Billing Supervisor

Tri-County Healthcare; Harlingen (TX); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Health, Vision and Dental

Paid time off

Employer Matching Retirement Plan

Teladoc Health Plan

Life Insurance

And more

Job summary

Tri-County Healthcare is seeking a Billing Supervisor to oversee accuracy of claims before transmission to payers, including verifying patient information, coding diagnoses, and submitting to insurance and government programs.

The ideal candidate will have strong attention to detail, excellent communication skills, and extensive knowledge of home health billing procedures. This role requires leadership experience and the ability to manage a team.

Qualifications

• High School Diploma or GED required.
• 3-5 years of experience in home health billing or related field preferred.
• Knowledge of ICD-10 and CPT coding.
• Knowledge of Medicaid guidelines and regulations.
• Valid Driver's License.
• Proficiency in Microsoft Office and medical billing software (KanTime, Waystar).

Responsibilities

• Review client authorizations and resolve authorization issues.
• Manage and follow up on claim escalation issues.
• Generate and send weekly billing reports.
• Review and appeal unpaid denied claims.
• Respond to patients' billing questions.
• Post payments for primary insurances and verify collections.

Skills

Communication skills

Attention to detail

Team leadership

Independent worker

Reliability

Education

High School Diploma or GED

Tools

KanTime

Waystar

Microsoft Office

Job description

See why we have been voted the Valleys "Best of the Best" Private Duty Nursing Agency 8 years in a row! Join our amazing team of healthcare providers. We have been in business for over 17 years. We are looking for highly motivated Billing Supervisor to join our team!

Position Summary

The Billing Supervisor is responsible for the accuracy of the claims prior to transmission to payer. Including verifying patient information, coding diagnoses, authorizations, procedures, and submitting claims to insurance companies and government programs. The ideal candidate will have strong attention to detail, excellent communication skills, and a thorough understanding of home health billing procedures.

Essential Duties and Responsibilities

• Reviewing client authorizations and working with the designated department when authorization issues arise
• Manage and follow up on claim escalation issues
• Managing and sending out weekly billing reports
• Contributes to team effort by accomplishing related tasks as needed
• Thoroughly reviewing and appealing unpaid denied claims
• Answering patients' billing questions
• Regularly checking on billing issue to proceed with claim submissions
• Respond and provide departments with accurate information and assistance as needed
• Maintaining accurate and up-to-date billing records
• Communicating with patients and insurance companies
• Checking claims daily for front end rejections and deficiencies
• Posting payments for primary insurances
• Verifying collection report and working denials on unpaid accounts or accounts with balances
• Verifying patient insurances
• Obtaining pre-authorization for primary insurances
• Entering patient data into the electronic billing system
• Producing and submitting claims to insurance companies
• Manage and track primary insurance copays and payments to ensure timely coverage and prevent lapses in patient treatment
• Experience in team management and leadership.
• Other duties as assigned

Minimum Qualifications (Knowledge, Skills, and Abilities)

• High School Diploma - or the equivalent (GED)
• 3-5 years of experience in home health billing or related field (preferred)
• Valid Driver's License
• Excellent written and communication skills
• Home Health care experience preferred
• Knowledge of medical terminology, ICD-10, and CPT coding
• Knowledge in Electronic Verification Visits
• Proficiency in Microsoft Office and medical billing software (KanTime, Waystar)
• Ability to work independently and as part of a team
• Strong attention to detail and accuracy
• Strong knowledge in Medicaid guidelines and regulations
• Reliable transportation

Benefits

• Full Benefit Package (Health, Vision and Dental)
• PAID TIME OFF
• Employer Matching Retirement Plan
• Teladoc Health Plan (Company Paid)
• Life Insurance (Company Paid)
• And MORE!!!

Job Type

Full-time

Locations

In Office /Monday-Friday 8am-5pm