Claims Billing Supervisor

Family & Children's Services•Tulsa, OK

About The Position

The Claims Billing Supervisor assists with day-to-day oversight of the Claims Billing and Reimbursement Quality Assurance team under the leadership of the Claims Billing Manager. The role helps ensure accurate and complete work, 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 “go to” person for CDCs and Claims Billing, monitors team progress and performance metrics, and recommends improvements to operational and system processes. This is a safety-sensitive position under the Oklahoma Medical Marijuana and Patient Protection Act and is subject to drug and alcohol testing, including random testing.

Requirements

Associate's degree or higher in a related field; a combination of experience and education may be considered in lieu of the education requirement on a case-by-case basis.
At least 5 years of experience in healthcare, preferably Behavioral Health.
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.

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 support timely finalization of the Customer Data Core (CDC)/authorization for payment and billing processes.
Analyze key error reports at the direction of the Claims Billing Manager.
Monitor team progress against performance benchmarks and address issues as deemed necessary by the Claims Billing Manager.
Participate in Revenue Cycle Monthly Operational Reviews to address denial trends.
Monitor metrics indicating 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.