POSITION OVERVIEW:

The Billing Supervisor is responsible for overseeing medical billing operations, ensuring regulatory compliance, and optimizing revenue cycle management. This position requires a strong understanding of medical billing procedures and regulations, the ability to resolve billing discrepancies, and a strong attention to internal practice collaboration to maximize revenue collection and patient experience.

QUALIFICATIONS:

• Certified Professional Coder (CPC) required.
• Bachelor’s degree in healthcare administration, business administration, or related field preferred.
• Minimum of 3-5 years of hands-on experience in medical billing and revenue cycle management, preferably in a pediatric setting.
• Proficiency with medical billing software and electronic health records (eClinical Works a plus) systems.
• In-depth knowledge of insurance billing regulations, including Medicaid and private insurance carriers; knowledge of Community Care Physician Network is helpful.
• Excellent communication and interpersonal skills, with the ability to effectively interact with patients, staff, and insurance companies; additional language fluency is a plus.
• Proven leadership abilities, with the ability to motivate and inspire a team to achieve common goals.
• Detail-oriented and highly organized, with the ability to effectively manage multiple tasks simultaneously.

Collaborate with Practice Leadership and Medical Providers to:

• Analyze and audit patient account statements and proactively resolve billing inquiries, ensuring exceptional experience and care for patients.
• Oversee monitoring of accounts receivable and follow up on outstanding claims to maximize revenue cycle efficiency.
• Resolve billing discrepancies with insurance companies and ensure timely reimbursement.
• Stay current on changes to insurance regulations and billing codes to ensure compliance with industry standards.
• Provide regular reports and analysis to management on billing performance, revenue trends, and areas for improvement.
• Provide regular feedback and education to providers, to improve their medical coding acumen, ensuring accurate medical coding and billing practices across the practice.
• Collaborate with other departments within the practice to streamline workflows and improve overall efficiency.