SUPERVISOR PHYSICIAN BILLING

CalvertHealth; Prince Frederick (MD); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Health insurance

Dental and prescription coverage

Vision benefits

Short-term and long-term disability

Basic Life and AD&D

Education assistance

Free parking

Six paid holidays + floating holiday

403(b) Plan with employer match

Job summary

CalvertHealth is seeking a skilled billing coordinator to support the Patient Financial Services (PFS) leadership team. The role focuses on coordinating and processing billing and follow-up claims, analyzing workflow, denials, and using system reports to identify challenges and opportunities in the billing process.

Collaboration with the PFS Manager to drive improvements, ensuring efficient workforce and alignment with Revenue Cycle and Finance Division objectives.

Qualifications

• Minimum 5–7 years of healthcare experience in a business office setting.
• A minimum of one year professional billing experience in healthcare is required.
• Technical certification through AAHAM or obtained within one year of hire.

Responsibilities

• Coordinate and process billing and follow-up claims.
• Assist PFS Manager with analyzing workflow, denials, and using reports to identify challenges and opportunities.
• Make recommendations to create an efficient and effective workforce; work as part of the PFS leadership team to support Revenue Cycle and Finance.

Skills

Leadership

Teamwork

Time management

Problem solving

Communication

Education

High School Diploma

2 years of college preferred

Tools

Microsoft Office Suite

MS Excel

Billing software

Job description

Responsible for coordinating and processing of billing and follow-up claims. Assisting the Manager of Patient Financial Services with analyzing workflow, denials, and utilizing system reports and other tools to identify challenges and opportunities in the billing process. Make recommendations to the PFS Manager to create an efficient and effective workforce. Will work as part of the PFS leadership team to support the activities necessary within the Revenue Cycle and Finance Division.

Education :

• High School Diploma required, 2 years of college preferred

Registration/Certification/Licensure :

• Technical certification through AAHAM required or obtained within one (1) year of hire (or similar certification).

Experience :

• 5-7 years' experience in healthcare (business office setting). A minimum of one year professional billing experience in healthcare required.

Other Requirements :

• Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements.
• Extensive knowledge of insurance plans, coverage types, and medical terminology.
• Proficient understanding of revenue cycle concepts and process flows.
• Knowledge of claim forms used for healthcare billing (CMS 1500).
• Able to work within a team environment to achieve department goals.
• Familiarity with HIPAA compliance regulations.
• Keeps current on all updated payer and coding information.
• Exhibits outstanding organization, listening, and problem solving skills.
• Computer literacy especially with Microsoft Office Suite; demonstrating proficiency in MS Excel, Word, and Outlook.
• Ability to meet deadlines and work with frequent interruptions.
• Demonstrates effective leadership and decision making skills

Additional Information:

CalvertHealth (CH) offers a comprehensive benefits program designed to enhance the physical, financial, and personal well-being of our employees. Our comprehensive package includes health insurance options for individuals and families, dental and prescription coverage, as well as supplemental vision benefits, all available starting on the first day of the month following your hire date.

Additional benefits include short-term and long-term disability insurance, Basic Life and Accidental Death & Dismemberment (AD&D) coverage, Supplemental Life insurance, six paid holidays with additional floating holiday, education assistance, free parking, discounted meals, and options for FSA/HSA. Paid Time Off (PTO) is accrued hourly each pay period, allowing full-time employees (working 40 hours per week) to accumulate approximately 145 hours of PTO annually. Employees working fewer hours will have their PTO accrued on a pro-rated basis. 403(b) Plan with employer match available.