Medical Billing Supervisor - Expereinced Only

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Job description

Full-and Part-Time Employee Benefits

Medical, Dental, and Vision Insurance Cancer plan.

401(k) retirement plan with matching Accident plan.

Paid time off (PTO) program Critical life events plan.

Tuition and certification reimbursement Employee Assistance Program (EAP).

Group Term Life Insurance and AD&D Free parking at all locations.

Short term and Long term disability Mileage reimbursement for company travel.

Un-reimbursed medical and dependent care.

POSITION SUMMARY

The Medical Billing Supervisor is responsible for all Medicare, Medicaid, private insurance and patient balance billing for hospice and palliative care services as well as patient room and board billing (when necessary). The Medical Billing Supervisor also participates directly or in coordination with other staff in all financial aspects of nursing home patients.

QUALIFICATIONS

Education: High school diploma required; Bachelor's degree in business, accounting, or mathematics preferred.

Experience: A minimum of five years experience in Medicare/Medicaid/Commercial billing; previous supervisory experience also required.

Additional Requirements: May be required to work flexible hours and occasional overtime.

PRIMARY RESPONSIBILITIES

Trains and supervises Medical Billing Specialists.
Oversees generating invoices for nursing homes and verifies the accuracy of invoices received from nursing homes.
Assists with the education of the nursing homes' billing departments regarding the proper order for billing (Forms 703 and 704) when needed.
Assists staff in advising patients and their families concerning their financial responsibilities toward their hospice care.
Assists Finance Director in reconciling accounts receivable and preparing month end reports.
.Have access to DDE and other Medicare billing software to back up any of the billers.
Conducts staff in-services as needed with clinical staff and how it affects the billing department.
Collaborates with the Finance Director regarding statistical information for the Medicare Cost Report and other internal management needs.
Enters annual MSA calculations and rate increases, verifies that the correct CPT, HCPCS and ICD-10's are entered in the EHR appropriately.
Ensures that all CR's that affect the billing are reflected and billed correctly to appropriate agencies in a timely manner.
Oversees the implementation and continuing compliance of the collection policy.
Completes credentialing and re-credentialing packets for the organization in a timely manner.
Assists with other office functions as necessary.
Seeks ways to be cost effective.
Performs other duties as assigned by the Chief Executive Officer, Finance Director or Chief Financial Officer.
Maintains compliance with submission of quarterly Medicare Credit Balance Report.
Reviews outstanding accounts receivable and unbilled at least monthly with the contracted Billing Agency and provides information to the Billing Agency as necessary for NOE submission and follow up on any outstanding accounts receivable.
Delegates assignments and projects to staff.

19. Recommends and implements required departmental policies and procedures.

Ensures compliance with all applicable state and federal laws, regulatory standards, and organizational policies and procedures, etc.
Completes performance evaluations for all assigned staff in a timely manner.
Actively participates in performance improvement activities.
Manages departmental FTE's within established guidelines including controlling agency and overtime expenses.
Actively supports and cooperates with other departments/disciplines in order to achieve organizational goals.
Maintains confidentiality of all information.
Utilizes and models excellent customer service skills at all times; seeks opportunities to assist patients, families and co-workers; demonstrates teamwork and cooperation.
Accepts direction and follows instructions from supervisor; seeks additional information as needed; works with minimal supervision.
Adheres to all organizational and departmental policies and procedures.
Continually meets organizational standards for attendance and punctuality; notifies supervisor in a timely manner when employee will be absent or late for work.
Attends all required meetings and in-services; seeks opportunities for additional professional development activities as appropriate.
Downloads and distributes all Medicare, Medicaid and/or any notices in a timely manner.

COMPETENCIES, KNOWLEDGE, SKILLS, AND ABILITIES

THIS SECTION DESCRIBES WHAT KNOWLEDGE, SKILLS AND ABILITIES AN EMPLOYEE IN THIS POSITION SHOULD CURRENTLY POSSESS. THIS LIST MAY NOT BE COMPLETE FOR ALL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED FOR THIS POSITION.

Knowledge of computer software applications.
Skill in organizing and prioritizing workloads to meet deadlines.
Ability to communicate effectively both orally and in writing.
Ability to communicate effectively with co-workers and other customers.
Ability to follow basic safety policies and procedures.
Ability to use good judgment and to maintain confidentiality of information.
Ability to work as a team player.
Ability to demonstrate tact, resourcefulness, patience and dedication.
Ability to accept direction and adhere to policies and procedures.
Ability to work in a fast paced environment and manage multiple priorities.

This position is designated as a safety sensitive position because it performs the above listed functions while regularly working with confidential and/or proprietary Arkansas Hospice and patient information, including but not limited to patient medical records, current or former employee information, Arkansas Hospice records, and other information that the employee regularly uses to perform job functions.

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