Medical Billing - Revenue Cycle – Supervisor – Medicare - On-Site or Remote

Global Medical Response • Full-time • West Plains, Missouri, United States • 3w ago

Medical Billing-Revenue Cycle – Supervisor – Medicare

On-Site or Remote

Starting Pay $45K

The Supervisor – Medicare position provides leadership and oversight to the Revenue Cycle employees to ensure an overall high level of quality, efficiency, and productivity, while affirming all departmental goals and projections are satisfactorily met. Maintains a physically, mentally, and environmentally safe work environment for all employees. Direct responsibility to maintain a proper flow of revenues and streamline processes. Provides a positive work environment and mentors employees by providing purpose, motivation, and direction in-order-to accomplish the department’s mission.

Essential Functions/Duties

· Responsible for recommending, implementing, and subsequent analysis of process improvements.

· Oversee claim submission process to ensure claims are submitted as required in accordance with all federal, state, and local government regulations and requirements in a timely manner.

· Maintain a working knowledge of billing regulations and follow-up collection trends with a diverse group of national payors.

· Assure process and resources are allocated to provide required payor documentation assembly and filing in a timely manner.

· Gather, analyze, and identify billing and/or follow-up problems recommending corrective actions and procedural changes.

· Analyze work processes and implement procedural changes to maximize efficiency.

· Set goals and motivate employees to foster high performing teams.

· Work effectively as a member of a leadership team.

· Communicate clearly and concisely, both orally and in writing, giving presentations as needed.

· Serve as a "champion" for best practices within our “I-Care” Cultural Pillars. (Integrity / Compassion / Accountability / Responsibility / Excellence)

Qualifications:

Required Experience

· Must be fluent in English

· Minimum of three (3) years of experience in healthcare/revenue cycle billing environment

· Full-time experience in an administrative, managerial, or supervisory position with direct responsibility for delivery of patient accounting services, healthcare billing and follow-up services, and collection services

· Proficient in Word, Excel, and other Office 365 applications

· Must possess empathic and professional written and verbal communication skills

· Knowledge and experience of computers and related technology, at an advanced level

Preferred Experience

· Medicaid, Medicaid Managed Care and/or Workers’ Compensation billing experience

· Bachelor’s degree in Business, Healthcare Administration (significant, relevant work experience may substitute for degree requirements).

· Above average knowledge of Medicare, Medicare Advantage to include Medicare as a secondary payor (MSP)

· Minimum of one (1) year working in a call center environment

Required Education

· High school diploma or equivalent

Skills:

· Knowledge of cash management principles and/or procedures

· Knowledge of health care billing procedures, reimbursement, third party payer regulations, documentation, and standards

· Knowledge of health care billing compliance regulations

· Knowledge and understanding of payor Explanation of Benefits (EOB)

· Requires strong problem-solving skills, attention to detail, and ability to make timely decisions

· Above average computer skills and familiarity with Microsoft Office, especially Excel

· Ability to drive results, review/improve processes, and manage change

· Excellent internal and external customer service skills

· Responsiveness and a strong commitment to meeting internal and external deadlines with limited supervision

· Strong written and verbal communication skills, interpersonal skills, and proficiency in presenting findings in PowerPoint

· Work with large volumes of data including knowledge of pivot tables and other Excel functions

· Strong quantitative, analytical, and problem-solving skills

EEO Statement

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

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