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Supervisor Billing Services

Company: LifeScan Labs
Location: Skokie
Posted on: November 21, 2022

Job Description:

Position Summary: The Supervisor Billing Services oversees the daily operations of order entry, insurance discovery, transaction file uploads, and supports the monthly client invoicing process. The Supervisor analyzes and manages volume in addition to order entry errors to identify improvements that expedite claims submission, increase collections, and decrease avoidable write-offs. The Supervisor assures that all edits are assigned and processed timely according to payer guidelines, contractual agreements, and government regulations. In collaboration with the Accounts Receivables Team, the Supervisor ensures claims transfer to the electronic claim's submission file accurately and timely.As an integral contributor to the Revenue Cycle Team, the Supervisor partners with Account Managers, Sales, and Operations Teams to evaluate and optimize processes to improve the client experience, enhance operational efficiencies, and drive revenue growth.
Essential Job Functions: --- Monitors order entry, insurance discovery edits, and transfer queue volume to ensure distribution of work and timely edit resolution; Identifies system or process opportunities to reduce lag time and ensure claims are queued within timely filing limits and benchmark standards.--- Generates system reports and creates work lists for the offshore team. Partners with Lead to monitor productivity and quality of work.--- Continually monitors edit volumes, errors, and aging to identifies trends negatively impacting productivity and claims submission.--- Actively follows up and partners with Director, Billing Services to create an action plan on aged accessions not yet queued for claims submission.--- Coordinates and schedules cross-departmental meetings as needed to ensure information required for mileage calculations are received and input timely for client billing and claims submission.--- Maintains knowledge of and ensures compliance with state and federal laws, regulations for Medicare, Medicare Advantage, Medicaid, managed care and other third-party payers. ---- Collaborates with Revenue Cycle Leadership to develop and implement revenue cycle key performance indicators to evaluate the overall performance of the revenue cycle and payer relations.--- Assists with documenting current workflows, policies, standard operating procedures, and department training material. Routinely trains offshore team members to continually increase quality of work.--- Supports IT with testing new features and functions in the practice management system. Develops training material and trains staff members on new revenue cycle system implementations in collaboration with It Project Managers.--- Participates in IT project meetings to recommend and test scripts that increase automation and reduce manual work.--- Acts as subject matter expert for Medicaid, IL Uninsured COVID, Health Resources and Services Administration (HRSA), government, and commercial payers' eligibility verification.--- Supports Client Services with PID file uploads to ensure both the registration and billing applications have accurate patient insurance information.--- Partners with the Revenue Cycle Analyst to generate and validate ad hoc report requests. Summarizes report findings not aligned with quality expectations and partners with appropriate team to document issue and/or develop corrective action.--- Coaches, develops and mentors Revenue Integrity Specialists. Performs on-the-job training to increase Specialist's skill sets.--- Works with Director, Billing to develop productivity and quality metrics for Accounts Receivable Specialists and the offshore team. Executes and monitors productivity and quality performance per Specialist.--- Performs quality audits, identifies opportunities, provides feedback, implements specific training and/or action plans to improve accuracy and meet production targets.--- Schedules routine 1:1's with direct reports and monthly all team meetings to provide ongoing feedback on job performance, payer updates, and Lifescan Lab initiatives.--- Collaborates with Revenue Cycle Team to disseminate new regulatory and payer changes to the Revenue Cycle, Sales, and Operations Teams.--- Provides coverage and backup of other Revenue Cycle functional areas as required to avoid disruption in business operations.--- Partners with Revenue Cycle, Sales, or Operations Management on special projects.--- Remains current with trends, regulatory requirements, and business strategies related to the payer relations and revenue cycle.--- Operates in compliance with all local, state and Federal laws as well as policy and compliance standards.--- All other duties as assigned.
Education and Experience: --- Bachelor's Degree in business, information systems, finance, or related field preferred.--- 5+ years-experience in the revenue cycle with a strong focus on billing requirements and CMS1500 insurance claims.--- 4+ years-experience as a Lead or Supervisor in a provider setting, patient financial services, or on a billing team required.Supervisory Responsibilities: Supervises up to 6 direct reports.Supervises an offshore order entry and billing team.Key Job Competencies: --- Microsoft Office skills - Proficiency with Excel, Power Point, Word, and Visio.--- Exceptional detail orientation, critical thinking, analytical, and problem-solving skills.--- Ability to work autonomously and efficiently within designated timeframes in a fast-paced environment.--- Expertise with CMS1500 claim and electronic data sets.--- Ability to interpret and apply government and insurance payer billing guidelines, claim rules, and insurance payer contract terms--- Knowledge of CPT and ICD coding systems.--- Ability to collaborate and work cohesively as part of a team.--- Communicates effectively orally and in writing with all levels of the organization and an offshore team.--- Customer service client first aptitude.
Location: Skokie, ILWork Hours: Monday - Friday 9:00 a.m. - 5:30 p.m. CT

Keywords: LifeScan Labs, Skokie , Supervisor Billing Services, Accounting, Auditing , Skokie, Illinois

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