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    Billing Supervisor - Houston, United States - Abel HR Inc

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    Description

    Job Description

    Job Description

    We have a dynamic opportunity for an experienced Medical Billing Supervisor to join our team.

    Our ideal candidate will be responsible for maintaining industry standards for invoicing medical clinics and filing claims with insurance. To be successful in this role, the candidate must be highly motivated, detailed, and self-driven individual with excellent communication and organization skills. This position is a full-time, on-site position located in Houston Texas for a National company providing remote cardiac monitoring.

    Job Responsibilities:

    • Work with and lead daily collaboration and supervision of Billing Representative in vertical.
    • Ensure monthly invoices are submitted to clients in a timely manner.
    • Collaborate with the Clinical/Sales team to ensure all charges are entered timely and month close is completed by the deadline.
    • Communicate with clinic representatives and pursue collection efforts of invoice payments according to the term sheet agreement.
    • Efficiently manage patient/clinic complaints pertaining to billing.
    • Correctly code diagnoses and procedures along with a review of applicable insurance policy guidelines
    • Ensure compliance with coding and billing regulations, relevant healthcare regulations, and data privacy issues.
    • Assist the Sales team and Clinic representative with billing inquiries.
    • Assist with claim resubmission projects when necessary.
    • Review accounts that have partial or underpayments.
    • Handle incoming calls from patients and insurance companies regarding claims and patient balances.
    • Review accounts to determine if billed correctly.
    • Supports and adheres to all policies and procedures.
    • Performs other related duties as assigned or described in Company policy.

    Qualifications

    • High School graduate or equivalent. Associate degree, preferred.
    • 5 years high volume medical billing experience.
    • 5 years' experience with Medicare, Medicaid, and Commercial carriers' collections.
    • Knowledge of Billing and Collections procedures.
    • Strong attention to detail, goal oriented.
    • Experience with accounting software.
    • Excellent written and verbal communication abilities.
    • Ability to prioritize and manage multiple responsibilities.
    • Ability to employ deductive reasoning and critical thinking skills.
    • The ability to read Explanation of Benefits (EOBs) is critical for this position.
    • Strong cognitive skills including analysis, problem solving, high attention to detail, and decision making.
    • Ability to work collaboratively with other team members.
    • Great organizational skills
    • Above average organizational and time management skills
    • Strong Microsoft Office experience with emphasis on Excel (intermediate to advanced)
    • Knowledge of Federal, state and HIPAA privacy regulation, a plus.

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