What are the responsibilities and job description for the Billing Supervisor position at Community Alliance?
This position is responsible for supervising the day-to-day operations of Community Alliance behavioral health and medical billing and coding to ensure maximization of revenue generation. An individual employed in this position exercises leadership responsibility assuring effective and efficient billing and oversees the daily workflow of billing and collections activities.
Billing Operations: Supervises the operations of the billing department, encompassing behavioral health and medical billing, charge entry, claims submissions, payment posting, and accounts receivable follow-up, and reimbursement management, inclusive of:
Assure proper claim submission and resubmissions, processing of payments, and addresses outstanding receivables.
Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities.
Assure all Community Alliance staff are promptly and accurately credentialed and re-credentialed with contracted payer including, Medicare, Medicaid, and private insurance.
Maintain contact with program areas to obtain and analyze additional client information to document and process billings.
Prepare and analyze accounts receivables reports and insurance contracts. Collect and compile accurate statistical reports.
Audit current procedures to monitor and improve efficiency of billing and collections operations.
Ensure the activities of the billing operations are conducted in a manner that is consistent with agency policies and procedures, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
Analyze trends impacting charges, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
Keep current with carrier rule changes and distribute information with key stakeholders.
Qualified by training and/or experience to function at a high level of independence and professionalism on a daily basis in the performance of position job responsibilities consistent with applicable regulations and organizational and program goals, philosophy, policies, and procedures, including:
Minimum 3 years of experience in primary care and/or behavioral health care with progressively increasing responsibilities, preferably in a community medical or other clinical healthcare setting.
Earned bachelors degree in an area relevant to the position; additional directly related experience and/or RHIA, RHIT, CCS, CCS-P, or CPC certification.
Familiarity with primary care insurance claims process, including cleaning up claims before submission, payment processing, and denied claims processing; additional experience in behavioral health insurance claims processing is a plus.
Familiarity with the credentialing process.
Demonstrated ability to work independently, initiate, organize and complete tasks in areas of responsibility, set priorities for successful revenue cycle management, effectively exercise discretion and judgment, consistently meet deadlines, handle and function under time constraints.
#really
Billing Operations: Supervises the operations of the billing department, encompassing behavioral health and medical billing, charge entry, claims submissions, payment posting, and accounts receivable follow-up, and reimbursement management, inclusive of:
Assure proper claim submission and resubmissions, processing of payments, and addresses outstanding receivables.
Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities.
Assure all Community Alliance staff are promptly and accurately credentialed and re-credentialed with contracted payer including, Medicare, Medicaid, and private insurance.
Maintain contact with program areas to obtain and analyze additional client information to document and process billings.
Prepare and analyze accounts receivables reports and insurance contracts. Collect and compile accurate statistical reports.
Audit current procedures to monitor and improve efficiency of billing and collections operations.
Ensure the activities of the billing operations are conducted in a manner that is consistent with agency policies and procedures, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
Analyze trends impacting charges, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
Keep current with carrier rule changes and distribute information with key stakeholders.
Qualified by training and/or experience to function at a high level of independence and professionalism on a daily basis in the performance of position job responsibilities consistent with applicable regulations and organizational and program goals, philosophy, policies, and procedures, including:
Minimum 3 years of experience in primary care and/or behavioral health care with progressively increasing responsibilities, preferably in a community medical or other clinical healthcare setting.
Earned bachelors degree in an area relevant to the position; additional directly related experience and/or RHIA, RHIT, CCS, CCS-P, or CPC certification.
Familiarity with primary care insurance claims process, including cleaning up claims before submission, payment processing, and denied claims processing; additional experience in behavioral health insurance claims processing is a plus.
Familiarity with the credentialing process.
Demonstrated ability to work independently, initiate, organize and complete tasks in areas of responsibility, set priorities for successful revenue cycle management, effectively exercise discretion and judgment, consistently meet deadlines, handle and function under time constraints.
#really