Claims Billing Supervisor

Family & Children's Services Career Center•Tulsa, OK

About The Position

Under the leadership of the Claims Billing Manager, the Claims Billing Supervisor assists with day-to-day oversight of the Claims Billing and Reimbursement Quality Assurance team. The role supports accurate and complete execution of duties, including CDC submissions and finalizations, claims scrubbing, compiling, batching and submission, claims tracking reviews, and claim error corrections. The Supervisor serves as an agency subject matter expert and primary resource for CDCs and Claims Billing. The position reviews and tracks reports, supports timely CDC/authorization-for-payment finalization and billing, analyzes error reports at the manager’s direction, monitors team progress against performance benchmarks, and takes action as directed. The Supervisor also participates in Revenue Cycle Monthly Operational Reviews, monitors team metrics, recommends operational and system improvements, and is expected to maintain a hands-on working supervisor approach. Other duties may be assigned.

Requirements

Associate's degree or higher in a related field; a combination of experience and education may be considered in lieu of education requirements on a case-by-case basis.
At least 5 years of experience in healthcare; Behavioral Health experience is preferred.
Experience with billing through Electronic Health Records.
Supervisory experience.
Knowledge of government and commercial insurance procedures, regulations, and billing requirements.
Strong analytical and organizational skills.
Ability to lead and/or work as a member of various cross-functional teams.
Excellent written and oral communication skills.
Strong understanding of quality customer service.
Proficiency in Microsoft Suite.

Nice To Haves

Healthcare experience, preferably in Behavioral Health.

Responsibilities

Serve as an agency subject matter expert and go-to person for CDCs and Claims Billing.
Review and track assigned reports to address errors and submission delays in Claims Billing processes.
Maintain collaborative relationships with other departments and teams to ensure timely finalization of the Customer Data Core (CDC)/authorization for payment and billing.
Analyze key error reports at the direction of the Claims Billing Manager.
Monitor team progress against performance benchmarks and address issues as necessary, as deemed by the Claims Billing Manager.
Participate in Revenue Cycle Monthly Operational Reviews to address denial trends.
Monitor metrics that highlight team viability and take necessary action as directed by the Claims Billing Manager.
Recommend improvements to streamline operational and system problems.
Adopt a working Supervisor philosophy.
Perform other duties, tasks, and responsibilities as assigned.