Claims Processing Supervisor
Crossroads Treatment Centers is an equal opportunity employer.
We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Description:
The Charge Entry Supervisor oversees the operations of the charge entry team, encompassing medical coding, charge entry, claims submissions, and clearing house rejections.
Supervisor is responsible for monitoring the timely and accurate processing of all claims in EMR and clearing house systems.
The Charge Entry Supervisor will work closely with the RCM Manager overseeing the employee's productivity, quality, training, coaching, and responds timely to all questions.
Supervisor will serve as the charge entry/billing subject matter expert.
The Charge Entry Supervisor will audit billing batches and run daily transaction reports to ensure the team's accuracy, as well as monitor charges to ensure all services by payor and CPT have been billed according to payor requirements daily, weekly, and monthly.
Supervisor gathers and evaluates the results of billing operations regularly and reports results to the RCM Manager and/or RCM Director.
Essential Duties and ResponsibilitiesoOversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
oAnalyze billing and claims for accuracy and completeness; supervises claims are sent to correct insurance entities and follow up on any issues verifying high clean claim turn around rateoAccomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standardsoAudits current procedures to monitor and improve efficiency of billing operations.
oEnsures that the activities of the billing department are conducted in a manner that is consistent with overall department protocol, and follow Federal, State, and payer regulations, guidelines, and requirementsoAnalyzes trends impacting charges, coding, and take appropriate actionoKeep up to date with carrier rule changes and distribute the information within the practiceoUnderstands and is up to date with current coding and billing regulations and compliance requirementoConducts performance reviews for all direct reportsoDevelops, implements, and maintains billing office policies and proceduresoTroubleshooting patient billing complaints, develops process improvements to prevent recurrencesoSupervises billing staff, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performanceoProven leadership and management skillsoServes as the practice expert and go to person for billing processesCharge Entry Supervisor Job DescriptionEqual Opportunity EmployeroEnsure accurate billingoDemonstrated analytic, written, and oral communication skillsoTakes initiative and daily decision makingoResponsible for specific team training and development of team members, providing feedback and monitoring.
oPrepares reports for various departments pertaining to billing.
oSupports leadership in oversight of designated Revenue Cycle Management to ensure all RCM functions are worked within the established timeframesoEnsures that quality of work is maintained, and that compliance policies and procedures are followed through billing operations.
oReport audit production and quality metrics for employeesoConduct team meetings to educate on insurance guidelines, claim denials pertaining to departments, and re-training efforts on accounts incorrectly verified, charges non submitted.
oMaintain patient confidentiality and function within the guidelines of HIPAAoProvide resolution support and guidance surrounding all billing processes and the performance management of all direct reports.
oEnsure adherence to healthcare law, rules, and regulationsoPerforms other miscellaneous duties as assigned pertaining to job levelQualification Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Position requires constant mental alertness, attention to detail, and high degree of accuracy required in completing all assignments.
Strong problem-solving skills.
Smart, driven, exceptional work ethic.
Must be able to follow oral and written instructions and follow -through on all assignments.
Excellent organizational skills.
Highly detailed-oriented.
Ability to work well in a group setting and independently.
Education and/or
Experience:
oHigh school diploma or equivalent.
o2
years of supervisory experience in a similar role.
oPreferred 2 years medical billing and charge entry - in a hospital or physician office setting.
oCertified coder preferredoGeneral knowledge of HCPCS and CPT coding.
oWorking knowledge of practice management software.
oWorking knowledge with allowable/contractual amounts, payment terminology, adjustments, identifying patient responsibility.
Language Skills:
Ability to read, analyze, and interpret human service periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Excellent communication and interpersonal skills.
Mathematical Skills:
Ability to calculate figures and amounts such as percentages, mean, mode and median ability to draw and interpret graphs.
Reasoning Ability:
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
The employee occasionally lifts/carries paperwork, files, office supplies, up to 20 lbs.
, pushes/pulls exerting up to 5-10 lbs.
force, opening doors, file drawers, pushing files in drawers, and kneeling/crouching and/or ability to reach lower file drawers, file stretching to store of retrieve materials.
Specific vision abilities required by this job include close vision and the ability to adjust focus.
Frequent sitting at desk or computer while typing, completing paperwork, or meeting with patients.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Normal office environment where there is no physical discomfort cue to temperature, dust, noise, and the like.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Recommended Skills Accounts Receivable Analytical Attention To Detail Auditing Billing Business Correspondence Estimated Salary: $20 to $28 per hour based on qualifications.
We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Description:
The Charge Entry Supervisor oversees the operations of the charge entry team, encompassing medical coding, charge entry, claims submissions, and clearing house rejections.
Supervisor is responsible for monitoring the timely and accurate processing of all claims in EMR and clearing house systems.
The Charge Entry Supervisor will work closely with the RCM Manager overseeing the employee's productivity, quality, training, coaching, and responds timely to all questions.
Supervisor will serve as the charge entry/billing subject matter expert.
The Charge Entry Supervisor will audit billing batches and run daily transaction reports to ensure the team's accuracy, as well as monitor charges to ensure all services by payor and CPT have been billed according to payor requirements daily, weekly, and monthly.
Supervisor gathers and evaluates the results of billing operations regularly and reports results to the RCM Manager and/or RCM Director.
Essential Duties and ResponsibilitiesoOversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
oAnalyze billing and claims for accuracy and completeness; supervises claims are sent to correct insurance entities and follow up on any issues verifying high clean claim turn around rateoAccomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standardsoAudits current procedures to monitor and improve efficiency of billing operations.
oEnsures that the activities of the billing department are conducted in a manner that is consistent with overall department protocol, and follow Federal, State, and payer regulations, guidelines, and requirementsoAnalyzes trends impacting charges, coding, and take appropriate actionoKeep up to date with carrier rule changes and distribute the information within the practiceoUnderstands and is up to date with current coding and billing regulations and compliance requirementoConducts performance reviews for all direct reportsoDevelops, implements, and maintains billing office policies and proceduresoTroubleshooting patient billing complaints, develops process improvements to prevent recurrencesoSupervises billing staff, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performanceoProven leadership and management skillsoServes as the practice expert and go to person for billing processesCharge Entry Supervisor Job DescriptionEqual Opportunity EmployeroEnsure accurate billingoDemonstrated analytic, written, and oral communication skillsoTakes initiative and daily decision makingoResponsible for specific team training and development of team members, providing feedback and monitoring.
oPrepares reports for various departments pertaining to billing.
oSupports leadership in oversight of designated Revenue Cycle Management to ensure all RCM functions are worked within the established timeframesoEnsures that quality of work is maintained, and that compliance policies and procedures are followed through billing operations.
oReport audit production and quality metrics for employeesoConduct team meetings to educate on insurance guidelines, claim denials pertaining to departments, and re-training efforts on accounts incorrectly verified, charges non submitted.
oMaintain patient confidentiality and function within the guidelines of HIPAAoProvide resolution support and guidance surrounding all billing processes and the performance management of all direct reports.
oEnsure adherence to healthcare law, rules, and regulationsoPerforms other miscellaneous duties as assigned pertaining to job levelQualification Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Position requires constant mental alertness, attention to detail, and high degree of accuracy required in completing all assignments.
Strong problem-solving skills.
Smart, driven, exceptional work ethic.
Must be able to follow oral and written instructions and follow -through on all assignments.
Excellent organizational skills.
Highly detailed-oriented.
Ability to work well in a group setting and independently.
Education and/or
Experience:
oHigh school diploma or equivalent.
o2
years of supervisory experience in a similar role.
oPreferred 2 years medical billing and charge entry - in a hospital or physician office setting.
oCertified coder preferredoGeneral knowledge of HCPCS and CPT coding.
oWorking knowledge of practice management software.
oWorking knowledge with allowable/contractual amounts, payment terminology, adjustments, identifying patient responsibility.
Language Skills:
Ability to read, analyze, and interpret human service periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Excellent communication and interpersonal skills.
Mathematical Skills:
Ability to calculate figures and amounts such as percentages, mean, mode and median ability to draw and interpret graphs.
Reasoning Ability:
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
The employee occasionally lifts/carries paperwork, files, office supplies, up to 20 lbs.
, pushes/pulls exerting up to 5-10 lbs.
force, opening doors, file drawers, pushing files in drawers, and kneeling/crouching and/or ability to reach lower file drawers, file stretching to store of retrieve materials.
Specific vision abilities required by this job include close vision and the ability to adjust focus.
Frequent sitting at desk or computer while typing, completing paperwork, or meeting with patients.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Normal office environment where there is no physical discomfort cue to temperature, dust, noise, and the like.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Recommended Skills Accounts Receivable Analytical Attention To Detail Auditing Billing Business Correspondence Estimated Salary: $20 to $28 per hour based on qualifications.
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