Billing Supervisor

Newark Community Health Centers, Inc., FQHC, is a multi-cultural, Patient Centered Medical home- Level III that provides primary care services (Family/Adult Medicine, Pediatrics, OB/GYN, and Dental) and social services. We are dedicated to meeting the health care needs of the medically underserved in the greater Newark area. We are looking for a Billing Supervisor to join our team- the expectations of the position are:

• Team Lead – for billing specialists, providing guidance, support, and training as needed.
• Oversee the entire medical billing process, from claim submission to payment collection, ensuring accuracy, timeliness, and compliance with relevant regulations.
• Monitor and analyze billing data to identify trends, issues, and areas for improvement, and implement necessary changes to optimize billing operations.
• Collaborate with other departments, such as coding and finance, to resolve billing-related inquiries, discrepancies, and issues.
• Stay updated with changes in medical billing regulations, coding guidelines, and insurance policies, and ensure that the team is trained accordingly.
• Conduct regular audits of billing processes and records to identify and rectify errors, discrepancies, and potential areas of non-compliance.
• Generate and analyze billing reports to assess team performance, identify areas for
• improvement, and provide recommendations for increased efficiency and productivity.
• Participate in meetings and communicate with management provide updates on billing operations, challenges, and achievements.
• Maintain confidentiality of patient records and sensitive billing information, ensuring compliance with HIPAA regulations.
• Timely coordination of Medicaid, Medicare billing and reconciliation of all billable and non-billable encounters.
• Develops and maintains data tracking system to provide documentation of encounters by individual grants and develops criteria and methods for such evaluation.

Essential Job Functions Include but not limited to:

Must be able to process quota of 300 plus claims per day

Subject Matter Expert in central billing office applications utilized across the organization specifically Medicaid Billing for primary care services such as Pediatrics, Womens Health, Internal Medicine and Dentistry.

Optimization, auditing, and setup of work queues for charge capture reconciliation, denial management, clearinghouse, claims management, and payment posting

Participate in audit and execute recommendations for improvement of billing practices

Education/Experience Requirement

Preferred bachelor’s degree in finance, accountancy, business or other related field or Minimum certification in Coding with consummate experience

Minimum of 5 years of working knowledgeable on billing practices and procedures

Experience in extensive claims clean up

Experience in Institiutional claims including but not limited to Medicare Part A, Medicaid and Managed Medicaid HMO- with ability to process 300 claims per day at minimum

Demonstrated ability to proactively maximize business practices to optimize revenue collection (Certified biller/coder is highly desirable)

Thorough knowledge of regulatory requirements in healthcare including ICD-10 codes; and CPT4 coding

Job Type: Full-time

Pay: From $60,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Education:

• Bachelor's (Required)

Experience:

• Healthcare Revenue Cycle: 5 years (Required)

Ability to Commute:

• Newark, NJ 07104 (Required)

Ability to Relocate:

• Newark, NJ 07104: Relocate before starting work (Required)

Work Location: In person

Salary : $60,000