.
  • Develop and update departmental policies and procedures in response to regulatory changes.
  • Supervise the billing team, including clerks, coordinators, and auditors, ensuring effective distribution of tasks and adherence to best practices.
  • Ensure timely billing for new acquisitions and existing clinic charges, as well as manage clearinghouse submissions.
  • Collaborate with collections, credentialing, and cash posting teams to address issues affecting claim payments and denials.
  • Stay informed about billing regulations across all operational states and adapt processes accordingly.
  • Evaluate claim edits and ensure thorough review before submission to the clearinghouse.
  • Assist in troubleshooting billing issues and system errors, working closely with management to streamline processes.
  • Integrate new clinics and states into the billing framework as the company expands.
  • Conduct staffing, training, and other HR-related functions within the department.
  • Uphold the company’s mission, vision, and values in all interactions.

Qualifications:

  • High School Diploma or equivalent required.
  • A minimum of two years of experience in accounts receivable management, billing, and collections.
  • At least two years of supervisory experience with a solid understanding of insurance processes and patient eligibility.
  • Familiarity with revenue cycle management in a healthcare setting.
  • Proficient in Microsoft Office Suite and basic internet applications.
  • Strong verbal and written communication skills, with the ability to work independently.

Preferred Skills:

  • Experience with Nextgen PM/EHR systems.
  • Knowledge of Waystar Clearinghouse and payer provider portals.
  • Understanding of medical billing terminology.

Benefits: NextCare offers comprehensive benefits for full-time employees, including medical, dental, vision, life insurance, disability coverage, and a 401(k) plan. Additional benefits are available in accordance with company policies.

NextCare Urgent Care is an Equal Opportunity Employer.

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