Medical Billing Supervisor supervises, oversees, and administers medical billing processes to ensure timely, accurate, and efficient billing operations. Implements policies and procedures to guide workflow and ensure medical billing operations are compliant with industry standards and regulations. Being a Medical Billing Supervisor oversees the preparation of medical bills and invoices to verify patient insurance information and coverage and ensure the accurate calculation of provider charges. Monitors medical billing information systems to facilitate and ensure organized and accurate records. Additionally, Medical Billing Supervisor liaises with patients, medical providers, and insurance companies, resolving billing inquiries and gathering additional patient information as necessary. Remains knowledgeable and compliant with proper medical and insurance claim processes. May require a bachelor's degree. Typically reports to a manager. The Medical Billing Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. To be a Medical Billing Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. (Copyright 2024 Salary.com)
Location: Los Gatos, CA 95032
Employee Type: Full Time
Permanent/Temporary: Permanent
Work Schedule: Monday-Friday, 7:30 AM - 4 PM
Compensation: Starting at $25/hr
JOB REQUIREMENTS:
-Make calls to patients for:
---Insurance denials for coverage termed
---Insurance denials for patient has coverage with other carrier that is primary
---If contact not made with patient on initial call, review in a week to determine if patient has responded. If no response, send statement to patient requesting insurance information
-Answer incoming calls from patients/insurance
---May require updating patient demographics/insurance information
-Process explanation of benefits denials from insurance and Medi-Cal
---May require calling insurance/patient/doctor’s office
---May also require preparing an appeal
-Process insurance return mail. Call insurance to determine correct address for claim submission
-Pull requisitions in order to complete research on denied claims
-Process appeals to necessary carriers
-Sort explanation of benefits and distribute to appropriate person
-Set up payment with patient. Review bi-weekly to make sure patient is making payment as promised
-Maintain filing system on all insurance explanation of benefits on a daily basis
PHYSICAL AND COGNITIVE REQUIREMENT:
Job Type: Full-time
Pay: From $25.00 per hour
Experience:
Work Location: In person
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