Supervisor, Medical Billing​/Coding Specialist

Job Description

Medical Billing/Coding/Collections Supervisor

Job Description

General Description:

Responsible for all aspects of revenue cycle including registration, charge posting, billing, payment posting, collections, & claim appeals. The Medical Billing/Coding/Collections Supervisor is responsible for the timely follow through and follow-up on claims and patient balances through acceptable resolution. Medical Billing/Coding/Collections Supervisor possesses extensive experience optimizing revenue outcomes through clean claims submission and master level skills appealing denied or underpaid claims.

Medical Billing/Coding/Collections Supervisor is the lead person responsible for the Accounts Receivable.

Medical Billing/Coding & Collections Supervisor is a master level user of eCW and is responsible for the system set up and maintenance of master files pertaining to Revenue Cycle. Medical Billing/Coding Collections Supervisor is liaison and responsible for vendor set up, testing, and maintenance of the Revenue Cycle. The Medical Billing/Coding/Collections Supervisor is highly organized; works collaboratively with other revenue cycle team members acting in a team lead role.

Reports to: Practice Manager

Provide Leadership with Ultimate Responsibility:

• Timely review of failed edits for correction of patient registration or patient demographic changes.
• Review charges from physician's operative notes or office charge ticket. Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-9 code, date of admission, and date of injury (DOI). Asks for clarification from provider as needed.
• Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work.
• Through understanding of payer medical policies for Bariatric surgery and other surgical procedures.
• Reduce denials by correct use of modifiers, mapping, and linking codes with services.
• Responsible for the processing and discrepancy reconciliation and closing of charge and payment batches.
• Ability to successfully track and follow up on information requests from patients or payers.
• Responsible for ensuring all payments collected either prepayment or time of service are posted as corresponding charges are posted.
• Responsible for posting all patient discounts as indicated in proposals or approved by Dr. Fenner.
• Responsible for the timely correction of any failed claim(s) with in billing system, at clearing house, or via payer correspondence &/or EOB denial.
• Strong customer service skills; answers patient and insurance calls; promptly returns or follows up to all interactions; prompt response to all request for information, both internal and external.
• Post insurance payments and contractual adjustments received by mail or via clearing house payment files.
• Ability to conduct a contract rate audit and appeal underpaid.
• Notify Office Manager of any payments received at 100% of charge amount.
• Follow balancing procedures; daily and monthly.
• Balance all payments to checks or electronic fund transfers received.
• Bill Secondary Insurance or Patient after insurance claim processes.
• Track all services to make certain all charges have been received and posted. Notify provider(s) if charge ticket(s) have not been received.
• Appeal claims timely and accurately to maximize reimbursement.
• Work in cooperation with Patient Financial Counselor and Office Manager to manage all patient responsibility balances by preparing and sending monthly statements.
• Work in cooperation with Patient Financial Counselor and Office Manager monitor patient aging by contacting patients with large balances to set up payment plan.
• Prepare accounts with past due patient balances and transfer to collection agency.
• Parti…