Billing Supervisor Job at Palm Medical Centers, Fort Worth, TX

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  • Palm Medical Centers
  • Fort Worth, TX

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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