Billing Supervisor - Ryan Health : Job Details

Work Schedule: Monday-Friday 9am to 5pm

Position Overview:

The Billing Supervisor works in conjunction with the Billing Manager to manage the operations of the billing department for the Ryan Network. This encompasses supervision and training of staff, medical coding, charge entry, claims submission/follow-up, payment posting, denials management and aspects of payor relations. This work is carried out in support of the mission and goals of Ryan Network.

Essential Functions:

Under the Supervision of the Billing Manager:

• Supervise billing department staff. This includes hiring, training, and evaluating staff in accordance with the Center's policies and procedures.
• Following the directive of the Billing Manager to ensure development and dissemination of current billing policies and procedures to staff.
• Resolving patient inquiries and complaints related to billing.
• Coordinating with medical staff to confirmed accuracy of patient record.
• Keep abreast of current trends and practices, including legal and regulatory requirements, and disseminate information throughout the department.
• Immediately report any problems and/or unusual occurrences to the supervisor.

Coding, Charge Entry, Claims Submission and Payment Posting:

• Review, adjust, appeal and/or monitor all denied claims for all third payers and report finding to supervise on a weekly basis.
• Following the billing workflow ensure all claims are submitted within a timely manner.
• Following the billing workflow ensure all payments are posted and remits are reconciled within a timely manner.
• Submit all information required by payers in order to process claims.
• Establish and maintain an appropriate manual and provide complete, timely and accurate recording and reporting of billing information.
• Ensure the integrity of the Accounts Receivable aged trial balance report by assuring that payments are posted on a timely basis.

Payor Activities & Relations:

• Liaison with payers, including managed care plans and insurance carriers, Medicaid, Medicare and other State and Federal agencies.
• Contact payers and responsible parties in an effort to collect denied claims.

Coordinate with the Billing Manager to Compliance, Auditing & Reporting:

• Ensure compliance with all eligibility requirements for third party payers.
• Ensure compliance with managed care plans with contracted reimbursements.
• Establish and ensure compliance with policies and procedures for billing and collections.
• Provide interdepartmental reports on the basis of daily and monthly billing.
• Perform audits.
• Other duties and/or projects as assigned.

Minimum Experience and Skills Required:

• 3 years of experience in billing supervision or A/R management.
• 2 years of supervisory experience.
• Knowledge of insurances billing policies such as Medicaid, Medicare & Managed Care Organizations.
• Effective communication and writing skills.
• Excellent problem solver with a demonstrated history of process improvement.
• Proven track record of organization, attention to detail and ability to respond promptly to requests, anticipate organizational needs, and maintain efficient office operations.
• Strong computer literacy with proficiency in standard office software/hardware such as Microsoft Word, Excel, Outlook, PowerPoint.

Education, Licenses, and/or Certifications Required:

• Bachelor's Degree, preferably in Finance, Accounting or Business.

Preferred Qualifications:

• Prior experience in a multi-site Federally Qualified Health Center (FQHC).
• Certified Medical Coder certification a plus.

Competencies Required:

Customer Service:

• Professional, courteous and respectful attitude in dealing with patients.
• Commits to exceeding expectations of the patient.

Cooperation/Teamwork:

• Works well with others.
• Contributes input to improve outcomes.
• Asks others for opinions and feedback, provides feedback in a tactful respectful way.

Minimal Training Time:

180 actual workdays probationary period.

Working Conditions:

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit, talk and hear.

The employee is occasionally required to move about the office; use hands and fingers to feel, handle, or operate office equipment.

Specific vision abilities required by this job include close vision and the ability to adjust focus.

Work Environment:

The work is performed primarily in an office setting. The noise level in the work environment may vary.

Disclaimer:

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. This position may be required to perform other duties. If such work becomes a permanent and regular part of the job, a new description will be prepared.

Equal Opportunity Employer:

Ryan Health is an Equal Opportunity Employer and does not discriminate on the basis of age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, gender identity, military veteran status, or any other characteristic protected by law.