Medical Billing Office Supervisor

 

The Billing Office Supervisor manages the Insurance and Billing team within the Patient Services Department, overseeing daily operations to ensure accuracy, compliance, and quality processes adherence This role submits reports to the Practice Manager / Administrator (PA), coordinates insurance billing processes, ensures proper application of payments, performs audits, and monitors billing activities. By supervising the billing team and providing guidance to Insurance Authorization Specialists, Medical Records Specialists, and Billing Specialists, the Billing Office Supervisor plays a key role in maintaining financial integrity and facilitating informed decision making. Excellent customer service ability and high attention to detail are essential in supporting the organization’s Billing team and operational goals. 

 

General office and sedentary, requiring extended periods of time at a keyboard or workstation.  Ability to exert a light degree of physical effort including carrying, pushing, pulling, climbing, balancing, standing, stooping, kneeling, crouching, crawling, walking and the assisted lifting of objects and materials up to 25 pounds.  Specific vision abilities include close vision and distance vision.  Limited exposure to adverse environmental conditions, such as dirt, dust, odors, humidity, temperature and noise extremes, wetness and vibrations.  Use of personal computing equipment, telephone, multi-functioning printer and calculator. Manual dexterity, ability to reach, bend, and use 2-step stool while safely lifting and lowering boxes.  Ability to travel to and from meetings, training sessions or other business-related events.  May be required to work after hours to include weekends and holidays.

Oversees and coordinates administrative operations of the Patient Services Department’s Insurance and Billing team ensuring accurate, efficient, and quality processes adherence.

Maintains and submits regular reports to PA regarding billing trends, outstanding balances, collections progress, insurance authorization processes and any other data as requested by PA. 

Coordinates the insurance billing processes of the clinic, following established protocols.

Ensures the proper application of patient, insurance, and other payments.

Performs audits to review and analyze the output of pre- and post-billed reports, discern billing trends, and identify performance improvements.

Consistently monitors accounts receivable to identify overdue accounts and contacts patients/legal guardians. Collects the overdue amount or establishes a payment plan to collect it in installments, following established procedures and policies.

Maintains regular communication with external billing office(s) to ensure they have the necessary information to perform their job.

Monitors billing activities to ensure compliance with billing regulations governing healthcare and departmental policies.

Ensures the accurate application of claim payments and the proper next billing step occurs.

Enforces and provides support with insurance verification, billing processes and procedures, and secondary billing actions.

Maintains performance data and billing metrics.

Schedules team members and allocates resources across hours of operation to maximize patient access, satisfaction, and provider productivity and efficiency.

Conducts huddles/meetings with team members as appropriate.

Ensures accuracy of all data collection and data entry by team members through training and compliance monitoring.

Participates in interviewing, hiring, training, progressive discipline, dismissals, and performance appraisals of team members.

Assists with the creation and maintenance of operation and procedural manuals.

Communicates with Front Office Supervisor, CRIT Providers, and Manger of Rehabilitation to ensure success as an overall Patient Services Department.

Communicates with patients regarding outstanding balances, insurance ineligibility, authorization denials, discharges due to non-compliance and any other issue that may arise.

Ensures patients are greeted upon arrival; patient medical record/chart is accurate, updated, and available to all Providers; escorts patient to appropriate area or rooms; and assists Providers with patient care as directed.

Attends all Supervisor meetings and serves on appropriate committees as assigned.

Responds to requests to compile periodic statistical reports for analysis as needed and assist with created metric dashboards.

Maintains open communication with the Practice Manager regarding progress, concerns, and issues.

Adheres to organizational policy with particular attention to standards of conduct and to confidentiality as it relates to HIPAA.

Other jobs and duties as assigned.

Education

Experience

License & Certification

Testing

Other

 

 

Special Notes 

This is a general description of the essential job functions for this position.  The description provided is not necessarily inclusive of all essential functions, and does not include all duties, responsibilities and obligations of an employee in this position.  Duties, responsibilities, obligations and functions can and will, as necessary, change as required by business necessity.  Children’s Rehabilitation Institute | Teleton USA employee job performance is evaluated based on all aspects and functions of the position, whether or not specifically identified in this job description.

 

Children’s Rehabilitation Institute | Teleton USA is an Equal Opportunity Employer.  In compliance with the Americans with Disabilities Act, Children’s Rehabilitation Institute | Teleton USA will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the Children’s Rehabilitation Institute | Teleton USA’s’ Compliance Officer.