Role Overview:
As an L5 Supervisor – Medical Billing, you will oversee and manage the daily operations within the medical billing team, focusing specifically on charge and payment processes (Charge_WWS & Payments_WWS) within the revenue cycle. You will ensure accurate and timely billing practices, supervise billing staff, and collaborate with cross-functional teams to maintain the efficiency of the revenue cycle. Your role will involve ensuring adherence to healthcare regulations, optimizing billing processes, and providing leadership and training to the billing team to drive overall performance and compliance.
Key Responsibilities:
- Team Supervision & Leadership:
Lead, manage, and support a team of medical billing professionals. Ensure efficient and accurate processing of charges and payments while maintaining high standards of quality and compliance. - Revenue Cycle Oversight:
Oversee charge capture, coding, payment posting, and claims resolution, ensuring the accuracy and timeliness of all related processes. Ensure all charges are entered correctly, payments are posted accurately, and any discrepancies are promptly addressed. - Compliance & Regulations:
Ensure billing processes comply with healthcare regulations, payer requirements, and organizational policies. Keep the team updated on any changes in industry standards and guidelines. - Process Improvement:
Continuously assess the charge and payment processes, identifying areas for improvement. Implement process improvements that increase efficiency, accuracy, and reduce rework or claim denials. - Billing & Payment Resolution:
Supervise the resolution of any billing issues or payment discrepancies. Work closely with internal teams, such as coding, insurance verification, and customer service, to resolve complex billing or payment issues. - Reporting & Performance Metrics:
Generate and present reports on billing and payment performance, tracking key metrics such as claim submission rates, payment posting accuracy, denial rates, and resolution time. Provide insights and recommendations for improving team performance and achieving organizational goals. - Training & Development:
Provide training to billing staff on policies, procedures, and system updates. Ensure that the team has the skills and knowledge necessary to perform their roles effectively. - Collaboration with Other Departments:
Work closely with other departments (e.g., coding, compliance, insurance verification) to ensure the smooth flow of the revenue cycle. Address any cross-functional issues and provide support as needed. - Escalation Management:
Act as a point of contact for complex billing inquiries and escalated issues. Resolve high-priority billing concerns in a timely and effective manner.
Desired Candidate Profile:
- Bachelor’s degree in Healthcare Administration, Medical Billing, Health Information Management, or a related field.
- Certification in Medical Billing (e.g., CBCS, CCB, or equivalent) is highly preferred.
- Minimum of 5 years of experience in medical billing, with at least 2 years in a supervisory or leadership role within revenue cycle operations.
- Strong knowledge of medical billing systems, charge capture, payment posting, and insurance procedures.
- Excellent understanding of healthcare regulations, payer policies, and revenue cycle operations.
- Proven leadership skills with the ability to manage and develop a team.
- Strong problem-solving abilities and attention to detail.
- Proficiency in billing software and Electronic Health Record (EHR) systems.
What We Offer:
- Competitive salary and benefits package.
- Opportunities for career development and advancement.
- A dynamic and collaborative work environment.
Contact us on recruiter@wonderws.com / 9047477375.
