Supervisor Business Office - Lab Reference

CHRISTUS Health•Irving, TX

About The Position

Performs the functions needed to ensure accurate billing and follow-up and collection of patient hospital accounts. Serves as a backup biller and/or collector when needed and trains new billers and collectors. Works with other departments to resolve issues and ensures systems and procedures maximize reimbursement from patients and third-party payers. Prepares statistical and analytical reports for management review. Supervises daily billing and follow-up work, monitors workflow and payment validation, and assigns tasks as needed to address fluctuating volumes. Ensures accounts are processed and productivity and quality goals are met. Maintains knowledge of billing systems and regulatory changes, supports system and payer issue resolution, and communicates relevant changes to staff and management. Reviews payment accuracy, managed care contract compliance, underpayments, and refunds.

Requirements

High school diploma.

Responsibilities

Follow administrative and departmental policies and maintain appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
Ensure all accounts are processed for billing and follow-up activity.
Supervise daily billing and follow-up work to meet established productivity and quality goals.
Work with the Patient Accounts Director and/or System Coordinator to maintain the Meditech system in compliance with policies, procedures, and billing guidelines.
Maintain knowledge of billing systems and assist with troubleshooting issues involving clearinghouses and payers.
Ensure 72-hour and combined billing reports for insurance payers are worked daily.
Monitor regulatory changes and communicate them to management, billing, and follow-up staff in a timely and effective manner.
Hold monthly or more frequent meetings with associates to review changes and new guidelines.
Monitor billing, follow-up and collections, and payment validation workflows; direct work tasks as needed to manage fluctuating volumes.
Ensure managed care payments comply with managed care contracts and appeal underpayments.
Ensure overpayments are refunded to payers.
Assist the Patient Accounts Director with hiring billing and collector associates.
Provide the Director with feedback on staff performance, productivity, and teamwork.
Analyze and report on billing trends, claim rejections, and issues affecting timely follow-up and collections.
Prepare statistical and analytical reports for management review.
Back up billers and/or collectors when needed.
Train new billers and collectors.
Work with other departments to resolve issues.