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:
Experience:
- ICD-10: 1 year (Preferred)
Job Tags
Full time, Contract work, Shift work, Day shift, Monday to Friday,