Billing Supervisor Business Health

St. Elizabeth

Erlanger, KY

# Billing Supervisor Business HealthApply: Erlanger, Kentucky: Full time: Posted Today: JR314366**Engage with us for your next career opportunity. Right Here.****Job Type:**Regular**Scheduled Hours:**40** Why You’ll Love Working with St. Elizabeth Healthcare**At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do.** Benefits That Support You**We invest in you — personally and professionally.Enjoy:- Competitive pay and comprehensive health coverage within the first 30 days.- Generous paid time off and flexible work schedules- Retirement savings with employer match- Tuition reimbursement and professional development opportunities- Wellness, mental health, and recognition programs- Career advancement through mentorship and internal mobility**Job Summary:**This position is responsible for the billing portion of the Electronic Billing System (Systoc) and providing leadership for Business Health billing staff. Assist with system evaluation, testing, implementations, upgrades, and software changes. Perform troubleshooting, auditing, system integration(s), and coordination with Information Systems personnel (IS), Revenue Enhancement, Registrations. Provides technical support and training as needed and assist management team with system related issues. Responsibilities include staying current on Commercial, Worker’s Compensation, other third party, and Government regulations. In addition, training all department staff regarding billing function and acting as liaison between billing/follow up staff and other units and/or departments. Work closely with third party vendors to achieve the most cohesive billing and clearing house systems. Responsible for ensuring month end processes, daily work flow and AR. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.**Job Description:****Supervisor Responsibilities*** Manage and coach subordinate group* Develop, promote, and maintain professional relationships, both internally and externally* Communicates with supervisor/Manager and payers of any issues that would prohibit claim payment and elevate serious barriers to appropriate management* Demonstrates adequate, appropriate, and professional levels of communication with insurance company representatives, team members, managers and directors* Completes special projects and tasks by the established time frame which can include organizing workload and/or associates for successful account resolution: proactively notifies manager of a barriers that prohibit billing and/or payment of claims* Assign, monitor/review the task progress and ensure accurate workload of a group of employees* Provide instruction so others on the team can complete tasks quickly and effectively* Inform management of overall performance of team members* Provide technical guidance on more complex issues including but limited to maximum reimbursement**Billing Responsibilities:*** Work specific reports (as applicable)* Bill self-pay worker’s compensation accounts receivable* Submits bills to payers electronically if possible, otherwise paper* Proficient in Worker’s Compensation regulations and reimbursement policies* Proficient in third party contractual agreements and regulations to apply requirements for accurate billing and to make recommendations for system changes as needed**Follow-Up Responsibilities:*** Calls payers/ Patients or uses online resources to obtain status on accounts housed on work lists* Records appropriately detailed notes in the billing system* Takes appropriate action to resolve claims, i.e., the representative will execute all steps to resolve unpaid claim, including but not limited to; rebill of claim* Initiates appeals when necessary or works with Utilization* Management/Risk Management for appropriate appeals process* Calculates expected reimbursement/Adjustments on accounts if/when necessary* Facilities, generate spreadsheets/invoices, track payment/nonpayment* Establishes relationship with payer contacts* Establish Relationship with other Departments* Performs due diligence on all collection efforts* Ensure expected reimbursement is secured.**Customer Service, Quality Management, and Problem Resolution:*** Actively participates in the patient/corporate client experience following AIDET* Resolve routine patient/corporate client complaints on a timely manner* Initiates further follow up with Manager/Director patient/corporate client issues in a timely manner* Participation in all patient /corporate client customer services surveys* Responsible for development and implementation of annual goals, with quarterly review and updates of progress* In coordination with Manager/Director, will develop procedures and protocols associates with efficient operation of billing**Human Resources:*** Performs employee performance evaluations and participates in follow-up employee performance evaluations given by the Manager/Director and follow-up billing information gathered from account reviews and observations* Train, develop, coach, counsel, assign duties and work schedules. Evaluate job performance and review performance appraisal with personnel. Initiate or recommend necessary counseling, disciplinary actions, termination and commemoratory actions* Along with Manager/Director, making recommendations regarding hiring of staff**Planning, Development, and Marketing:*** Provide effective leadership to ensure goals of the department and the organization* Work with billing staff to develop and implement measurable goals for program and individual growth and development* Participate, when appropriate and necessary with marketing/sales representative on sales calls or follow up visits to client companies with the serviced area of the clinic**Financial/Budget:*** Responsible for managing inventory and supply needs, and will maintain the total supply cost below budget* Responsible for managing FTE levels at cost or below budget for the billing staffPerforms other duties as assigned.**Education, Credentials, Licenses:**High School Graduate AND4 years of experience OREquivalent combination of education andExperience comparable to associate’s degree**Specialized Knowledge:**Knowledge of regulations for Commercial, Worker’s Compensations, Third Party Insurance, PC Window ApplicationsExcellent communication skills-verbal and written**Kind and Length of Experience:**3 years of related experience including:* Commercial* Worker’s Compensation* Third Party – hospital billing/reimbursement/collections experience**FLSA Status:**Exempt
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