Supervisor-Billing

Job Title

Supervisor-Billing

Location

Remote / Nationwide, USA

Additional Location(s)

Employee Type

Employee

Working Hours Per Week

Job Description

• Supervise team in the process of claim creation and transmission.
• Review billing edit reports to identify and perform data edits needed to ensure claims are submitted to the correct payer following payer requirements and standards for coding and submission.
• Ongoing monitoring of claims queues for timely submission.
• Monitor and manage claims between EMR and clearinghouse.
• Ensure timely resolution to claims denied by the clearinghouse or the payer.
• Serve as escalation agent for the team to resolve any complaints.
• Manage team schedules to reallocate resources to meet KPIs.
• Track distribution of workloads and conduct ongoing needs assessments to identify staffing opportunities.
• Conduct 1 : 1 coaching, mentoring, feedback with Management, and annual performance reviews. Provide counseling when required to address performance.
• Monitor staff timecards for accuracy and ensure approval is timely for payroll.
• Implement, communicate, and maintain operating procedures covering functional areas, quality, compliance, and related productivity expectations.
• Audit transactions the team processes to ensure accurate processing and compliance with policies and procedures to identify training opportunities.
• Interview, select, and train staff to meet business requirements and create and maintain a highly effective Team.
• Other duties as assigned.

NOTICE : Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

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CSI Pharmacy is an Equal Opportunity Employer