Billing Supervisor

Terry Reilly Health Services; Nampa (ID); On-site; USD 55,000 - 75,000; Full time

Job summary

A leading healthcare provider seeks a Billing Supervisor to oversee staff and ensure efficient billing processes. This role demands strong analytical and communication skills, along with experience in medical billing and knowledge of regulations. Successful candidates will manage billing inquiries and enhance team proficiency through training.

Qualifications

• 3 years coding and billing experience in medical, dental, or behavioral health.
• Knowledge of Medicare, Medicaid, and insurance regulations.
• Ability to work with minimal supervision and strong customer service skills.

Responsibilities

• Supervises billing staff and manages billing processes.
• Tracks third-party payment issues and resolves billing problems.
• Assists in training, policy writing, and electronic AR manual maintenance.

Skills

Analytical skills

Customer service

Communication

Problem-solving

Tools

Word

Excel

Job description

GENERAL RESPONSIBILITIES

Effectively identifies trends and mitigates potential problems with third party billing. Assists in maintaining practice management system.

ESSENTIAL DUTIES

• Supervises the billing staff and its functions including day-to-day operations and planning. Makes decisions about strategies for improving processes and training.
• Hires and supervises billing staff.
• Assists in the maintenance of the practice management system as it pertains to the billing and collections functions. Works closely with our software support to resolve billing issues or system problems.
• Tracks third-party payment amounts, pended claims numbers and amounts and has a general sense of payer denials to identify and report any potential cash flow problems of the major medical and dental payers.
• Back up any position in the PFS Department as needed. This will include but is not limited to payment posting, contract billing for both TR and SANE, denials, account maintenance, OB package adjustments, hospital billing, return mail, provider enrollment, chart auditing, refunds, collections, etc.
• Assists PFS Manager in writing, training and implementing department policies as requested or needed by Corporate/Medical Leadership. Assists in maintaining a current electronic AR manual.
• Reviews monthly aging and adjustment reports for all Terry Reilly programs. Takes appropriate action on accounts to make decisions on accounts regarding charity, bad debt, collection write offs, and adjustments that need to be made in third-party billing.
• Handles patient and third-party carrier inquiries related to patient accounts.
• Identifies and communicate through PFS manager resources for advanced training opportunities for PFS Billing staff.
• Maintains professional competency through continuing education opportunities and attendance of professional meetings and workshops.

MINIMUM QUALIFICATIONS

• 3 years medical, dental, behavior health office coding and billing experience.
• Demonstrated knowledge and understanding of Medicare, Medicaid and major insurance carrier regulations, procedures and plans.
• Highly analytical and can propose multiple solutions to problems recommending and defending their strongest solution.
• Ability to work with minimal supervision.
• Strong customer service skills.
• Ability to effectively communicate and interact with physicians and coworkers, hospital staff, third-party payors, patients and the public.
• Ability to read and follow oral and written instruction.
• Computer proficiency in Word and Excel.

PREFERRED QUALIFICATIONS

• Seven or more years of experience in a medical and /or dental office.
• Bilingual in English and Spanish.
• CPB and or CPC credentials.