Location: Van Wert, Ohio
Date Posted: 11-06-2017
Job Title: Billing Supervisor   (Van Wert, Ohio)
 Certification through a Professional Coding Program, such as AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management Association)
  1. Minimum two years supervisory experience in a medical physician office facility
  2. Minimum two years in medical practice billing, coding and collections
  3. Advanced working knowledge of billing operations, including charges, coding, payment, insurance claims and appeals, scheduling, and switchboard
  4. Advanced and current knowledge of CPT, HCOPCS and ICD-9-CM coding
  5. Current working knowledge of Fair Collection laws
  6. Working knowledge of methods, procedures, regulations and guidelines in patient billing
  7. Current knowledge of insurance payer coding and reimbursement guidelines
  8. Working knowledge and experience in health information system management, including billing and medical record applications
  9. Ability to identify, initiate, implement and manage business practices, policies and processes
  10. Proficient organizational skills, attention to detail and accuracy
  11. Demonstrated ability to establish and maintain effective working relationships with internal and external parties
  12. Ability to exercise initiative, problem-solving and decision making
  13. Excellent interpersonal and communication skills
  14. Demonstrated customer service oriented attitude/behavior
  1. Oversees the day-to-day operations of the Clinic's Billing Department
  2. Conducts, recommends, and educates on all coding of services rendered
  3. Participates and works with other Managers and Supervisors in developing good working relationships and processes throughout the Clinic
  1. SCOPE:
  1. Manages, directs and/or coordinates the billing operations of the Clinic
  2. Supervises all billing personnel
  3. Collaborates with Administration, Management, Physicians and Extenders to effect good operations
  4. Operates within financial policies, procedures and budget with effective use of resources
  5. Ensures compliance in federal, state and other regulations including corporate, compliance, licensure, safety and security as relates to general office operations
  1. Provides guidance and direction to billing personnel
  2. Performs selection, orientation, discipline, evaluation, and dismissal of billing department personnel
  3. Prepares staff schedules and ensures adequate staffing to meet demands of the department
  4. Keeps department staff appraised of Clinic operations; conducts monthly department meetings
  5. Prepares, implements and manages existing and new departmental processes and procedures
  6. Performs coding of services, procedures and diagnoses of services rendered by providers and departments
  7. Reviews chart documentation for correct coding and missed revenue opportunities
  8. Communicates and educates providers, administration, managers and staff on coding and documentation guidelines, rules and regulations
  9. Assists with denials and appeals from insurance payers due to coding issues
  10. Assists with charge entry, patient demographics, registration, collections and other insurance/billing functions
  11. Oversees patient account collection processes and assists collector in processes
  12. Conducts new employee orientation and periodic training updates
  13. Maintains facilities, space and equipment to ensure a comfortable and safe working environment
  14. Participates with Administration, Physicians and Managers/Supervisors in identifying new processes, procedures and services
  15. Attends and participates in management meetings, physician meetings upon request, and continuing education
  16. Demonstrates and promotes a positive patient/customer service attitude
  17. Performs other tasks as assigned
  1. Uses universal precautions when tasks being performed present the possibility of exposure to blood or body fluids; this includes using appropriate personal protective equipment and work practices.
  2. Light work - exerts up to 50 pounds of force occasionally and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for sedentary work. Even though the weight lifted may be only a negligible amount, a job should be rated light work (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.
  3. Participates in and coordinates with organizational process to collect and ensure information about hazards and safety practices that are used to identify safety management issues. Adheres to established policies and procedures, which may include wearing of personal protective equipment.
  4. Participates in and fosters an approach to continuously improving quality that includes both intra-departmental and inter-departmental activities.
  5. Has knowledge of the clinical interventions and equipment necessary to meet the specific needs of the patient population served (check those that apply):
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