Supervisor - Nursing Home Billing

Job Title: Nursing Home Billing, Supervisor

Department: Billing Office

Reports to: VP of Billing

Direct Reports: [Billing office sub-departments as assigned]

FLSA status: Non-exempt/Exempt

Position Summary:

The Nursing Home Billing, Supervisor is responsible for managing the timely and accurate billing of outstanding balances from insurance carriers and patients. This includes implementing effective resolving billing disputes, and maintaining accurate records. The Nursing Home Billing, Supervisor also serves as a resource to team members and assists the department manager with various tasks.

Essential Duties & Responsibilities:

Billing:

• Review daily billing for accuracy and compliance before claims are submitted electronically.
• Process insurance changes and verify patient information.
• Work all denials and correspondence from insurance carriers, ensuring timely and accurate claim resubmissions.
• Submit and monitor Prior Authorization requests, if applicable.
• Identify and correct errors in patient accounts.
• Review, understand, and refer to medical policies for assigned payers to ensure compliant billing.
• Stay informed about billing trends and changes for assigned payers, reporting any significant updates to the manager.

Customer Service:

• Receive and respond to customer inquiries regarding billing and collections.
• Evaluate, coordinate, and resolve customer issues efficiently and professionally.
• Process billing work-related tickets.
• Coordinate with Sales and Service Teams to resolve customer issues and ensure client satisfaction.

Reporting:

• Prepare a Weekly Sales Report, tracking key performance indicators and identifying trends.
• Prepare, review, and evaluate collection reports.
• Make decisions regarding payment terms and suspensions of service based on established guidelines and client history.

Administrative:

• Review customer payments for accuracy.
• Post payments to customer accounts and the general ledger.
• Manage and complete daily task lists, emails, and voicemails.

Qualification Requirements:

• Education/Experience: High School diploma or equivalent; medical terminology and billing experience required; previous management experience required; experience with an HME company preferred; computer data entry experience required.
• Language Skills: Excellent verbal and written communication skills; ability to interact effectively with clients and employees.
• Time Management: Ability to work independently, prioritize tasks, and manage time effectively with minimal supervision.
• Safety/Security: Actively promote and adhere to safety and security procedures; use all equipment and materials properly

Physical Demands:

This position requires the ability to sit and type for extended periods, with frequent talking, hearing, and seeing