Billing Supervisor

Woods Services
www.woods.org

Position Description:
As a member of the Revenue Cycle Team, the Billing Supervisor is responsible for the oversight of the Billing and A/R Specialist to ensure the accurate and timely billing of services, posting of payments, verification of authorizations, claims resolution and accounts receivable follow-up of outstanding balances. 

Responsibilities:

  • Supervise assigned Billing and Accounts Receivable Specialist(s) for designated funders to ensure that all electronic and paper claim billing is accurate and timely generated, that billing claims are properly supported by attendance and/or service entry and delivery data; and are in accordance with regulations and established policies and procedures.
  • Responsible for the daily management of accounts receivable. Works directly with billing team to resolve billing issues and establish collection goals.
  • Supervise daily activities of Billing and Accounts Receivable Specialist(s) and provide training and support. Report potential processing problems to the Revenue Cycle Director and make recommendations on resolution.
  • Analysis of unpaid claims and provision resolution and support. Report issues and actions of resolution to Revenue Cycle Director. Work with and notify program staff of issues with authorization of services and/or eligibility of clients to resolve non-payment issues.
  • Weekly monitoring and monthly reporting on the status of accounts receivable over 30 days in arrears, provide details of collection efforts and issues with securing reimbursement.
  • Coordinate with billing staff, billing supervisor and program staff to resolve billing/claims issues and perform collection actions via contacting funders by phone, email, and mail.
  • Perform insurance coverage verifications; correctly utilize ICD diagnosis codes, CPT/HCPC codes and modifiers to ensure accurate and timely payments.
  • Utilize knowledge of the pre-certification and authorization process to ensure all certifications and authorizations are current and correct.
  • Ensure compliance with billing practices, policies and procedures by leveraging strong knowledge of the policies and rules stipulated by key funders and regulatory authorities.
  • Responsible for all training and evaluation of the Billing and A/R Specialist.

Other Duties:

  • Serve as subject matter expert on CareLogic, funding sources, and industry trends.
  • Provide exemplary customer service to external stakeholders and internal clients.
  • Work collaboratively with other departments and programs to gather and provide information on authorization and eligibility issues.
  • Maintains quality results by following established policies and procedures.
  • Share knowledge of current regulations, policies and developments with team members and other stakeholders.
  • Maintain strict confidentiality with regard to all client information. Adheres to all privacy guidelines/regulations.
  • Demonstrate a strong commitment to performance accountability.
  • Respond to inquiries from funders and Woods management staff regarding billing and account related matters.
  • Other duties as assigned by the Revenue Cycle Director.

Specific Requirements and Preferences:

  • Associates Degree preferred. Individuals with billing experience in a healthcare environment and a high school degree will be considered in lieu of a degree.
  • Minimum ten years’ work experience relevant to the duties and responsibilities of the position required. 
  • A high level of experience with Medicare, PA and NJ Medicaid, Managed Care, Motor Vehicle and Third Party funders is essential.
  • Previous experience with computerized billing software and healthcare billing is required.
  • Strong interpersonal skills and a solid work ethic.  
  • Excellent organization and communication skills, clerical and numerical proficiency and familiarity with Windows-based software application packages.  
  • Strong MS Excel skills.   
  • Demonstrate the ability to handle multiple tasks, adhere to established deadlines, and produce work that consistently meets or exceeds team benchmarks.

Organization Description:
Woods Services is a 501(c)(3) non-profit multi-service population health management and advocacy organization that along with its five affiliate organizations provides innovative, comprehensive and integrated health, education, housing, workforce, behavioral health and case management services to more than 18,000 children and adults in the intellectual and developmental disability, child welfare, behavioral and brain trauma public health sectors who have complex and intensive medical and behavioral healthcare needs.

How to Apply:
https://careers-woodsservices.icims.com/jobs/3278/billing-supervisor/job

Posted March 22, 2021