Billing Supervisor

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

KNOWLEDGE: In-depth knowledge of medical billing and coding, payment posting, accounts receivable management, and revenue cycle management processes.

Knowledge of payer policies and practices, including Medicare, Medicaid, and commercial insurance carriers.

Strong understanding of remittance advice (RA), Explanation of Benefits (EOB), and payer requirements for payment posting and reconciliation.

Awareness of industry-standard billing codes (ICD-10, CPT, HCPCS), as well as the impact on payment posting.

Knowledge of electronic health records (EHR), practice management software, and billing systems used for payment processing.

Understanding of healthcare reimbursement methodologies, including fee-for-service and value-based care.

Working knowledge of medical terminology and procedures for diagnostic coding. Working knowledge of modern office practices and procedures. Working knowledge of methods and techniques to evaluate system performance and to make recommendations for improvements. Working knowledge of principles and practices of staff supervision. Working knowledge of HR policies and relevant collective bargaining agreements. Working knowledge of the principles and practices of HIPAA compliance. Working knowledge of the PHC Corporate Compliance Guidelines. Ability to coordinate and motivate a hybrid office/home office team.

SKILLS: Skill in computer data entry and the use of a personal computer (word-processing, spreadsheet, e-mail, computerized accounting system). Skill in the use of computerized accounting systems. Skill in the use of a calculator and other modern office machines. Supervisory and leadership skills, with the ability to effectively manage and motivate a team. Strong analytical skills, with the ability to interpret complex payment data and identify discrepancies or trends.

Proficiency in using billing and payment posting software, as well as reporting suites to generate reports and analyze data.

Strong communication skills to interact with patients, providers, insurance companies, and internal teams to resolve billing issues.

Attention to detail and accuracy, with a focus on minimizing errors in payment processing and posting.

ABILITIES: Ability to learn and follow departmental policies and procedures. Ability to communicate effectively in the English language, orally and in writing. Ability to establish and maintain effective working relationships with diverse individuals and groups. Ability to provide direction to staff and to coordinate work efforts. Ability to perform detailed work in a precise and accurate manner.

Ability to lead and mentor a team, fostering a positive and productive work environment.

Ability to assess and address payment posting issues quickly and accurately, offering solutions to complex billing discrepancies.

Ability to train staff on complex billing processes and new system updates effectively.

Ability to manage multiple priorities in a fast-paced environment and meet deadlines consistently.

Ability to maintain confidentiality and ensure compliance with all relevant privacy and regulatory guidelines, including HIPAA.

MINIMUM QUALIFICATIONS:

An equivalent combination of education and experience may be considered.

EDUCATION: High school diploma or equivalent required; Bachelor’s degree preferred. Certification such as Certified Professional Biller (CPB) or Certified Professional Coder (CPC) through AAPC or similar certification is a plus. Degrees best suited to this position are accounting and health services administration.

EXPERIENCE: Requires three years of experience with billing and collection practices that includes one year of supervisory or leadership experience. Experience in a medical office setting is preferred.

SPECIAL REQUIREMENTS: Requires immunizations or proof of immunity to certain infectious diseases and a TB test. Employees who have not received the vaccines required for their positions or who are unwilling to voluntarily provide vaccination status for required vaccines will receive a reasonable accommodation where such accommodation does not require an undue hardship or endanger the health or safely of any person. Subject to a criminal background check, including fingerprinting.