Supervisor Professional Billing

Akron Children's Hospital; Akron (OH); Remote; USD 65,000 - 85,000; Full time

Job summary

Akron Children's Hospital in Akron, OH seeks a Professional Billing Supervisor to oversee claims management, insurance follow-up, and staff performance. The role collaborates with the Manager of Professional Billing to align processes with department goals.

Responsibilities include guiding Billing Collection Representatives, coordinating with Revenue Recovery for denials, communicating with payers, and delivering monthly performance reports.

Qualifications

• High school diploma or equivalent required; degree in business, accounting, or related field preferred.
• 3–5 years of relevant experience; supervisory experience 0–2 years preferred.

Responsibilities

• Oversee and guide Billing Collection Representatives; liaise with Revenue Recovery Supervisor for denials management.
• Ensure staff communicate with payers regarding delayed, denied, and underpaid claims to promote timely reimbursement.
• Provide monthly departmental reporting for quality, productivity, denial management, and performance improvement to Revenue Cycle leaders.
• Oversee recruiting, hiring, and training; monitor performance appraisals for new staff.
• Foster a collaborative environment to achieve department and division goals and thresholds.
• Identify Epic System improvements and workflow opportunities.

Skills

Payer guidelines

Reimbursement

Denials management

MS Office

Epic Systems

Education

High school diploma or equivalent

Associates or Bachelor's in business or accounting

Tools

Epic Systems

Job description

Full time, 40 hours/week

Remote position (must reside within commutable distance to Akron Ohio, will be onsite as needed for meetings, trainings, etc)

Summary:

The Professional Billing Supervisor is responsible for overseeing the claims management and insurance follow-up processes. This supervisor works closely with the Manager, Professional Billing to manage the overall direction, coordination, and evaluation of staff members. This role also supervises staff to ensure quality performance and promotes awareness of departmental processes, policies, and goals.

Responsibilities:

1. Adds value as a key member of management; understands the business, financials, industry, customers, and strategy.
2. Supervises and provides daily guidance to the Billing Collection Representatives and liaisons with the Revenue Recovery Supervisor for denials management.
3. Ensures staff are actively and appropriately communicating with payers regarding delayed, denied and underpaid claims to promote timely reimbursement.
4. Works closely with the Billing Collection representatives and Revenue Cycle Management to determine revenue enhancement and educational opportunities.
5. Provide monthly departmental reporting for quality and productivity standards, denial management, and performance improvement reports to Revenue Cycle leaders as needed.
6. Verbal and/or Written Reporting Duties
7. 7.Oversees recruiting, hiring, and training practices; monitors and provides performance appraisal for new staff
8. Supervises and provides daily guidance to the professional Billing Collection Representatives
9. Fosters a collaborative environment that encourages teamwork, communication, performance recognition, and attention to goals; works to achieve and maintain department and division goals and thresholds.
10. Meets regularly with leadership from other departments to review performance, align strategies, identify best practices and improve collections.
11. Identifies Epic System improvement and workflow opportunities
12. Adds value as a key member of management; understands the business, financials, industry, customers and strategy.
13. Prepares, manages, and adheres to department budget to maintain expenditure controls.
14. Works with manager to develop, review, and revise policies and procedures to maintain the efficacy of the department.
15. Other duties as required.

Other information:

Technical Expertise

1. Superior knowledge of payer guidelines, reimbursement, follow-up, and collections practices and experience working with third-party and governmental payers
2. Experience in denials management preferred.
3. Experience in coding, billing, compliance, and reimbursement is required.
4. Experience researching for revenue enhancement opportunities is required.
5. Experience working with all levels within an organization is required.
6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.

Education and Experience

1. Education: High school diploma or equivalent is required. Associates or Bachelor's degree in business, accounting or related experience preferred.
2. Years of relevant experience: 3 to 5 years is preferred.
3. Years of experience supervising: 0 to 2 years is preferred.

Full Time

FTE: 1.000000

Status: Remote