7 days ago

Job Description

COMMUNITY HEALTH:

Community Health is a primary care network that provides nationally-recognized programs, a focus on wellness, dental, behavioral health and pediatric specialties, walk-in Express Care, a culture of community and quality health care that almost everyone, insured or uninsured, has come to depend on. As an equal opportunity employer, we offer a team-oriented, collaborative work environment for close to 400 employees at eight different locations in Rutland and southern Addison counties.

ABOUT THE ROLE:

Under the direction of the Billing & Coding Manager, the Billing Supervisor is responsible for the quality control of the entire revenue cycle including but not limited to; charge entry, claims submission and tracking, collecting, and payment posting.

FUNCTIONS OF THE POSITION:

  • Administers prescribed medications and treatments in accordance with nursing standards.
  • Performs certain lab tests.
  • Takes and records patients vital signs, immunization status, and brief history.
  • Maintains patient confidentiality.
  • Cleans and autoclaves procedural equipment and instruments.
  • Observes records and reports to physician patient's condition and reaction to drugs and treatments, according to the nursing process.
  • Oversees appointment scheduling, assures priority is given to patients in emergency situations.

SKILLS REQUIRED FOR SUCCESS:

  • Expertise in processing insurance carrier payments/denials.

  • Strong knowledge and accuracy in processing charges into practice management system.

  • Strong attention to detail and analytical skills to identify areas of charge capture delay and/ or denials.

  • Resolve patient/customer complaints in a timely manner.

  • Ability to assign CPT/HCPCS/ICD 10 diagnosis codes according to CPT and insurance carrier guidelines.

  • Maintains current knowledge of billing system and coding changes

  • Ability to contact and work with patients setting up payment plans for CHCRR services

  • Provide training and oversight of the billing and collections employees.

  • Review charge entry batches and provides feedback to appropriate staff.

  • Ensure correct coding, timely charge entry, billing compliance, and with the Billing & Coding Manager, provide on-going education to billing staff.

  • Reporting to the Billing & Coding Manager, the Billing Supervisor has input into the selection of staff, training employees, planning, assigning and directing work, addressing complaints and resolving problems.

OTHER DUTIES:

  • Participates in improvement projects, initiatives and related training in areas of responsibility.
  • Attends required meetings
  • Participates as a team player
  • Assumes other tasks as assigned

HOW WE SUPPORT YOU:

  • Work Life Balance
  • Generous Time Off
  • Medical, dental, and vision insurance.
  • Health savings account option.
  • Robust 403 (b) retirement savings plan, with employer match and 100% vesting schedule.
  • Comprehensive Wellness Program.

Numbers & Facts

LocationRutland, VT

Skills

  • Analysis Skillsunmatched
  • Autoclaveunmatched
  • Billingunmatched
  • Charge Captureunmatched
  • Clinical Assessmentunmatched
  • Current Procedural Terminology (CPT)unmatched
  • Dental Insuranceunmatched
  • Detail Orientedunmatched
  • Drug Therapyunmatched
  • Healthcare Common Procedure Coding System (HCPCS)unmatched
  • ICD-10unmatched
  • Insuranceunmatched
  • Laboratory Testingunmatched
  • Medication Administrationunmatched
  • Nursingunmatched
  • Patient Confidentialityunmatched
  • Payment Postingunmatched
  • Prescription Drugsunmatched
  • Problem Solving Skillsunmatched
  • Quality Controlunmatched
  • Resolve Customer Issuesunmatched
  • Staff Trainingunmatched
  • Team Playerunmatched
  • Testingunmatched
  • Time Managementunmatched
  • Training/Teachingunmatched
  • Vision Planunmatched

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