Medical Billing Supervisor

This is a fully remote position, open to applicants in North America.

📋 Description

• Oversee the billing, collections, and cash posting functions within the revenue cycle.

• Provide daily guidance and support to ensure the team achieves OCHIN's key performance indicators for financial health.

• Collaborate with the Operations Manager to formulate strategic plans aimed at enhancing operational efficiency.

• Partner with cross-functional departments to optimize collection potential.

• Establish and nurture relationships with client representatives to address issues related to processes and workflows.

• Ensure that billing operations are conducted in accordance with departmental protocols and comply with federal, state, and payer regulations.

• Enhance revenue by resolving claims and technical issues, maintaining customer relations, and tackling problems effectively.

• Subscribe to all national payer bulletins to stay informed about industry changes and report impacts on workflows to clients, team members, and technical analysts.

• Interface with customers to foster relationships that facilitate the timely and effective resolution of transactions and other issues.

• Recruit, develop, motivate, and coach a team dedicated to delivering exceptional customer service to all stakeholders.

• Manage billing staff while providing ongoing education, motivation, training, and leadership.

• Coach staff in problem-solving, effective communication strategies, conflict resolution, and career development opportunities.

• Conduct quality reviews of staff performance based on established metrics, ensuring they have adequate information and training to perform their assigned tasks.

⛳️ Requirements

• Certificate or an equivalent combination of education and experience is required.

• A high school diploma, GED, or relevant experience combined with some higher education is necessary.

• A Bachelor's or Associate degree in business or a related field is preferred.

• A minimum of 5 years of experience in healthcare, including at least two years in a managerial or project leadership role.

• For positions focused on PB billing, previous experience with FQHC/RHC is preferred.

• Coding experience or a CPC - Certified Professional Coder certification is advantageous.

• Experience with Acute Care EHR software, particularly EPIC, is required, with specific expertise in the HB Resolute module.

• Familiarity with HB Claims, Prelude, Cadence, and EpicCare modules is preferred.

• For HB-focused roles, experience with Critical Access Hospital or Method 2 Billing is preferred.

• Must be a self-motivated team player with substantial experience in physician office or medical practice revenue cycle management, including coding, charge capture, time of service collection, insurance eligibility and benefits verification, claims submission and management, and accounts receivable management, with familiarity in ICD-10, CPT, and/or HCPCS Coding Systems, as well as claim forms like CMS-1500 and UB-04.

• Understand external regulations pertinent to healthcare billing and collections, such as Medicare, Medicaid, state laws, and the Health Insurance Portability and Accountability Act (HIPAA).

• Possess a high level of research, root cause analysis, and problem-solving capabilities, along with superior attention to detail.

• Exhibit extensive analytical skills and the ability to communicate decisions, procedures, and processes clearly to a diverse audience.

• Demonstrate creativity and a willingness to adapt as necessary.

• Follow through on assignments, show initiative, be self-motivated, and possess a strong work ethic.

• Proven experience in creating, analyzing, and interpreting complex reports.

• Exhibit independent judgment and self-sufficiency in effective problem solving.

• Commitment of time and energy is essential.

• Willingness and ability to work overtime are required.

• Proficiency with standard office equipment and software, particularly a high aptitude in Microsoft Excel, proficiency in PowerPoint, and knowledge of VISIO.

• Proven ability to quickly master new applications.

• Knowledge of Medicare Billing Systems (DDE, Ability Ease) is preferred, with experience using payer portals being required.

• Excellent communication skills, both written and verbal, as well as demonstrated business writing skills, are mandatory.

• Must be willing to travel as necessary to achieve departmental and organizational goals.

🏝️ Benefits

• Generous compensation package.

• Support for a healthy work-life balance.

• Equitable opportunities for professional advancement.