Professional Billing Supervisor

College of Pastoral Supervision and Psychotherapy; Midtown (NC); On-site; USD 95,000 - 125,000; Full time

Job summary

College of Pastoral Supervision and Psychotherapy is seeking an experienced professional to direct and coordinate accounts receivable for the PB claims follow-up team. You will design and implement new technology to elevate Revenue Cycle Management and resolve complex AR issues as a key member of the RCM team.

You will supervise staff, collaborate with IT/EPIC, review payor guidelines, and work with other departments to improve workflow and reimbursement.

Qualifications

• Minimum five years in a healthcare Revenue Cycle Management role.
• Strong interpersonal and verbal communication skills.
• Ability to manage multiple tasks in an organized manner.
• Excellent analytical and problem-solving abilities.
• Leadership with consensus-building capability.
• Knowledge of CPT-4, HCPCS, UB-04, ICD-10 and payor guidelines.

Responsibilities

• Direct and coordinate follow-up and balance resolution for outstanding AR.
• Design, plan and implement new technology to improve professional claims follow-up.
• Supervise personnel responsible for resolving outstanding professional claims.
• Assist employees in resolving claims issues to prevent denials and ensure reimbursement.
• Review AR reports and coordinate productivity to reduce denials.
• Participate in implementation and maintenance of claim systems with IT/EPIC.
• Collaborate with other departments to share data and improve AR workflow.
• Review payor bulletins, transmittals, memos and policy changes.
• Educate staff and distribute relevant information.
• Collaborate with RCM leaders to improve operations and staff satisfaction.
• Solve problems with management to enhance productivity and handle special situations.
• Assist with patient inquiries and billing issues with Customer Service.
• Support other departments with billing problems.
• Assist with system upgrades, changes and testing.

Skills

Leadership

Analytical thinking

Problem solving

Communication

Multi-tasking

Independent work

Education

High School graduate + 2 years accounting or business

Tools

EPIC

Job description

Overview

We are seeking a dedicated and experienced professional to direct and coordinate the accounts receivable responsibilities of the Professional (PB) claims follow-up team for the organization . In this role, you will have the opportunity to design, plan, and implement cutting-edge technology and processes to elevate our Revenue Cycle Management operations. As a key player, you will assist in resolving complex accounts receivable issues and be an integral member of the RCM team.

If you have a passion for continuous improvement and possess strong leadership skills, this is the position for you!

Responsibilities

• Direct and coordinate the follow-up and balance resolution efforts for outstanding accounts receivable under area of responsibility.
• Design, plan, and implement new technology and processes to improve professional claims follow-up and denials operations.
• Supervise personnel directly responsible for resolving outstanding professional claims.
• Assist employees in resolving outstanding claims issues, to prevent and/or work denials and allow for expected reimbursement.
• Review A/R reports and coordinate productivity of appropriate personnel to resolve outstanding claims and reduce denials.
• Actively participate in the implementation and maintenance of claim systems and claim editing processes, as well as collaborating with IT/EPIC and Coding resources on system and operational enhancements.
• Work collaboratively with other departments to share data and create effective workflow to positively impact AR management.
• Review payor websites for bulletins, transmittals, program memorandums, payor specific medical review policies, and other billing and reimbursement information.
• Educate and distribute relevant information to appropriate staff.
• Collaborate with other RCM leaders to improve operational flow and employee satisfaction.
• Work with management to solve problems, enhance productivity, and handle special situations.
• Assist with patient inquiries related to claims/billing issues, working with our Customer Service Department for patient communications and resolutions.
• Assist other departments with billing problems.
• Assist with new system upgrades, changes, and testing.

Qualifications

• High School graduate plus two years' additional education in accounting or business administration, or equivalent work experience.
• Minimum of five years' experience in similar healthcare Revenue Cycle Management role, preferred.
• Strong interpersonal and verbal communication skills.
• Ability to manage multiple tasks in an organized manner.
• Excellent analytical and problem-solving skills.
• Leadership skills with the ability to reach consensus.
• Demonstrated strong computer skills. EPIC experience, preferred.
• Knowledge of CPT-4, HCPCs, UB-04, and ICD-10 Coding, as well as various payor guidelines and requirements.
• Ability to work independently, exercising sound judgment, discretion, and initiative.

Join our team and make a meaningful impact on our Revenue Cycle