- Manages transitions to changing billing environments as they occur through each payor source including Medicaid, Medicare, Commercial, and Private Pay.
- Ensures that current fee schedules and billing manuals are being used for all payers billed while adhering to all organizational billing policies and procedures.
- Develops monitoring and tracking systems for billing (e.g. claim rejection) and provides detailed bi-weekly reports.
- Oversees monthly audits of for departmental efficiency and accuracy related to payment and collections accuracy and integrity.
- Monitor aged accounts bi-monthly working with staff to address oversights or problems within payers. Ensure staff follow the process to work unpaid claims and backlogs (i.e. credentialing and carrier issues) are reported to be managed promptly assuring appeals are done in a timely manner. Reviews established accounts for bad debt write off.
- Maintains EHR super user status including active participation in user groups, upgrades and staff training as needed.
- Ensures patient confidentiality, and provides patients with needed information as requested.
- Hires new billing staff as necessary and completes performance evaluations as required by FHCHC policy.
- Develop and maintains training processes and written guides for both new hires and existing staff.
- Assists in reviewing updates to FHCHC Billing Policies bi-annually, and as necessary.
- Participates in team meetings.
- High School Diploma and/or GED equivalent required. Associates Degree preferred.
- Minimum of three (3) years of directly related healthcare experience required, particularly in professional billing environment
- Minimum of one (1) year supervisory experience preferred.
- Solid knowledge of medical terminology, medical billing, A/R systems, ICD-9 and CPT coding, HCPCS and payer registration and verification processes required.
- Strong communication and leadership skills required
- Knowledge and proven experience in non-profit Federally Qualified Health Centers is strongly preferred.
- Medical Billing Specialist
- Dental Billing Specialist
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Medical Billing Accounts Receivable Supervisor - New Haven, United States - Fair Haven Community Health Care
Description
Fair Haven Community Health CareFHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at nearly 140,000 office visits in 19 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is "To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive."
For over 50 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a diverse and motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients. We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay.
Job purpose
Reporting to the Sr. Director of Clinical Operations, the Medical Billing Accounts Receivable Supervisor will be responsible for minimizing receivables while maximizing revenues on a collections focused team. Supervisor focuses on building direct communication and collaborative relationships with insurance companies and patients. Demonstrates a service orientation which consistently aims at exceeding client expectations and which contributes positively to the greater working environment.
Duties and responsibilities
Medical Billing Accounts Receivable Supervisor will direct and manage the daily operation of the Medical Billing Specialist team to ensure the posting and collections of all billable encounters are completed in an accurate and timely manner. The successful candidate will supervise and facilitate all processes, policies, procedures and be responsible for overall team motivation and effectiveness.
Typical duties include but are not limited to:
Category III-Low Risk Position
Generally works in an office environment with no exposure to bloodborne pathogens
Physical requirements
Physical Demands: Requires walking, bending, sitting, standing, writing, reading, telephone use, data input into computer, pulling medical records,
Mental Demands: Ability to cope with continual changing priorities under potentially stressful conditions
Manual Dexterity Required: Ability to use a keyboard, telephone.
American with Disabilities Requirements
External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.
Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
