Job Description

The Billing Supervisor manages and oversees the medical billing process to ensure accurate and timely reimbursement claims submission to third-party payers. This role involves supervising a team of medical billing specialists, coordinating with insurance companies, and interfacing with patients to streamline billing and payment processes. The ideal candidate will have in-depth knowledge of CPT codes, insurance guidelines, and billing procedures, as well as experience handling complex claims and resolving billing issues.

Duties & Responsibilities

• Supervise and mentor a team of medical billing specialists, providing guidance and support as needed.
• Assign tasks and manage the workflow to ensure timely and accurate billing processes.
• Review and process reimbursement claims using CPT codes, ensuring accuracy in assembling and submitting claims.
• Verify patient treatment codes and patient bills (statements) for completeness and accuracy, obtaining any missing information as necessary.
• Prepare, review, and transmit claims using billing software, including both electronic and paper processing.
• Review claims under patient claims status daily, ensuring balances are correctly assigned and allocated.
• Oversee verification of patient eligibility and benefits, and ensure compliance with insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
• Follow up on unpaid claims within the standard billing cycle and resolve any discrepancies.
• Check insurance payments for accuracy and compliance with contract discounts, addressing issues with insurance companies as needed.
• Work on claims under “client Intervention” status assigned by the DM, addressing and resolving issues.
• Handle phone calls from payers, patients, or centers, addressing inquiries and resolving billing issues.
• Manage patient billing inquiries and complaints professionally, setting up payment plans and managing collection accounts.
• Process refunds and address related issues.
• Coordinate the sending of medical records invoices to attorneys and other necessary parties.
• Scan and/or send correspondence to the billing department for processing.
• Research and appeal denied claims to ensure appropriate resolution.
• Identify and bill secondary or tertiary insurances as applicable.

Qualifications:

• Proven experience in medical billing and coding, with a thorough understanding of CPT codes and insurance guidelines.
• Strong knowledge of HMO/PPO, Medicare, and state Medicaid guidelines.
• Proficiency in billing software and electronic claim processing.
• Excellent organizational and supervisory skills with the ability to manage a team effectively.
• Strong analytical and problem-solving skills with attention to detail.
• Effective communication skills for interacting with patients, insurance companies, and internal team members.
• Bilingual (English/Spanish)

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Office

Experience:

• ICD-10: 1 year (Preferred)

Job Tags

Full time, Contract work, Shift work, Day shift, Monday to Friday,

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