Billing Operations Supervisor

Currance•Los Angeles, CA

64d•Onsite

About The Position

The Supervisor of Hospital Billing is responsible for planning, coordinating, and managing the hospital billing team related to the activities required to ensure effective accounts receivable management, timely billing and edit management, while maintaining satisfactory staff productivity levels. Responsibilities include direct supervision of metric performance, providing guidance, training, mentoring, and following/implementing policies and procedures that ensure compliance standards are met with all payers and client regulations.

Requirements

High school diploma or equivalent.
At least 3 – 5 years of direct experience in Billing and Supervision
Proficiency with computer including Microsoft Office Suite/Teams and GoToMeeting/Zoom, etc.
Ability to communicate effectively verbally and in writing
Proficient use of PC and MS Office applications including MS-Word, Excel, Outlook Knowledge and CPT codes to include diagnosis symptoms and manifestations
Ability to critically and systematically analyze billing trends, problems, issues and be able to provide solutions
Daily, weekly and monthly management of billing performance metrics and solutions
Skill to prioritize competing workloads and deadlines to ensure job completion and meet deadlines
Effective interpersonal skills, verbal, and written skills to successfully resolve issues related to claims submission with patient and various reimbursement agencies
Demonstrative leadership of billing team and outcomes
Works collaboratively with internal and external departments to reduce billing delays and ensure accuracy of information
Collaborate with technology vendors and HPMC IT to ensure tools appropriately support process
Maintains confidentiality of department and hospital
Handles difficult situations in a discrete and professional manner
Complies with departmental and hospital policies and procedures

Responsibilities

Supervise all billing processes including providing solutions to complex billing issues as they occur
Working knowledge of Hospital and Physician based Medical Billing
Working knowledge of upstream Revenue Cycle impacts to billing, supportive of root cause analysis and solutioning
Manage, oversee, and monitor the billing and editing process
Monitors employee’s productivity to ensure quality and performance objectives are maintained
Ability to lead inter-departmental and external departmental meetings in collaborative manner
Medi-Cal, Medi-Cal Managed Care and Medi-Cal Programs billing experience is a must
Working knowledge of billing and collections guidelines and requirements for government programs
Responsible for managing, monitoring and maintaining a clean claim rate and solving for impactors to the rate
Identify claim edits, review and correct when necessary
Participate in the recruitment process for billing staff
Conduct training and on-going learning sessions
Electronic and paper based billing and Medical Record experience necessary
All other duties as assigned