Billing Supervisor

JOB RESPONSIBILITIES:

Oversees the operations of the billing department, charge entry, and edits.

Serves as the practice expert and go-to person for all MSO processes.

Works with CPMP and plans and directs patient insurance documentation, billing and collections, and data processing to ensure accurate billing and efficient account collection.

Analyze and audit billing and claims for accuracy and completeness.

Work with CPMP on claim submission, payment posting, A/R follow up and reimbursement management.

Works as a liaison for CPMP MSO.

Handle all pre go-live and post go-live operations with office staff, including, but not limited to training set-up, Cerner and SPM set up, superbills, logins, and IDX set up.

Audits current procedures to monitor and improve efficiency of data entry, billing and front end operations.

Ensures that the activities of the MSO operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines and requirements.

Participates in the development and implementation of operating policies and procedures.

Reviews and interprets operational data to assess need for procedural revision and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.

Analyzes trends impacting charges, coding, collection and accounts receivable and takes appropriate action to realign staff and revise policies and procedures.

Keep up to date with carrier rule changes and distribute the information within the practice.

Understands and remains updated with current coding and billing regulations and compliance requirements.

Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.

Supervises MSO office professional personnel, which includes work allocation, training and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.

Provides, oversees, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards and techniques.

Coordinates team member time off in a manner that does not negatively impact necessary daily functions.

Performs other miscellaneous job-related duties as assigned.

ABILITIES:

Ability to work under minimum supervision and demonstrate strong initiative.

Ability to supervise and train employees, to include organizing, prioritizing and scheduling work assignments to meet practice timelines.

Ability to deal in an organized manner with problems involving multiple variables within the scope of the position.

Ability to make independent decisions when circumstances warrant; make prompt and accurate judgements regarding AR, billing and other office duties.

Ability recognize, evaluate, solve problems and correct errors, and to develop processes that eliminate redundancy.

Ability to conceptualize work flow, develop plans, and implement appropriate actions.

Ability to communicate effectively in writing, over the telephone, and in person.