Supervisor, Billing FT Days

Three-Crosses-Regional-Hospital; Las Cruces (NM); On-site; USD 55,000 - 70,000; Full time

Job summary

Three Crosses Regional Hospital, a local independent healthcare organization, is seeking a Billing Supervisor to lead accurate and timely claim creation, follow-up, and provider communications.

In this role you will implement billing strategies, oversee billing staff, coordinate with insurers, and ensure compliance with local, state, and federal guidelines while expanding revenue opportunities. Three Crosses Regional Hospital is an Equal Opportunity Employer.

Qualifications

• High School Diploma or GED is required.
• Bachelor's degree in accounting or a related field is preferred.
• 3-5 years of medical billing experience is required.

Responsibilities

• Review and prepare billing for submission to primary/secondary payers.
• Ensure compliance with company, local, state, and federal guidelines.
• Manage denial and correspondence daily.
• Provide education and training to billing staff.
• Collaborate with providers and third parties to ensure accurate data.
• Rebill claims when not paid properly.
• Generate weekly billing metrics and reports.
• Oversee statements and bills preparation.

Skills

Medical billing

Accounts receivable

CPT codes

Team leadership

Education

High School Diploma or GED

Bachelor's degree in accounting or related field

Tools

Billing software platforms

Job description

If you're looking for a place to call home and grow, Three Crosses Regional Hospital is looking for you! We are looking for a Billing Supervisor .that is committed to clinical excellence and building a patient-centered culture.

Three Crosses Regional Hospital is an advanced independent healthcare organization led by a local team of professionals dedicated to high quality patient care and being the first choice of patients and providers in the communities we serve.

We are dedicated to hiring team members that will adapt to our culture, pride themselves in professionalism, integrity, transparency, two-way communication, and ensuring the safety and well-being of our patients and staff.

The Billing Supervisor will have skills including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence. Implement billing strategies and best practices to optimize efficiency and improve the accuracy of billing processes. Assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely to maximize revenues. Other important duties include credentialing, enrollment processing, and reporting.

Responsibilities

• Review patient account files to prepare and review billing to be submitted to primary/secondary insurance carriers.
• Advises staff on proper, parameters for collections practices; ensures that all billing actions comply with company, local, state, and federal guidelines.
• Oversees the preparation of statements and bills.
• Serve as a liaison with third party entities to ensure accuracy of data that serves as the basis for submittals.
• Drafts and distributes weekly reports of invoicing and billing metrics.
• Respond to patient, insurance carrier and internal and external telephone inquiries.
• Performs Quality Control reviews of patient accounts, submissions, to insurance carriers, and collections.
• Performs Quality Control review so testing, hospital billing provided by provider at multiple sites, and clinic visits to ensure accuracy of billing.
• Provides education, support, and training to members of the billing team.
• Evaluating employees' performance and providing feedback to help them improve their skills.
• Remains current on new billing regulations, insurance requirements, CPT codes and wRVU amount
• Works with and updates management with patient accounts, insurance carriers, collections, and provider credentials.
• Review pharmacy order and label verifying that the billing formation matches dispense prior to submission of a claim.
• Complete all denial and correspondence daily.
• Responsible for knowing and following policies and procedures.
• Review and scrubs outgoing claims timely.
• Works within numerous portals and software to accomplish accurate posting and receiving.
• Reviews and works with the billing team on clinic accounts receivable.
• Reviews patient charts and provider notes to ensure it falls within MIPs program requirements.
• Re-bill claims when not paid properly.
• Attend meetings as required.
• Other duties as assigned.

Education and Experience

• Required: High School Diploma or GED
• Preferred: Bachelor's degree in accounting or a related field
• Required: 3-5 years' experience of medical billing experience

*Three Crosses Regional Hospital is an Equal Opportunity Employer.
We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, age, national origin, disability, veteran status, genetic information, or any other protected status under applicable law.