PROFESSIONAL BILLING SUPERVISOR, REVENUE CYCLE MEDICAL GROUP

Description

Location: SGMC Patient Financial Services
Department: REVENUE CYCLE MEDICAL GROUP
Schedule: Full Time, 8 HR Day Shift,

POSITION SUMMARY 

The Professional Billing Supervisor’s primary role include overseeing and supporting the work of Insurance Billing Specialists. Among other duties, this individual is responsible for coordinating specialist’s efforts to resolve complex accounts and ensuring specialist’s interactions with patients are consistent and compassionate during billing and follow-up activities. The Professional Billing Supervisor helps to monitor all self-pay and third-party collection activities for the physician group and its affiliates and serves as a day-to-day resource for specialists. Establishes work schedules, assigns duties, provides instructions, and ensures staff maintain appropriate workloads and productivity. Ensures staff are actively and appropriately communicating with payers regarding delayed, denied, and underpaid claims. Assists staff when accounts are challenging, problematic, and/or unresponsive as necessary; escalates critical or ongoing issues to Billing Manager. Works with all healthy system staff to identify overpayments and process insurance refunds. Works with Billing Manager to develop, review, and revise policies and procedures to maintain the efficacy of the department. Assists Revenue Cycle Medical Group Billing Manager in the development of production standards and standard operating procedures for assigned processes. 

EDUCATION 

• Associates degree in related field (Accounting, Business, or Finance) or equivalent and experience with advanced knowledge of the healthcare industry, including three years of progressively responsible work experience in healthcare finance. 
• Certified Patient Account Representative (CPAR) desired 

• Must have at least four years of progressive related experience with patient accounting systems, billing and follow up. 
• Strong problem-solving skills and understanding of effective time management. 

• Thorough knowledge and understanding of fiscal, administrative and clinical systems. 
• Comprehensive knowledge of computer processes. 
• Thorough knowledge of Microsoft Office Products. 
• Thorough knowledge of confidentiality and HIPAA regulations. 

WORKING CONDITIONS - ADA INFORMATION 

Modern, well-lighted, air-conditioned, general office area. Moderate/High stress level. Incorporated within one or more of the previously mentioned essential functions of this position description is the following physical requirements: Ability to sit, stand or walk for moderate periods. Reading of printed material. Listening to customers and staff. Verbally responding to customers and staff. Moderately heavy lifting {0-25lbs.}, reaching, stooping, pushing, pulling, bending, twisting. Population Served: All ages, socio-economic backgrounds. Must be organized, self-motivated, and able to work independent of direct supervision to carry out responsibilities. Able to manage multiple priorities and meet deadlines. Subject to irregular schedule including nights, evenings and weekends.