Supv, Billing Ops

Overview

Mednax, Inc. and its affiliated practices operating as Pediatrix® Medical Group (Pediatrix) are one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix-affiliated clinicians have been committed to providing coordinated, compassionate and clinically excellent services across the continuum of care, both in hospital settings and office-based practices. Specialties including obstetrics, maternal-fetal medicine, and neonatology are complemented by 18 pediatric subspecialties and a newly expanded area of primary and urgent care clinics. The group’s high-quality, evidence-based care is bolstered by investments in research, education, quality-improvement and safety initiatives.

Today through almost 8,000 employees in 38 states, dedicated teams including physicians, advanced practitioners, clinical leaders, business and operational experts work together every day to fulfill our mission to take great care of the patient®. We invite you to join the Pediatrix family and help shape the future of health care. 

Responsibilities

• Maintains and evaluates staff according to company policy and procedures.
• Assist Manager in the interview/hire process of qualified employees.
• Ensure new staff training is successfully completed.
• Ensure that all staff is fully trained on all new processes, system upgrades, etc.
• Perform monthly 1:1 meetings with direct reports.
• Discipline employees in a fair and consistent manner ensuring compliance to policy and procedures and productivity standards.
• Implement productivity standards and maintain reports identifying compliance.
• Schedules staff work hours to ensure full coverage during normal work hours and distributes workflow to maximize efficiency.
• Maintains logs on PTO requests, absences, tardiness, etc. along with approving hours worked.
• Operates the department within the budget.
• Approves overtime only when necessary and within the budget.
• Facilitate monthly staff meetings.
• Works to minimize staff turnover through good management and teamwork.
• Manage daily activities and coordinate billing work for the department.
• Ensure that all system jobs complete successfully on a daily basis.
• Ensure that all Availity claim edit/error corrections a are completed on a daily basis, and generate reports as needed.
• Maintain departmental QA by ensuring all processes are reviewed and completed per established guidelines.  
• Coordinate End of Month Close procedures for all practices.
• Ensure that all end of month processes are successfully completed in each region.          
• Report all outstanding Medsuite issues to Manager for evaluation.
• Assist analysts and specialists with problems and questions.
• Assist staff with any unresolved issues. Re-train where appropriate.
• Elevate any outstanding associate issues to the Management staff.
• Elevate any outstanding billing issues to appropriate Management staff.
• Elevate any outstanding system issues to appropriate IS staff.
• Maintain Billing Department policies and procedures for all functions.
• Monitor the filing and billing sheet retention process for accuracy and timeliness.
• Monitor Scanning process. Ensure all reports, EOB’s, time sheets and billing sheets are scanned within the appropriate timeframe.
• Inform Manager of business matters, including personnel and financial issues.
• Communicate changes/new items of importance to associates and management.
• Performs a variety of other management duties.
• Manage participation of staff testing of upgrades to all systems.
• Always meets deadline dates and times on assigned projects.
• Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
• Any patient private health information (PHI) must not be divulged on any account except to payers that need the information in order to process the claim for payment.
• Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.
• Performs other job-related duties within the job scope as requested by Management of Patient Accounts.
• Embodies the principles of the corporate Mission Statement and Philosophy at all times.
• Represents the corporation in a positive fashion and makes all individuals feel as comfortable as possible.
• Conducts all business in a professional manner maintaining respect for individuals at all times.
• Complies with departmental and company-wide policies and procedures.
• Maintains constant awareness of potential safety hazards insuring necessary safety precautions.
• Reads and complies with established policies and procedures.
• Mednax is an equal opportunity employer.

Effective November 1st, 2021 MEDNAX will require all employees and new hires to be vaccinated against COVID-19, unless they qualify for an approved medical and/or religious exemption.

Qualifications

• Associate's degree (A. A.) or equivalent from two-year college or technical school; or three or more years related experience and/or training; or equivalent combination of education and experience.
• Ability to read, analyze, and interpret common and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.  Ability to write speeches and articles for publication that conforms to prescribed style and format.  Ability to effectively present information to top management, public groups, and/or boards of directors.
• Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
• Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

MEDNAX IS AN Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status