Healthcare Billing & Collections Lead

DHR Health; Edinburg (TX); On-site; USD 60,000 - 82,000; Full time

Job summary

DHR Health in Edinburg, Texas, seeks a Billing and Collections Supervisor to oversee RMF Revenue Cycle operations and ensure timely, accurate accounts receivable activity. You will manage daily billing, charge entry, payment posting, and reporting while leading a team to meet productivity standards.

Responsibilities include supervising staff, payroll activities, staff development, and ensuring HIPAA-compliant confidentiality.

Qualifications

• High school diploma/GED is required.
• Previous supervisory experience (3 yrs.) in Billing and Collections, Business Office preferred.
• Ten years healthcare experience required.
• Healthcare certification, preferred.
• Microsoft office suite computer skills required, Excel knowledge preferred.
• Good written and verbal communication skills, required.
• Ability to communicate clearly and concisely with all levels of management.
• Bilingual - English/Spanish.
• One – Two (1-2) years Hospital billing experience preferred.
• Medical Terminology, ICD-10, CPT Codes, HCPCS code, Modifier knowledge, preferred.
• Requires good communication and organizational skills.
• Requires reasoning ability, analytical skills and good independent judgment.
• Ability to handle pressure, meet deadlines, and remain productive in challenging situations.
• Occasional evening or weekend work may be required.

Responsibilities

• Promotes the facility mission, vision and values by effectively communicating them to others.
• Demonstrates high quality Service Excellence, positive customer service and telephone etiquette by treating all customers with dignity and respect; utilizing age specific skills and knowledge.
• Ensures patient confidentiality requirements are met in accordance with HIPAA policies and procedures.
• Coordinates and manages the daily activities of RMF Revenue Cycle either directly or through subordinate staff and/or lead personnel.
• Oversee the daily operations of the patient account creation, charge entry, payment posting, patient and insurance refunds processing, patient statements and daily transmission of claims functions to ensure that all functions are processed accurately on a daily basis.
• Review daily production in all areas to identify and resolve issues for all assigned production.
• Monitors and ensures productivity reports are completed at 95% or greater at the end of the week and reviews each staff's productivity to make certain staff meet productivity standards.
• Completes and submits daily, weekly and monthly reports to the Manager –Director-VP RMF Rev Cycle as instructed.
• Performs and maintains billing system work queues for all areas, including trending and analysis of the data, as well as the development and implementation of action plans.
• Resolves issues escalated by patients and/or staff.
• Meets with Director/Manager regularly to effectively communicate and resolve issues, set and prioritize goals and improve processes.
• Works closely with peers to ensure all procedures regarding patient’s accounts are completed in a thorough and timely manner.
• Develops and recommends long and short range goals and specific actions to maximize results in the department.
• Cooperates and assists staff to foster productive teamwork
• Trains and evaluates and participates in disciplinary actions and grievance responses to staff
• Manages all employees with equal standards, efficiently and professionally.
• Responsible for payroll activities for staff. (Timecards, PTO requests, etc.,)
• Responsible for the orientation of new employees.
• Coaches and counsels staff as necessary provides written documentation of coaching and/or counseling sessions as appropriate.
• Recommends termination of employees as necessary. Maintains appropriate documentation to support such recommendations.
• Performs employee's performance evaluations in a timely manner.
• Ensures all personnel policies are followed.
• Recommends changes in department policies and procedures to the Director.
• Leads in a way that motivates employees.
• Provides employees with guidance and supervision, but gives them sufficient opportunity to carry out their assignments and make decisions.
• Creates an atmosphere conducive to employee development by personal example and by encouraging and praising initiative, imagination and resourcefulness.
• Other duties as assigned.

Skills

Supervisory experience

Communication

Bilingual English/Spanish

Microsoft Excel

Organization

Analytical skills

Education

High school diploma/GED

Healthcare experience 10 years

Healthcare certification, preferred

Tools

Microsoft Office

Job description

DHR Health in Edinburg, Texas, seeks a Billing and Collections Supervisor to oversee RMF Revenue Cycle operations and ensure timely, accurate accounts receivable activity. You will manage daily billing, charge entry, payment posting, and reporting while leading a team to meet productivity standards.

Responsibilities include supervising staff, payroll activities, staff development, and ensuring HIPAA-compliant confidentiality.