- Uphold statistical service level requirements in accordance with published company/industry expectation. (i.e., Days to Posting, Days to Claim, Payment Posting Lag, Coding Accuracy Rates, Cash Reconciliation,etc.)
- Responsible for managing credit balances in accordance with company goals and federal requirements.
- Identifies and reports to leadership any potential problems or successes within the Coding, Cash, and Reimburment teams.
- Focuses on improving the quality, service, and efficiency of the Coding and Cash teams. Delivers timely feedback and results. Seeks opportunity for staff development; implement effective training.
- Using data collection and reporting, develops goals and productivity targets for staff.
- Administer quarterly employee evaluations in line with company's performance standards: quality, customer care, operational efficiency, and professionalism.
- Reviews bi-weekly timecards for payroll.
- Engages team by being available and providing support.
- Supports team and individuals in line with the Company's mission, vision, values, and goals.
- Assist with interviewing and training new staff members as required.
- Ability to make sound, logical decisions that pertain to the teams in the absence of Manager and Director.
- Coaches staff in problem-solving techniques along with alternative ways to accomplish tasks.
- Upholds and manages HR policies and procedures.
- Ability to administer disciplinary action and address other staff-related concerns. Work closely with Manager and Director if issues escalate above a warning.
- Accepts escalated referring physician and patient calls both positive and negative to achieve quality and service. Assists with special cases and escalation calls (internal and external).
- Revise resource materials and job tools to reflect current practices and workflows.
- Build solid work relationships and serve as a liaison to other departments within SMIL.
- Facilitate and participate in meetings and other ad hoc committees.
- Performs other job-related duties as assigned or requested.
- Needs to be familiar with ICD-10, CPT, and HCPCS Coding Systems as well as claim forms such as CMS-1500.
- Needs to be familiar with correct coding and medical necessity systems such as NCCI, LCD/NCD, and various commercial payer guidelines to maximize ability to receive reimbursement.
- Demonstrated knowledge of cash department processes and ability to post all payments and adjustments.
- Proven research and mathematical skills.
- Proficient knowledge of Microsoft Office: Word, Excel, PowerPoint, & Outlook, with the ability to interpret professional documents.
- High School Diploma or Equivalent.
- 2+ years of Supervisor or Team Lead experience preferred.
- 2+ years of Radiology Coding or Cash Posting experience preferred.
- Professional training certification is a plus, but not required.
- Radiology/medical industry related certification is a plus, but not required.
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Billing Supervisor - Scottsdale, United States - Southwest Medical Imaging
Description
Since 1980, SMIL has evolved as a premier imaging group in the southwest. In 2016 SMIL won the Southwest Alliance for Excellence award for customer and employee satisfaction, sound management, innovation and results. SMIL was again recognized with the prestigious Advisory Board Company's 2017 Workplace of the Year Award, and in 2019 SMIL was named a World Class Employer by Birdeye Surveys, Inc.
Employee engagement is folded into everything we do at SMIL. We are dedicated to the growth of our employees including cross training and leadership career opportunities. Simply put, our culture is what sets us apart from the rest.
We offer competitive pay, career opportunities and benefits that include; medical, HSA employer contribution, dental, vision, paid time off, paid holidays, 401K and profit sharing, tuition and continuing education reimbursement, paid life insurance, long term disability as well as voluntary short term disability.
We look forward to you joining our amazing team
Position Summary
The Billing Supervisor oversees billing related departments characterized by highly transactional or repetitive processes. This position will develop and implement processes that support Medical Records Coding, Cash Posting, and Reimbursement Specialists. The Billing Supervisor is responsible for optimizing the use of revenue cycle resources while balancing performance management and ensuring the Company's strategic objectives are met. This is a highly visible position, requiring an individual who is motivational, goal-oriented, dependable, and relationship-driven. Able to achieve results from the team while maintaining employee job satisfaction.
Detailed Responsibilities
While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms and talk and hear. The employee is frequently required to sit. Specific vision abilities required by this job include close vision, color vision, ability to adjust focus.
