Billing Supervisor-HHK-Sacaton

Position Summary: The Medical Billing Supervisor oversees the daily operations of the Revenue Cycle Management (RCM) Billing Department, ensuring accurate and timely billing processes. This role is responsible for supervising billing staff, resolving complex billing issues, monitoring productivity, and optimizing revenue cycle management practices. The supervisor collaborates with health care providers, insurance companies, and internal stakeholders to maintain compliance with billing regulations and achieve financial goals. Assists Manager in managing the daily operations of the billing functions, including reviewing patient reports and medical records, maintaining claims submission, reviewing rejections, and monitoring the productivity of billing staff. Ensures all data entry activities are current, accurate, and complaint with applicable standards and requirements. Coordinates with other departments in regard to billing needs.

Critical Tasks:

• Manages and leads a team of Billers.
• Provides guidance, training, and performance feedback to billing staff.
• Fosters a positive work environment that promotes teamwork and accountability.
• Ensures accurate and timely submission of claims to insurance companies and third-party payers.
• Monitors billing processes and identify opportunities for process improvement.
• Addresses billing discrepancies and denials promptly to minimize revenue loss.
• Communicates effectively with physicians, insurance carriers, and patients regarding insurance issues.
• Coordinates with other departments in relation to billing needs, questions, processes, and training.
• Stays current with healthcare billing rules and regulations, policies, and procedures.
• Ensures compliance with HIPAA regulations and other relevant healthcare laws.
• Implements billing practices that adhere to coding standards and guidelines.
• Receives, processes, and reviews patient visit reports and patient medical record for accuracy and completeness with regard to encounter information, International Classification of Diseases, tenth Revision (ICD-10), Current Procedural Terminology (CPT) coding, and revenue codes.
• Processes various types of claim forms, including Uniform Bill (UB-04 and CMS 1500 and ADA claims, by performing accurate data entry of information into patient billing system.
• Generates billing reports and analyzes billing data to track key performance indicators.
• Identifies trends and implements strategies to improve revenue collection and cash flow.
• Collaborates with finance and accounting departments for financial reconciliation.
• Communicates effectively with healthcare providers, patients, and insurance companies regarding billing inquiries and disputes.
• Builds and maintains positive relationships with internal and external stake holders.
• Addresses escalated issues and provide timely resolutions to maintain customer satisfaction.
• Performs other job-related activities and requested.

Required Qualifications:

• High School Diploma or GED required; Associate degree in a Business Administration nor similar field.
• 2 years electronic third-party billing experience in a hospital-based setting required.
• Knowledge of medical terminology, ICD-10, and CPT coding required.
• Proficiency in MS Office Suite and other applications.
• Exceptionalcommunication,interpersonal,andcustomerserviceskills.
• Previous experience in Medicare, Arizona Health Care Cost Containment System (AHCCCS), private insurance, electronic health records, or Resource and Patient Management System (RPMS), such as NextGen, preferred.
• Certified Professional Biller (CPB) or Certified Professional Coder (CPC) from the America Academy of Professional Coders (AAPC0 or other similar credential from accredited organization preferred.
• Demonstrates ability to relate to diverse cultures and specifically the Gila River Community and/or other Native American cultures and community health services.