Medical Billing Supervisor oversees the preparation of medical bills and invoices, the calculation of provider charges, and verification of patient insurance. Maintains insurance documents and contracts. Being a Medical Billing Supervisor oversees the submission of claim reports and filing procedures. Ensures billing operations are performed in an accurate and timely manner. Additionally, Medical Billing Supervisor evaluates billing processes and procedures and assists management in developing revisions. Monitors the revenue cycle activities and resolves any issues. Needs to be familiar with ICD-10, CPT, and/or HCPCS Coding Systems as well as claim forms such as CMS-1500 and UB-04. Requires a high school diploma or its equivalent. 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. Thorough knowledge of functional area under supervision. To be a Medical Billing Supervisor typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)
Job Summary:
We are looking for talented Revenue Cycle Insurance specialists to support a large growing RCM company in Waco, TX with their fast paced client deadlines! As an insurance specialist here you will be responsible for supporting our hospital and physician billing. This includes working with payers to resolve issues and facilitate prompt payment of claims. Thorough knowledge and understanding of revenue cycle, claims follow up, EPIC Software, medical billing, payer specific requirements, appeals &/OR denials is a must. This position is highly focused on the resolution of insurance processing errors and denials. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.
Job Duties:
• Reduce outstanding accounts receivable by managing claims inventory
• Speak to patients and insurance companies in a professional manner regarding their outstanding balances
• Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services
• Request, input, verify, and modify patient’s demographic, primary care provider, and payor information
• Utilize tools, including computer programs, when indicated
• Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
• Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures
• Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
• Input, retrieve, and modify information and data stored in computerized systems and programs; generate reports using computer software
• Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
• Work with Claims and Collections in order to assist patients and their families with billing and payment activities in order to increase cash flow
Day to Day Duties:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About the Company:
TEKsystems
About TEKsystems:
Company Size:
5,000 to 9,999 employees
Industry:
Staffing/Employment Agencies
Founded:
0
Website:
https://www.teksystems.com/en/
0 Medical Billing Supervisor jobs found in Waco, TX area