Billing and Accounts Receivable Supervisor

Saginaw County Community Mental Health Authority•Saginaw, MI

11d•$75,690 - $98,035•Onsite

About The Position

Under the general supervision of the Finance Manager, this position has the primary responsibility for the Saginaw County Community Mental Health Authority revenue cycle. It involves planning, implementing, and managing departmental policies and procedures to ensure an orderly flow of the billing and reimbursement process. The role also assists in the implementation of new programs related to reimbursement and revenue, participates in quality assessment and continuous quality improvement activities, and performs related work as required. This position requires knowledge of and active support for culturally competent recovery-based practices, person-centered planning as a shared decision-making process, and a trauma-informed culture of safety to aid persons served in their recovery process.

Requirements

A Bachelor’s degree in Business Administration, Accounting, Finance or a directly related field is required.
Two (2) years of supervisory experience is required.
Valid Michigan Driver’s License with good driving record.
Knowledge of and ability to use computerized accounting software such as Business Central.
Proficiency in Microsoft Office such as Word, Excel, Access, and Outlook.
Comprehensive knowledge of the billing process working with an Electronic Medical Records Healthcare System.
Experience in identifying and resolving billing and reimbursement issues.
Knowledge of medical terminology and medical procedures associated with clinical billing codes.
High degree of attention to detail.
Skilled in normal office procedures such as written and verbal correspondence and use of calculator and other office machines.
Ability to communicate effectively with others and occasionally deal with irate individuals.
Ability to diplomatically associate and relate to individuals of all social, economic, and cultural backgrounds.
Hearing acuity to converse in person and on telephone.
Visual Acuity to read and proofread documents and use CRT for extended periods of time.
Ability to walk, stand or sit for extended periods of time.
Manual dexterity to write and to operate standard office equipment (PC, Keyboard, Copy Machine, Fax Machine, etc.).
Ability to lift and carry files and supplies at least 20 pounds.
Strong interpersonal skills to interact with leadership, employees, persons served and the general public.
Analytical skills necessary to conduct research, analyze, and interpret complex data and identify and solve problems by proposing courses of action.
Ability to plan short and long range and to manage and schedule time.
Ability to handle stress in meeting deadlines and dealing with large numbers of employees and/or persons served.
Ability to handle mental and physical stress of recipient interaction, meeting deadlines and handling administrative problems.

Nice To Haves

Specialized certification (RHIT, RHIA, CPC, COC, CCS, etc.) is desired.
Two (2) years of relevant billing/coding experience is preferred.
Specialized certification (RHIT, RHIA, CPC, COC, CCS, etc.) desired.

Responsibilities

Supervise billing and coding staff to assist with the revenue cycle functions.
Manage the set-ups of all electronic billing systems to ensure proper functioning for effective and efficient billing and reimbursement processes.
Ensure timely monthly close of the billing function.
Analyze account detail (charges, payments, adjustments) and answer detailed questions from Billing & Accounts Receivable Specialists and Insurance Coding and Compliance Specialists.
Assist Billing & Accounts Receivable Specialists with identifying and providing solutions for third-party denials to obtain proper reimbursement of services.
Reconcile and monitor receivables and revenue between the General Ledger and SENTRI (EMR) to ensure accuracy and timely resolution of discrepancies.
Prepare and distribute end-of-month management reports.
Create monthly revenue journal entries based on EMR (SENTRI) service activity.
Serve as the primary Finance liaison for the SENTRI (EMR) system, coordinating system enhancements, managing change requests, and resolving application issues.
Serve as the Finance contact to the SCCMHA Entitlements Department regarding financial determinations (third-party payers, ability to pay, Medicaid deductibles) for individuals served within the SENTRI (EMR) system.
Plan and implement quality assurance for all billing processes.
Provide personnel development at staff and clinical provider meetings.
Develop and implement best practices for the billing department.
Develop and oversee procedures for the verification of service coding accuracy.
Develop, implement, and oversee procedures for the review, appeal, and resubmission of all claim denials.
Maintain strict confidentiality; adhere to all HIPAA guidelines/regulations and follow agency HIPPA reporting requirements.
Assist medical providers and employees with guidance on the usage of a specific CPT code, and modifier or documentation requirements.
Manage the reconciliation of all discrepancies found in billing records in a timely manner and provide reports to management or outside entities as appropriate.
Compile requested statistical, financial, billing or auditing reports using Excel functions and pivot tables.
Assist in compiling and evaluating documentation requested by external auditors related to the Authority’s revenue cycle.
Develop, implement, and oversee procedures for the posting of all 3rd party payments received and the reconciliation of identified differences.
Work with SCCMHA credentialing staff and Insurance Coding & Compliance Specialist to coordinate and manage the clinical provider credentialing process with all outside entities.
Handle routine correspondence and other administrative tasks as required.
Identify specific risk coding areas and strategies to promote accuracy and compliance, detection and correction of potential risk exposures and report these findings directly to the Finance Manager.
Provide and maintain current technical knowledge of insurance regulations pertaining to claims processing, coding, and allowable rates that can be billed and paid for by insurance carriers, and/or other programs to the extent that provides a level of understanding for managing the reimbursement function in a way that maximizes revenue and prevents untimely rebilling of routine services.
Responsible for analyzing and updating provider fee schedules in SENTRI (EMR) and coordinating with Network Services, as necessary.
Attend periodic conferences to maintain professional certifications as needed.
Serve as administrator for all third-party billing systems (ex. CHAMPS, Availity, Trizetto, CMS, etc.).
Assist with documenting financial policies, procedures, and detailed work instructions.
Perform other duties and responsibilities as assigned by supervisor.
Communicate the mission, vision, core values, and operating principles of SCCMHA to finance staff while holding them accountable and implement these principles in all duties of this position.
Serve all persons served with respect and dignity.
Communicate well with persons served, co-workers, and supervisors and meet deadlines and follow through with others as promised in order to provide additional information and/or to answer questions.
Demonstrate the ability to provide exceptional customer service to all persons served, staff, and providers of service.
Obtain necessary computer training in order to stay current with system changes, as needed to complete all tasks related to this position.
Attend meetings, seminars and workshops and study periodicals or publications in order to maintain proficiency in this area and to sustain or improve level of knowledge needed to coordinate changes to the billing system or reimbursement procedures.
Maintain a professional office setting at all times and organize workflow in an effective and efficient manner.