Central Billing Supervisor

Lake County•Waukegan, IL

3h•Onsite

About The Position

The Central Billing Supervisor is a valuable member of our Finance team who will assist the Revenue Cycle Manager in the planning, implementation, and evaluation of the billing office. This role is also responsible for the generation of all EDI files to Medicaid, Medicare, and Private Insurance. The Central Billing Supervisor is responsible for all file transfer errors from the clearing house, monitoring the accounts receivable levels for specific funding sources, auditing assigned billing information for compliance to funding source requirements and medical coding standards, and more. Scheduled Hours: 40 hours per week

Requirements

Ten years of computerized medical billing experience with at least five years of previous supervisory billing experience with a large and diverse FQHC medical, dental and mental health organization.
Successfully receive a certificate in medical billing within six months of hire.
Thorough understanding of third-party payments, Medicaid, Medicare and electronic claims submission.

Nice To Haves

NextGen practice management is preferred
Experience with the State of Illinois billing requirements in a managed care environment are preferred.

Responsibilities

Generate the data to and from funding sources using EDI or other means as required; analyze the feedback from the funding sources regarding the actual data submitted.
Generates and analyzes a variety of statistical and management reports for the Health Department, such as accounts receivable aging, service utilization trends, and billing activity for certain funding sources.
Oversee the billing and collections for Medicaid, Medicare, private insurance, and other third-party payers.
Supervise the review of billing claims prior submission and task back improperly documented claims back to the provider or appropriate staff for corrections.
Supervise and support the Health Department billing function and provide direction and billing technical assistance as needed to the support staff and providers involved in data collection.
Assists in the interpretation and analysis of management data to maintain accuracy of the billing information and to effect improvements.
Assist with the resolution of claim information to secure payments from Managed Care Organizations.
Acquires and utilizes knowledge of the LCHD/CHC NextGen system to accurately and effectively coordinate requirements between the LCHD providers, front desk and the funding agencies.
Uses the NextGen patient management system, Tableau, and personal computer spreadsheets to create reports.
Manage the resolution and ensure that all rejections are reconciled with the billing information as directed.
Ensures timely and accurate entry of hospital charges.
Perform periodic audits of billing information for compliance with certain funding agencies’ requirements.
Responds to inquiries, gives appropriate information and referrals, and documents, if necessary.
Displays positive attitudes and behaviors in the accomplishment of job duties.
Participates in staff meetings, in-service training, and seminars to facilitate professional growth and maintain current certification related to billing if required.
Undertakes joint ownership of processes.
Takes a personal stake in the success of the organization.
Must meet minimum productivity expectations.
Maintains an awareness of professional involvement/collaboration with community resources.
All other duties as assigned.