Billing Supervisor - Medicare Subject Matter Expert

Title: Billing Supervisor - Medicare SME - Full CBO

Location: Remote - US

Full time

Job Description:

Job Summary:

The Billing Supervisor is responsible for providing TruBridge services to customers.  This includes coordinating the day-to-day activities of a hospital or clinic’s business office such as patient billing and collection, third-party payer relations, and/or preparation of insurance claims.

These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job-related duties as required.  Goals and objectives are subject to change.

All activities must follow and comply with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. 

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

• Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry.
• Recommends new processes and changes in current processes.
• Implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures.
• Implements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts.
• Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements.
• Responsible for consistently meeting production and quality assurance standards.
• Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
• Updates job knowledge by participating in company offered education opportunities.
• Protects customer information by keeping all information confidential.
• Processes miscellaneous paperwork
• Ability to work with high profile customers with difficult processes.
• May regularly be asked to help with team projects.
• Responsible for assisting manager in the management of employees which would include coaching, training, and performing necessary disciplinary actions including following up on action plans for their employees.
• Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
• Ensures employee compliance with dress code, attendance, and other company policies.
• Processes miscellaneous paperwork and performs other administrative duties as assigned.
• As a Billing and Posting Resolution Advocate you will also need to:
  • Fill-in as a Biller where needed.
  • Must be agile and able to easily shift between tasks.
  • Assist with backlog billing projects, such as advanced claim resolution.
  • Assist with new contract implementation.
  • Review claims to ensure edits are setup correctly.

Minimum Requirements:

Education/Experience/Certification Requirements

• At least 3-5 years hospital billing experience, can include time outside of TruBridge
• Experience performing full-cycle claims billing, to include working Claims and Denial Que's
• Experience processing Medicare claims - Full-Cycle - REQUIRED
• Previous leadership/team lead experience
• Strong organizational, multi-tasking, and time-management skills.
• Must be detail oriented and able to follow through on issues to resolution.
• Must be able to act both independently and as a team member.
• High School Diploma or equivalent combination of education and relevant experience needed.
• Excellent critical thinking, organizational, and time management skills with a strong attention to detail, accuracy, and follow through.

Business Support