What are the responsibilities and job description for the Supervisor of Medical Billing position at Amtex Systems Inc.?
Specialty: Supervisor of Medical Billing
Location: Sparks, MD
Job Type: Permanent
Shift Type: Days
Shift Times: 7:30 AM - 4:00 PM
Hours: 8
Shift Notes: Monday-Friday 7:30am 4:00pm (w/ some flexibility)
"Great company to work for. Great working environment and developmental training! Feel accomplished at the end of the day. Great opportunities to promote yourself within and fine tune your skills. Great benefits, coworkers are very helpful. Autonomy, variety of patients, always on the move, great benefits, job security, and a great team to work with that supports you."
ROLE: The Billing Center Supervisor is primarily responsible for ensuring that payer related probe and provider specific pre and post payment review requests are handled appropriately with the necessary level of urgency and attention to detail and in an efficient and effective manner. Additionally, this position is responsible for routinely completing medical review on customer chart documentation as assigned. Also, providing support and analysis on reimbursement integrity matters and working collaboratively to troubleshoot and problem solve with the management team on complex assignments.
The Billing Center Supervisor position is a hybrid position requiring both time in the office and remote work.
Tasks And Responsibilities
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; to handle or feel; to talk and to hear. The employee is occasionally required to walk, sit, reach with hands and arms and stoop, kneel, crouch or crawl. The employee must occasionally lift and or move up to 15 pounds. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.
Requirements
TridentCare is the leading bedside diagnostic and clinical services company specializing in serving post-acute care patients. As the ONLY national provider of mobile diagnostic services, TridentCare is able to provide employers with unmatched health services on a nationwide scale.
Throughout its history, TridentCare and its predecessor companies have deployed experienced healthcare professionals and leading-edge technology to provide portable X-ray, ultrasound, EKG, clinical laboratory, nurse practitioner-based primary care, vascular access, and other services to millions of patients, wherever they are.
Location: Sparks, MD
Job Type: Permanent
Shift Type: Days
Shift Times: 7:30 AM - 4:00 PM
Hours: 8
Shift Notes: Monday-Friday 7:30am 4:00pm (w/ some flexibility)
"Great company to work for. Great working environment and developmental training! Feel accomplished at the end of the day. Great opportunities to promote yourself within and fine tune your skills. Great benefits, coworkers are very helpful. Autonomy, variety of patients, always on the move, great benefits, job security, and a great team to work with that supports you."
ROLE: The Billing Center Supervisor is primarily responsible for ensuring that payer related probe and provider specific pre and post payment review requests are handled appropriately with the necessary level of urgency and attention to detail and in an efficient and effective manner. Additionally, this position is responsible for routinely completing medical review on customer chart documentation as assigned. Also, providing support and analysis on reimbursement integrity matters and working collaboratively to troubleshoot and problem solve with the management team on complex assignments.
The Billing Center Supervisor position is a hybrid position requiring both time in the office and remote work.
Tasks And Responsibilities
- Completes payer related probe and provider specific pre and post payment review activities.
- Ensures all medical record requests are responded to in a timely manner.
- Ensures all possible efforts are made to obtain appropriate internal and external medical record documentation to support the services provided and billed.
- Tracks medical documentation received and compiled, completes medical reviews, sends outbound requests, and ensures all necessary information are obtained (where it exists).
- Maintains, improves, or develops customer / client relationship throughout related medical record request communications.
- Trends, tracks and reports on related activity and results.
- Ensures related appeals are completed timely, appropriately, and related results tracked and trended with modifications / improvements made where appropriate.
- Follows related policies and procedures and escalates where appropriate.
- Completes medical review related customer chart documentation trend analysis for outreach training and education opportunities.
- Ensures all medical record requests are responded to in a timely manner
- Ensures all reasonable efforts are made to obtain appropriate external medical record documentation to support the services in question.
- Ensures medical record documentation received is recorded appropriately and ensures management of outbound documentation requests.
- Maintains, improves, or develops internal and external customer / client relationship throughout related medical record request communications.
- Trends, tracks and reports on related activity and results.
- Works with internal and external customers as needed to develop a plan for improved results.
- Follows related policies and procedures and escalates where appropriate.
- Provides support and analysis on reimbursement integrity matters and works collaboratively to troubleshoot and problem solving on complex assignments.
- Perform research, reviews, and assessments of broad compliance issues and specific internal audit engagements and government requests.
- Coordinates resolution of escalated reimbursement challenges and related billing matters.
- Completes any special projects as needed and requested by department leadership.
- Ensures all deliverables are of appropriate quality level, and success measures are met or exceeded.
- Conducts post project evaluations and assessment of results as requested.
- Assists with the development, maintenance and execution of related policies and procedures.
- Assists with training and the support of department staff.
- Supports staff and department leadership with development of needed/required knowledge base.
- Responds to verbal and written inquiries within policy and procedure timeline. Research accounts and documents follow up appropriately.
- Resolve account discrepancies and prepare adjustments and refunds for approvals as necessary.
- Maintain accurate and complete records concerning activity on all accounts.
- Assists in standardization of goal setting of productivity and performance monitoring.
- Researches and makes recommendations for revenue cycle improvements.
- Perform other tasks as assigned to support the goals of the organization.
- Medical/Rx
- Dental
- Vision
- Healthcare FSA
- Dependent Care FSA
- Basic Life and AD&D
- Voluntary Life and AD&D
- Voluntary Disability
- Additional Voluntary Benefits
- Voluntary Universal Life with Chronic Condition Rider
- Employee Assistance Program (EAP)
- same day advances are available, discussed at interview
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; to handle or feel; to talk and to hear. The employee is occasionally required to walk, sit, reach with hands and arms and stoop, kneel, crouch or crawl. The employee must occasionally lift and or move up to 15 pounds. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.
Requirements
- Bachelor's degree preferred.
- 2-5 years relevant experience required
- MUST BE COVID VACCINNATED
- Ability to manage multiple projects.
- Proven ability to think strategically and implement tactically.
- Strong interpersonal, negotiation and communication skills (verbal and written).
- Excellent written, verbal, and interpersonal communication skills.
- Strong organizational and analytical skills. Exceptional attention to detail.
- Team player who is able to prioritize, work well under pressure, readily adapt to change, and excel in a productivity-based environment.
- Demonstrated research and problem-solving skills.
- Excel, healthcare background, auditing, CMS and appeals experience preferred
TridentCare is the leading bedside diagnostic and clinical services company specializing in serving post-acute care patients. As the ONLY national provider of mobile diagnostic services, TridentCare is able to provide employers with unmatched health services on a nationwide scale.
Throughout its history, TridentCare and its predecessor companies have deployed experienced healthcare professionals and leading-edge technology to provide portable X-ray, ultrasound, EKG, clinical laboratory, nurse practitioner-based primary care, vascular access, and other services to millions of patients, wherever they are.
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