Revenue Management - Supervisor (Full time)

  • Touchette Regional Hospital
  • Touchette Regional Hospital, Bond Avenue, Centreville, IL, USA
  • Mar 18, 2021
Full Time Administration/Operations

Job Description

 Specialty: Billing & Follow-up Supervisor

This position is responsible for the training of new billing and follow-up staff and will assist them in resolving problems with accounts.  This role will develop training materials and tips sheets, keep training material well organized and up-to-date on the shared drive.  This position will be responsible for Billing and Follow-Up quality assurance audits, feedback and documented training intervention as needed.  In addition, this position will assist with difficult follow up accounts that have not been paid by insurance companies or 3rd party payors.  Once it is determined that the follow-up representatives have exhausted their abilities, this person is responsible for correcting issues, resubmitting claims, filing necessary appeals, and obtaining addition needed information to assure timely and correct payments.

Qualifications

High school graduate or the equivalent is required
Three to Five years previous medical billing and/
or follow-up experience
Knowledge of various reimbursement/-billing formularies (ICD10, CPT4, HCPCS and DRG) is required
Understanding of contract, Medicare, and Medicaid reimbursement terms
Thorough knowledge of claims submission processes for all major carriers and intermediaries required
Communication – Must be able to communicate clearly and concisely, verbally and in writing
PC Skills – Must demonstrate proficiency in PC applications and Internet web searches as required
Interpersonal Skills – able to work effectively with other employees, patients and external parties
Basic Skills – able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly and spell correctly
Customer Service – must demonstrate ability to establish and maintain long term customer relationships, and build trust and respect by consistently meeting and exceeding expectations