Claims Billing Supervisor

Family & Children's Services; Tulsa (OK); On-site; USD 52,000 - 75,000; Full time

Job summary

Family & Children's Services seeks a Claims Billing Supervisor under the Claims Billing Manager to help oversee day-to-day functions, ensure accurate CDC submissions, scrubbing, batching, and finalizations, and support reimbursement quality assurance.

The role requires 5+ years in healthcare, supervisory experience, and knowledge of government and commercial insurance procedures; proficiency with Electronic Health Records billing and Microsoft Office; strong communication and analytical skills.

Qualifications

• 5+ years' experience in healthcare, preferably Behavioral Health
• Experience with billing through Electronic Health Records
• Supervisory experience required
• Knowledge of government and commercial insurance procedures, regulations and billing requirements
• Strong analytical and organization skills
• Excellent written and oral communication skills

Responsibilities

• Serves as an agency Subject Matter Expert and "go to" person for CDCs and Claims Billing
• Review and track assigned reports to address errors and submission delays with Claims Billing processes
• Maintain collaborative relationships with other departments/teams to ensure timely finalization of the CDC/authorization for payment and process billing
• Analyzes key error reports
• Monitor team progress based on performance benchmarks and address issues as they arise
• Active participant in Revenue Cycle Monthly Operational Reviews to address denial trends
• Recommend improvements to streamline operational and system problems
• Must adopt a "working" Supervisor philosophy
• Other duties, tasks, and responsibilities as assigned

Skills

Supervisory experience

Strong analytical skills

Excellent written and oral comunicação

Knowledge of government and commercial

Education

Associate's degree or higher in a related field

Tools

Microsoft Suite

Job description

Under the leadership of the Claims Billing Manager, the Claims Billing Supervisor is responsible for assisting in the day-to-day oversight of functions of the Claims Billing and Reimbursement Quality Assurance team to ensure accuracy and completeness of duties and tasks including submissions and finalizations of the CDCs, clams scrubbing, claims compiling, batching and submissions, claims tracking reviews, and claim error corrections.

POSITION SPECIFIC DUTIES & RESPONSIBILITIES:

• Serves as an agency Subject Matter Expert and "go to" person for CDCs and Claims Billing.
• Review and track assigned reports to address errors and submission delays with Claims Billing processes.
• Maintain collaborative relationships with other departments/teams to ensure timely finalization of the Customer Data Core (CDC)/authorization for payment and process billing.
• At the direction of the Claims Billing Manager, analyzes key error reports.
• Monitor team progress based on performance benchmarks and address issues as they arise, as deemed necessary by the Claims Billing Manager.
• Active participant in Revenue Cycle Monthly Operational Reviews to address denial trends.

Monitor metrics highlighting the viability of the team and take necessary action as directed by the Claims Billing Manager.

• Recommend improvements to streamline operational and system problems.
• Must adopt a "working" Supervisor philosophy.
• Other duties, tasks, and responsibilities as assigned.

QUALIFICATIONS

education:

• Associate's degree or higher in a related field is required.
• Combination of Experience and Education considered in lieu of Education requirements on a case-by-case basis.

EXPERIENCE:

• 5+ years' experience in healthcare, preferably Behavioral Health.
• Experience with billing through Electronic Health Records.
• Supervisory experience required.

PERFORMANCE COMPETENCIES:

• Communication
• Decision-Making
• Engagement
• Initiative/Accountability
• Interpersonal
• Learning
• Organizational Alignment
• Quality of Work

KNOWLEDGE/SKILLS/ABILITIES:

• Knowledge of government and commercial insurance procedures, regulations and billing requirements.
• Strong analytical and organization skills.
• Ability to lead and/or work as a member of various cross-functional teams.
• Excellent written and oral communication skills.
• Strong understanding of quality customer service.
• Profecient in Microsoft Suite.

CERTIFICATIONS/LICENSES:

• N/A

OTHER INFORMATION

SAFETY SENSITIVE JOB CLASSIFICATION:

This job is classified as a "safety-sensitive" position as defined by the Oklahoma Medical Marijuana and Patient Protection Act. Due to the "safety-sensitive" classification, an employee in this position would be subject to drug and alcohol testing, including random testing. Marijuana is one of the substances included in the drug panel screening. Possession of a medical marijuana license will not excuse you from the testing process or the consequences of testing positive for marijuana per the Family & Children's Services Drug Free Workplace Policy, including possible revocation of a job offer or dismissal from employment.

Education

Preferred

Associates or better.

Experience

Preferred

Supervisory Experience

5+ years in healthcare, preferably Behavioral Health

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.