Supervisor Professional Billing and Coding Denials

Akron Children's Hospital; Akron (OH); Remote; USD 75,000 - 95,000; Full time

Job summary

Akron Children's Hospital seeks a Professional Billing & Coding Denials Supervisor to oversee claims management and insurance follow-up. This role leads staff, ensures quality performance, and aligns with departmental policies and goals.

The supervisor will coordinate with the Manager, Professional Billing to drive results. The position emphasizes denial management, revenue enhancement opportunities, and collaboration across departments to improve collections and processes.

Qualifications

• Requires knowledge of payer guidelines, reimbursement, follow-up and collections practices.
• Experience with denials management is preferred.
• Experience in coding, billing, compliance and reimbursement is required.

Responsibilities

• Acts as a key management member, understanding the business, financials, industry, customers, and strategy.
• Supervises Billing Collection Representatives and coordinates with the Revenue Recovery Supervisor for denials management.
• Ensures proactive payer communication regarding delayed, denied, and underpaid claims to promote timely reimbursement.
• Collaborates with Billing Collection and Revenue Cycle Management to identify revenue enhancement and educational opportunities.
• Provides monthly departmental reports on quality, productivity, denial management and performance to Revenue Cycle leaders.
• Handles recruitment, hiring and training; conducts performance appraisals for new staff.
• Maintains a collaborative environment focused on teamwork, communication and achieving department goals.

Skills

Payer guidelines knowledge

Denials management experience

Coding/billing/reimbursement

MS Office (Outlook, Excel, Word)

Communication with payers

Team supervision

Education

High school diploma

Associates or Bachelor's in business or related field

Tools

Epic Systems

Job description

Full-time, 40 hours/week
Monday- Friday 8am-4:30pm

Remote

Summary:

The Professional Billing & Coding Denials 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.
7. Prefer coding certification.

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