What are the responsibilities and job description for the Supervisor - Billing position at Redlands Community Hospital - PATIENT FINANCIAL SVS?
The ideal candidate will bring hands-on experience within a hospital Managed Care billing and collections unit and a strong understanding of payer reimbursement methodologies. This is an excellent opportunity for a proven leader, particularly someone who has served as a supervisor or team lead within a Hospital Patient Financial Services (PFS) department who is ready to make a measurable impact on AR performance and cash flow.
Candidates with experience leading denied and underpaid claim resolution projects and working directly with payers to secure appropriate reimbursement will be especially successful in this role. Strong contract interpretation skills and the ability to identify and act on payment variances are highly valued.
Under the direct supervision of the Business Office Manager, the position's chief responsibility is to effectively manage the billing and follow up units of all Non-Government and Non-Self Pay receivables and to maintain the lowest possible days in account receivable. Ensures that our billing processes are productive, timely, accurate and lead to positive cash flow. Ensures that appropriate follow up is made on all accounts to maximize cash flow opportunities and reduce AR aging and AR days. In coordination with the department's management team develops and maintains positive and productive business relationships with our VIP payors. Responsible for maintaining and reporting all major department indicators.
*Ability to meet all job & physical requirements as outlined in job description or as agreed through a work place accommodation
EDUCATION/TRAINING/ EXPERIENCE:
1. High school diploma or equivalent preferred.
2. Two years hospital billing experience with an emphasis on Managed Care contracts and receivables required. Excellent contract interpretation skills desired.
3. One year supervisory experience in a hospital billing setting preferred.
4. Knowledge of requirements for all third party payors, including Medical Terminology, CPT, and ICD.10 coding preferred.
5. Strong communication, computer, and customer service skills, highly desired
CERTIFICATIONS/LICENSES:
1. MAB is required to be completed on the first day of work. (Grandfathered: existing employees must complete new requirements by 6/9/2025.)
Salary : $68,640 - $97,780