Medical Billing Supervisor
Thoratec Corporation
(Gainesville, Florida)Responsibilities:
This position is responsible for, but not limited to, the following:
- Provides leadership and mentorship and directs the day-to-day supervision of billing/collection staff.
- Reviews and improves billing and collections processes on a continuous basis. Formalize policies and procedures involving workflows.
- Ensures all insurance and governmental claims are being paid to Continuum in accordance with contractual agreements (Letter of Agreements i.e. LOAs) in a timely manner.
- Identifies and drives collection metrics and provides regular communication to stakeholders (Director of Operations and Corporate finance personnel).
- Conducts analysis of aged accounts receivable (A/R) and follows up on denied claims to collect outstanding receivables.
- This will include verbal and written communication to appeal denials to insurance companies and government agencies.
- Develops; implements and monitors productivity and quality to ensure standards are met.
- Maintains patient information in accordance with HIPAA, PHI and regulatory requirements.
- Audits the billing and collections activity for compliance and accuracy on a regular basis.
- Point of contact for inquiries from accounting staff, corporate finance, auditors, and payers regarding accounts receivable and collection metric matters.
Minimum Qualifications:
- High school diploma (or GED equivalent) and have 2-5 years of previous experience in medical billing/collections in a medical office, clinical site, or billing/collections office or an equivalent combination of education and experience.
- Must have previous health care supervisory experience with billing and collections and billing software experience.
Additional Qualifications:
- Bachelor’s Degree preferred.
- Experience with writing performance reviews, employee relations, interviewing for hire, disciplinary action write-ups, and counseling employees.
- Must have knowledge of general office procedures using office equipment.
- Strong at execution, follow-up and attention to detail.
- Commitment to process improvement and the ability to think “out-of the box”.
- Strong leadership experience, including excellent oral and written communication and interpersonal skills.
- A team player, adept at building relationships within the team and across the organization.
- Excellent problem solving and analytical skills.
- Ability to recognize performance quality and motivate others towards improved performance.
- Possesses excellent organizational, time management, and multi-tasking skills in order to meet commitments and deadlines.
- Ability to work independently and demonstrate consistent customer focus.
- Recognizes the entire scope of an issue and participate objectively towards resolution with other team members.
- Maintains professional personal appearance.
- Ability to verbally communicate details and understand parameters of job responsibilities.
- Takes initiative to learn Company organization and procedures.
- Maintains the highest professional and ethical standards in conducting day-to-day business.
- Adheres to all Company HIPAA compliance regulations, business and professional ethics, and confidentiality and privacy regulations as outlined in the Employee Handbook.
- Requires an in depth understand of compliance, regulatory oversight bodies and payer requirements.
- Represents the Company in a positive, customer friendly attitude to other employees, clients, agencies, entities and patients.
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