Billing Supervisor - Accounts Receivable

November 5

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The MH Group (ManeHire)

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Description

• The MH Group is recruiting an experienced Billing Supervisor (Accounts Receivable). • The ideal candidate will improve the third-party Revenue Cycle's efficiency, quality, and financial outcome. • The role will be fully remote. • Perform advanced, highly complex levels of technical and analytical reporting. • Review outstanding aging regularly to identify trends and assign workloads to staff as necessary. • Ensures adequate staff coverage to meet department needs in addition to hiring and terminating staff in conjunction with the Billing Operations Manager. • Forecasts expected revenue, reconciles forecasted earnings with payment receipts and reports and organizes and analyzes requested data for internal and external department staff. • Meets regularly with all direct staff and provides guidance and direction to all daily claims work about claim submission, denial management, and outstanding AR. • Builds and utilizes analytic reports from the clearinghouse to direct denial management and assist the team with efficiently working receivables. • Review denials and outstanding aged receivables to identify and assign workloads to billing representatives based on various data points daily, weekly, and monthly. • Participates as an active team member in developing new programs/coding within the Electronic Health Records systems. • Directly oversee third-party Billing Representatives. • Confirms billing and payments for new programs or new coding/guidelines comply with directions published by pay sources. • Presents data collected and escalates topics to higher-level management when necessary. • Acts as a liaison between the Billing Department, program staff, vendors, and payer representatives.

Requirements

• An associate degree or 3-5 years prior health care revenue cycle analyst experience is preferred. • 2-3 years of management experience. • Ability to resolve conflict and delegate tasks within the scope of work. • Ability to schedule, meet, and maintain daily and monthly routines, as well as preserve the integrity of the EHR. • Identify team goals and evaluate progress, in addition to coaching team members to achieve these goals. • Extensive knowledge of medical insurance and an overall understanding of managed care products (HMO, PPO, ACO, etc.), as well as billing and collections with CPT, ICD-10, and HCPC coding and medical terminology. • Proficient in Microsoft Office products with strong skills in Excel (VLOOKUPs, pivot tables, formulas, etc.).