Supv Billing

Summary:

Under general direction of the Billing Manager the Billing Supervisor assists in the day-to-day Billing functions of Patient Financial Services. Organizes directs and controls activities for Brown Health and affiliates related to claim billing. Assists in identifying opportunities and implementing change within department guidelines federal and state regulatory requirements.

Responsibilities:

Assists Manager in the effective utilization of resources (people financial material and equipment) and overall budget monitoring to meet established operation and financial goals and objectives as it relates to appeals. In conjunction with the Manager establishes priorities to ensure activities support established goals.

Supervises day-to-day activities of the Billing Department and addresses staffing and training needs of the Billing Staff.

Interviews directs and evaluates support staff provides guidance and counsel. Orients new hires assigns work and establishes priorities. Assists Billing Manager in establishing annual performance objectives for staff conducts periodic performance reviews and recommends pay actions.

Maintains up to date knowledge of changes in regulations that impact all aspects of billing especially but not limited to; responsible for the review of all CMS alerts to include from various intermediaries. Monitors and follows through with the implementation of CMS alert changes and updates. Shares necessary information with the billing manager and director. Collaborates and shares CMS information with respective departments and leaders as relevant.

With the collaboration of the billing manager develops and communicates standards and expectations for staff performance. Provides guidance in day-to-day operations implements approved billing procedures monitoring the quality of work performed by staff ensuring tasks are completed in accordance with established procedures and conducted timely. Ensures staff is apprised of changes in policy and procedures that relate to area of responsibility ensuring adherence to same. As appropriate recommends corrective action to Manager up to and including termination.

Serves as subject matter expert in SSI.

Ensures all procedures are compliant with applicable Federal and State regulations. Initiates requests for system updates as appropriate to comply with such regulation and payer requirements.

Functions as key resource to staff in resolving complex billing issues. Assigns work ensuring equitable distribution of same by maintaining related productivity reports and monitoring assigned work queues. Serves as expert resource for questions that need to be escalated because of complexity payer issue or customer complaints and concerns.

Creates internal and external correspondence accurately clearly concisely and professionally while following organization federal and state regulations.

Provides support to Manager in compiling documentation needed to respond to internal and external audits.

Assists Manager in compiling and developing reports of various statistics needed for billing. Analyzes and monitors claim edits/billing reports trends.

Regularly conducts individual and group meetings for department. Documents payroll for subordinate staff. Maintains vacation schedules and authorizes time off for staff. Adjusts coverage for vacation time and breaks as workflows fluctuate.

Attends/conducts meetings in the Manager*s absence.

Performs other duties as necessary.

Other information:

QUALIFICATION-EDUCATION:

High School Diploma Certification in billing and coding preferred.

QUALIFICATIONS-EXPERIENCE:

Three to five years progressive responsible experience in health care with emphasis in one or more of the following areas: health services coding departmental operations and managed care policies. Experience should demonstrate analytical skills proficiency with PC based systems. Demonstrated knowledge of hospital/professional billing and reimbursement Federal and State billing regulations.

Brown University Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Brown University Health Corporate Services USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union