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Vista Community Clinic · 5 months ago

Billing Supervisor

Vista, CA

Full-time

Hybrid

Mid, Senior Level

$68K/yr - $74K/yr

5+ years exp

Vista Community Clinic is a private, non-profit medical and social services center providing high-quality care in various locations. They are seeking a Billing Supervisor to oversee the billing department, manage staff, ensure compliance with regulations, and improve billing processes.

Health CareHospital

Responsibilities

Shared responsibility for the day-to-day supervision and oversight of Billing Department and designated staff

Primary duty consists of hiring, promoting, training, evaluating and/or directing the work of designated staff

Oversee daily workload for billing staff & ensure that established standards are followed with respect to productivity and accountability

Work with manager to interview candidates for hire, monitor job performance of billing staff, counsel employees as needed and handle disciplinary action as necessary following approval

Coordinate & deliver training to billing staff in daily operations for appropriate third party billing and follow up activity

Assist in writing/establishing operating procedures to meet billing regulations/compliance and follow up enhancement

Work with manager to monitor payment/denial activity for correct reimbursement by payor, inform manager of potential reimbursement issues and all updates/changes of billing regulations/guidelines

Inform manager of all problems /issues related to billing operations and staffing

Responsible for ensuring that operations and billing work hand in hand

Reconcile claims with AR

Proactively identify simplification / automation opportunities

Utilize metrics to improve performance

Proactively manage and ensure compliance with control objectives

Support internal and external auditors

Ensure that all claims are submitted correctly and timely to avoid billing deadlines and timely follow up is performed to prevent aging of account activity

Maintain Accounts Receivable for your own health plan-payer assignments

Qualification

Billing experienceSupervisory skillsBilling softwareInsurance billing knowledgeCoding experiencePatient accountingPractice management systemsAnalytical skillsTechnical orientationMicrosoft Office proficiencyCommunication skillsInterpersonal skillsProblem solving skills

Required

High School graduate or equivalent

Minimum five (5) years' billing experience

Minimum two (2) years' in a supervisory role

Coding experience

Valid California driver's license and vehicle insurance; reliable transportation, to travel for meetings and/or to gather information for reporting purposes

Ability and willingness to work flexible schedule and hours

Must be able to travel overnight

Familiarity with billing fee-for-service payers including Medicare and HMO programs

Knowledge of payer credit and collection policies

Knowledge of patient accounting operations, third party policies, and industry standards

Knowledge of billing software applications

Strong knowledge of insurance billing in a medical/clinical setting

Excellent interpersonal and both written and verbal communication skills with strong ability to create a comfortable, supportive learning environment

Ability to effectively present information, and communicate initiatives, results and analyses to multiple levels of management

Supervisory skills including the ability to counsel others and ensure adequate coverage for duties assigned to staff

Intermediate to advanced knowledge of practice management systems (NextGen preferred)

Demonstrated ability to exercise good judgment and problem solve under pressure of deadlines and resource constraints

Strong analytical and problem solving skills

Excellent verbal and written skills necessary for communication with patients/clients, providers and other staff

Ability to interface with all levels of personnel in a professional manner

Ability to work with people of all social and ethnic backgrounds and within the constraints of government funded programs

Ability to perform work that is technically oriented

Experience/familiarity with computers, Microsoft Office products (Word/Excel), business e-mail, communication systems and internet search capabilities

Familiar with operation of telephone, fax and copier equipment