Billing Supervisor - Saratoga Hospital : Job Details

Billing Supervisor

Saratoga Hospital

Job Location : Saratoga Springs,NY, USA

Posted on : 2024-11-13T08:38:32Z

Job Description :

Summary of Position: The Supervisor of Billing assumes direct and primary responsibility for the ongoing management of day to day billing operations including but not limited to; assumes direct responsibility of various Billing roles, analysis and status of claims to ensure timely and compliant submission to health insurance payers, working with revenue cycle departments by responding to inquiries and working with payer representatives. Provides leadership on areas of improvement, recommendations and efficiencies to optimize revenue while creating a high functioning environment holding staff accountable while providing growth opportunities. An extensive working knowledge of payer#s billing and submission policies, rules and appeal processes. Primary Job Responsibilities: Leadership: Assumes direct and primary responsibility for guidance, support and monitoring performance of day to day tasks conducted by direct reports. Fostering strong teamwork and high functioning work environment for PFS. Information Systems and Reporting: Effectively utilizes various assigned systems to submit and/or resolve claim issues. Complete assigned work queues to follow up on aging receivables as assigned. Develops and implements business operations process changes. Implements work plans and efficiency improvement strategies. Collaboration: Contributes and attends various committee and working group meetings. Prepares, maintains and works assigned billing reports to assist in the improvement of the aging receivables. Acts as primary liaison to provide guidance to other departments related to billing matters while developing effective relationships with all parties to contribute to overall success of Billing. Training: Facilitates and contributes to the development of a training programs in PFS surrounding billing functions. Partners with training leadership and other department leadership to promote engagement and quality improvement organization wide with best practices affecting insurance functions. Third Party Payer Relationship: Problem Solve issues with third party payer as assigned. Understand the rules and regulations of third party billing for the payers assigned. Knowledge of non-governmental contract components for payers assigned. Access Third Party Carriers direct portals through the internet for issues related to obtaining eligibility verification or verification of payment of service. Minimum Qualifications:# Associates Degree required with 5 year of hospital/professional billing or insurance claim processing experience. Bachelor#s degree preferred. # Required Skills, Abilities and Attributes: Excellent verbal and written communication skills a must. Ability to organize and establish day-to-day priorities while utilizing critical thinking skills in all aspects of the job.# Must be able to multitask while remaining professional, focused, composed and positive. Excellent customer service skills and must display integrity, friendliness and compassion. Must be able to establish an appropriate and effective rapport with others. Must be flexible to take initiative and embrace new opportunities to grow both personally and organizationally. Problem solving skills. Proficient with Microsoft Office products: Outlook, Word, Excel and PowerPoint. Strong organizational skills. Effective interpersonal skills. Ability to work as part of a team and independently. Salary Range: $24.95 - $40.96 Pay Grade: 28 Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.

Summary of Position:

The Supervisor of Billing assumes direct and primary responsibility for the ongoing management of day to day billing operations including but not limited to; assumes direct responsibility of various Billing roles, analysis and status of claims to ensure timely and compliant submission to health insurance payers, working with revenue cycle departments by responding to inquiries and working with payer representatives. Provides leadership on areas of improvement, recommendations and efficiencies to optimize revenue while creating a high functioning environment holding staff accountable while providing growth opportunities. An extensive working knowledge of payer's billing and submission policies, rules and appeal processes.

Primary Job Responsibilities:

* Leadership: Assumes direct and primary responsibility for guidance, support and monitoring performance of day to day tasks conducted by direct reports. Fostering strong teamwork and high functioning work environment for PFS.

* Information Systems and Reporting: Effectively utilizes various assigned systems to submit and/or resolve claim issues. Complete assigned work queues to follow up on aging receivables as assigned. Develops and implements business operations process changes. Implements work plans and efficiency improvement strategies.

* Collaboration: Contributes and attends various committee and working group meetings. Prepares, maintains and works assigned billing reports to assist in the improvement of the aging receivables. Acts as primary liaison to provide guidance to other departments related to billing matters while developing effective relationships with all parties to contribute to overall success of Billing.

* Training: Facilitates and contributes to the development of a training programs in PFS surrounding billing functions. Partners with training leadership and other department leadership to promote engagement and quality improvement organization wide with best practices affecting insurance functions.

* Third Party Payer Relationship: Problem Solve issues with third party payer as assigned. Understand the rules and regulations of third party billing for the payers assigned. Knowledge of non-governmental contract components for payers assigned. Access Third Party Carriers direct portals through the internet for issues related to obtaining eligibility verification or verification of payment of service.

Minimum Qualifications:

Associates Degree required with 5 year of hospital/professional billing or insurance claim processing experience. Bachelor's degree preferred.

Required Skills, Abilities and Attributes:

* Excellent verbal and written communication skills a must.

* Ability to organize and establish day-to-day priorities while utilizing critical thinking skills in all aspects of the job.

* Must be able to multitask while remaining professional, focused, composed and positive.

* Excellent customer service skills and must display integrity, friendliness and compassion.

* Must be able to establish an appropriate and effective rapport with others.

* Must be flexible to take initiative and embrace new opportunities to grow both personally and organizationally.

* Problem solving skills.

* Proficient with Microsoft Office products: Outlook, Word, Excel and PowerPoint.

* Strong organizational skills.

* Effective interpersonal skills.

* Ability to work as part of a team and independently.

Salary Range: $24.95 - $40.96

Pay Grade: 28

Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.

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