Professional Billing Supervisor

College of Pastoral Supervision and Psychotherapy; Southern Pines (NC); Sur place; USD 90 000 - 125 000; Plein temps

Résumé du poste

College of Pastoral Supervision and Psychotherapy seeks an experienced AR Director to lead and coordinate the accounts receivable follow-up team within Revenue Cycle Management. You will design and implement technology-driven processes to optimize denials management and reimbursement.

You will supervise staff, resolve complex AR issues, and collaborate with IT, coding, and other departments to streamline workflows and improve patient billing outcomes.

Qualifications

• High school graduate with additional coursework in accounting/business admin or equivalent experience.
• Minimum of 5 years in a healthcare Revenue Cycle Management role preferred.
• Strong interpersonal and verbal communication skills required.
• Ability to manage multiple tasks in an organized manner.
• Excellent analytical and problem-solving abilities; leadership to reach consensus.
• Knowledge of CPT-4, HCPCS, UB-04, and ICD-10 coding and payor guidelines.
• Independent judgment, discretion, and initiative in work.

Responsabilités

• Direct follow-up and balance resolution for outstanding AR under area of responsibility.
• Design, plan, and implement new technology to improve claims follow-up and denials operations.
• 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 resolve claims and reduce denials.
• Collaborate with IT/EPIC and Coding resources on system enhancements.
• Work with other departments to share data and create effective AR workflows.
• Monitor payor websites for updates and educate staff on changes.
• Collaborate with RCM leaders to improve processes and staff satisfaction.
• Address patient inquiries with Customer Service to resolve billing issues.
• Support system upgrades, changes, and testing.

Connaissances

Interpersonal skills

Verbal communication

Multitasking

Analytical skills

Leadership

EPIC experience

Coding knowledge (CPT-4/HCPCS/UB-04/IC

Formation

High school diploma + 2 years in accounting or business admin

Outils

EPIC

Description du poste

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