Billing Supervisor

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Position is weekdays, 1st shift. Salary 45K

General Description:

This position is responsible for direct supervision and  training of Billing Assistants, working closely with the Billing Manager to maintain a consistent and efficient work flow that covers all areas in the billing process.

Essential Job Functions

  • Provides ongoing and direct supervision of billing assistants on insurance company interactions, claims resolution.
  •  Coordinate  projects and the delegation of work to assigned staff.
  • Acquires a strong working knowledge of AR+ billing software, set ups and  transmitting and  payment of claims.
  •  Communicates with payers to determine: verification of benefits that are applicable to services being rendered, authorization requirements and behavioral health specific claim submission requirements
  • Utilizes applicable software and insurer  reports to verify the completeness and accuracy of claims data.  Follow up on claims errors and denials.
  • Eligibility verification through state resources and insurance  carriers, when applicable
  • Maintains all billing related files, records and logs when applicable
  • Initiates and tracks managed care authorizations and re-authorizations when required for assigned payers
  • Ensure that l billing follow-through functions are performed at designated required intervals
  • Oversees collection activity of billing staff
  • Advises billing manager of individual account resolution issues or payer specific claim payment related issues
  • Attends payer-specific billing related meetings and trainings as required
  • Facilitates a positive and constructive work environment with other managers within the building and organization
  • Provides coverage for billing manager
  • Other related duties as assigned by supervisor

Skills

Ability to:  

    • Effectively problem solve and escalate for resolution to management,  billing company or payer when necessary
    • direct, train and prioritize the work of  billing assistants and other assigned staff.
    • work independently with little direction and attention  to detail
    • prioritize individual and staff work and apply judgment in various situations
    • ensure that task completion is in compliance with applicable laws and regulations
    • multi-task and work in a fast paced environment
  • Utilize excel to track residential recovery home and recovery coach census, billing and authorization
  • Experience with automated billing and accounts receivable software
  • Strong customer service and interpersonal skills
  • Ability to effectively and professionally communicate with all levels of the organization, clients and payer representatives

Qualifications

  • High School or General  Equivalency Diploma (GED) Required; Minimum  2 year degree preferred or significant experience
  • 3  years recent experience in billing, claims processing and follow-up in an outpatient healthcare setting, preferably behavioral health; experience with claims research and collections, CPT/ICD10 codes.  Outpatient behavioral health experience strongly preferred
  • At least  2 year of solid staff supervisory experience
  • Strong working knowledge of health insurance reimbursement and billing procedures required
  • Experience with insurance authorizations strongly preferred
  • Proficiency with  applications such as MS  word and excel required

Other Requirements

  • Ability to pass a Criminal Offender Record Information check (CORI)
  • Ability to pass a Driver’s license check (RMV)

Working Conditions

  • Works in office, temperature regulated

Physical Conditions

  • Extended monitor viewing and keyboard use is required
  • Lifting up to 40 pounds
  • Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions



IND1

Location: Full time in Pittsfield, MA
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