Supervisor Billing | Patient Financial Services

Posted:
9/3/2024, 8:12:33 AM

Location(s):
Rapid City, South Dakota, United States ⋅ South Dakota, United States

Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior

Field(s):
Customer Success & Support

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Work Location

Turbine Drive Building

Department

CS Provider Patient Financial Services

Scheduled Weekly Hours

40

Job Summary

The Billing Supervisor monitors billing procedures to ensure consistent and accurate billing of electronic and paper claims to commercial and government insurance payers in a timely, accurate and compliant manner. The Supervisor follows and ensures team adherence to workflow processes to ensure claim accuracy and efficient use of staff. The Billing Supervisor establishes partnerships with Registration, Coding, Charge Entry and others to ensure a team environment when addressing billing and claim issues. The Supervisor understands registration, charge entry and coding processes and stays up to date on all governmental billing requirements. Provides direction and training for staff to ensure consistent, predictable repeatable completion of job tasks. The Supervisor monitors Caregiver productivity and addresses variances when not meeting productivity and department goal metrics. Demonstrates and promotes a commitment to customer satisfaction and professionalism.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

  • Provides direct supervision and support of staff and processes related to billing.                                                                          
  • Responds to Caregiver concerns ensuring consistent application of Monument Health policies and procedures.
  • Demonstrates the ability to recognize problem situations in the reimbursement process and initiate an appropriate response as evidenced by documentation and feedback. Supervise compilation of necessary data for billing.
  • Demonstrates working knowledge of specific payer requirements and regulatory changes made by third party payers, as evidenced by documentation, observation and feedback.  Completes applicable reviews for Medicare/Blue Cross with other departments to ensure any changes in billing practices are updated.
  • Identifies and assists in tracking performance improvement initiatives. Monitors and records activities to meet or exceed best practice baseline Key Performance Indicators.
  • Demonstrates knowledge of the Epic computer system and other applications needed to perform job duties.
  • Identifies patterns of payment transmission issues that require contact and follow up with the third party payer. Informs staff of status of issues.
  •  Identifies and seeks input from Billers regarding patterns on denied claims.  Partnering with Revenue Integrity, Coding and others to resolve issues.
  • Organizes and reinforces the collaborative role the team member assumes through interaction with the team in order to meet the needs of the Department.
  • Attends mandatory training sessions, Updates job knowledge by participating in educational opportunities and professional publications.
  • Delegates assignments and special projects to staff and provides support as needed.
  • Ensures the integrity of medical billing workflows, billing policies and procedures.   Ensures billing operations are performed in an accurate and timely manner.
  • Monitor productivity and scorecards of caregivers to ensure metrics are met and work flows are worked efficiently.
  • Responsible and manages assigned supervisor work queues.
  • Accomplishes billing human resource objectives by selecting, orienting, training, scheduling, coaching, and disciplining employees. Guides employee actions by researching, developing, writing, and updating billing practices, guidelines.
  • All other duties as assigned.

Additional Requirements

Required:
Education - High School Diploma/GED Equivalent

Certifications -  American Association of Healthcare Administrative Management CRCS Institutional or CRCS Professional within one year of hire


Preferred:
Experience - 1+ years of Medical Terminology Experience; 3+ years of Billing/Collections Experience; 3+ years of Claims Experience
Education - Bachelors degree in Business

Physical Requirements:
Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category

Revenue Cycle

Job Family

Credit and Collections

Shift

Employee Type

Regular


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Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.