Supervisor | Professional Billing Claims

CentraCare•Saint Cloud, MN

2d•Hybrid

About The Position

Find your purpose as the Supervisor of Professional Billing Claims. The Supervisor is responsible for the supervising the day-to-day operations of all Professional billing operations by guiding and leading staff serving as a leadership point person. Responsible for monitoring productivity and promoting timely completion of billing functions, as well as improvement to key revenue cycle indicators. The key indicators include but are not limited to; AR days, write off’s, and clean claims related to patient account management in Epic. Promotes expertise in billing practices by maintaining a comprehensive knowledge of payer compliance practices, providing necessary education and feedback as necessary. The Supervisor defines and provides the necessary support and leadership to achieve departmental goals and objectives. This position is responsible for personnel development, implementing and maintaining Business Office policies and initiating disciplinary action.

Requirements

High School Diploma or GED required.
Bachelor's Degree in Business-related or Healthcare related field required or a minimum of 3 years business office experience in lieu of education required.
3 years at a minimum of experience in a healthcare environment, particularly in revenue cycle required.
Ability to work independently.
Strong communication skills and customer relations principles.
Proficient with use of Microsoft Office applications and related healthcare systems and software.
Ability to prioritize and complete tasks in a timely manner with attention to detail and accuracy.

Nice To Haves

3 years at a minimum of project management or leadership experience preferred.

Responsibilities

Oversees the day-to-day billing of assigned staff in support of the overall revenue cycle.
Assists with recruiting, interviews, coordinates orientation, and leads employees using a performance management and development process that provides an overall context and framework to encourage employee contribution and includes goal setting, feedback, and performance development planning for assigned staff.
Oversee staff schedules and time off requests.
Coordinates assignment and distribution of workloads and work queues, adjusting staff allocation as needed, ensuring adherence to organizational policies and procedures, promoting compliance and organizational goals and standards.
Responsible for ensuring that employees are properly trained and oriented to work environment.
Completes and performs all aspects of the performance evaluation process and provides feedback to staff as appropriate.
Assures competency of personnel through assessment of competency and provision of training and education. Helps staff develop individual plans to meet career goals through education, mentoring, and other self-growth opportunities.
Supports activities and communication that fosters positive employee engagement. Promotes an environment conducive to positive and collaborative working relationships. Develops and sustains teamwork and staff satisfaction in order to maintain optimal workforce.
Collaborate with Manager on changes in policy/procedure, department budget needs, and on developing and implementing billing metrics.
Responsible for assisting senior-level staff in insurance claim follow-up, including resolving reimbursement issues and denial management.
Follow trends and develop and implement initiatives to reduce the rejection of claims.
Tracks issues with payers and departments to be resolved and identify common themes and communicate clearly and in a coordinated fashion to the Manager to collaborate with contracting team to assist with contract negotiations.
Collaborate with Manager to develop and monitor quality and productivity data to effectively lead employees to meet the organization's expectations for productivity, quality, and goal accomplishment.
Collaborate with Manager on carrying out the strategic plan, develop, accomplish and evaluate area/service specific goals, objectives and strategies with input from staff. Communicate and implement changes to effect continual improvement in services provided and assures compliance with regulatory and legal requirements.
Maintains knowledge of healthcare industry developments, current regulations and policies of the Federal, State and private payers. Keeps impacted department informed of changes, revisions, and updates. Attends all relevant seminars and education programs. Successfully complete assigned education within allotted time frame.
Complies with HIPAA regulations and organizations policies/procedures regarding patient privacy and confidentiality.
Enhances communication between leadership and staff providing ongoing feedback on system priorities, hospital/clinic-wide and section/department goals and objectives. Provides an open environment with a range of mechanisms for staff to voice concerns, give feedback or make suggestions.
Maintains a current knowledge/expertise of national/regional trends specific to recruitment and retention within the specialty.