What are the responsibilities and job description for the Billing and Accounts Receivable Supervisor position at SSTAR?
About Us
We're more than just quality treatment for substance use disorders. We're a total health community. At SSTAR, our mission is healing the community, one person at a time. We will provide a personal level of healthcare and addiction treatment that addresses the mental, physical, and spiritual well-being of everyone we touch.
The Billing and Accounts Receivable Supervisor oversees the daily operations of the billing and accounts receivable team and guides the team in meeting department goals, maintaining compliance, and ensuring high-quality customer service. The Billing and Accounts Receivable Supervisor is also responsible for managing the billing process with third-party payers by submitting accurate claims, following up on outstanding invoices, resolving billing discrepancies, and ensuring timely payment for services rendered by adhering to relevant regulations and payer guidelines.
Schedule: Monday - Friday. 8:00am-4:00pm
Benefits
- 403B
- Dental insurance
- Disability insurance through Massachusetts PFML
- Employee discounts, cell phone, eyewear etc.
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Flexible Spending Account
- Opportunities to earn CEU's
- Voluntary Benefits including but not limited to, Disability, Life, Critical Illness, Accident and Disability Insurances
Duties & Responsibilities
- The Billing and Accounts Receivable Supervisor is responsible for preparing and electronically submitting accurate claims to insurance companies, verifying patient demographics and insurance information.
- Identifying and correcting billing errors on claims before submission to maximize reimbursement.
- Tracking claim statuses, following up on outstanding claims with payers, and addressing claim rejections or denials.
- Maintaining patient account records, updating billing information, and resolving billing inquiries.
- Staying updated on billing regulations and payer-specific guidelines to ensure compliance.
- Reviewing and appealing denied claims based on medical necessity and insurance policies.
- The Billing and Accounts Receivable Supervisor is responsible for generating reports on billing metrics, identifying trends, and communicating findings to relevant stakeholders.
- Distribute insurance payments in EMR.
- The Billing and Accounts Receivable Supervisor is responsible for preparing write-offs periodically and submit them for review.
- Answers patient's billing and insurance inquiries and complaints.
Supervisor Responsibilities
- Provide ongoing training for new team members and continual education for existing staff on billing regulations and best practices.
- Conduct periodic team meetings to review changes in policies, procedures, and billing practices.
- Act as a resource for the team, answering questions and providing clarification on complex billing issues.
- Address escalated billing inquiries, complaints, and concerns from patients and insurance providers.
- Stay updated on industry changes and regulatory updates to keep the team informed and ensure continued compliance.
- Ensure proper workflow and resource allocation to meet deadlines and achieve department goals.
- Conduct performance reviews, provide feedback, and foster professional development opportunities for team members.
Education & Experience
- GED/HS diploma required.
- Minimum of five (5) years of healthcare office experience or completion of a medical billing program.
- At least one (1) year supervisory experience.
- Proficiency in medical billing codes (CPT, ICD-10, HCPCS)
- Computer proficiency with billing software and electronic health records (EHR) systems
- Maintains strict confidentiality adhering to all HIPAA & 42 CFR regulations
- Strong organizational, communication, and relationship-building skills.
- Excellent oral and written communication skills.
- Ability to prioritize while meeting all deadlines and demonstrating a high level of reliability and efficiency.
- Ability to work in a very fast-paced environment and adapt to changes.
- Highly detail-oriented and ability to multi-task.
- Proficient in Microsoft Office Suite
- Must work well in a team-oriented environment.