Spvr Billing -OB/GYN

Spvr Billing -OB/GYN - Human Reproduction

As the Billing Supervisor, you will oversee the billing staff. You will perform billing and collection duties as well as maintain client billing records and accounts receivable statistics. You must follow up daily on all outstanding balances for particular accounts as designated by way of age and balance. You will be expected to post daily payments, handle telephone inquiries and mail correspondence. It is important that you exhibit as well as encourage positive and efficient communication in order to provide a more pleasant and safe environment. Responsibilities Include: 1. Supervises and evaluates performance of billing staff. Hires, trains, disciplines, and supervises staff. Evaluates performance and ensures appraisals are completed as required. Sets priorities, delegates work assignments and maintains a smooth workflow among staff by adjusting work assignments in order to expedite activities. Monitors staff performance for accuracy, detail, and quality and ensures the maintenance of employee records, i.e. requisitions, payroll. Schedules staff hours and vacation to ensure appropriate coverage. 2. Assists in patient billing, collection, and third party reimbursement. Enters fees for services performed on patient billing slips based upon the established fee schedule. Collects co-payments and records payments made; prepares invoices as necessary. Completes insurance forms for prior approval requests and completed services. Communicates directly with the physician to verify specifics of procedures, emergency visits, and inpatient visits. Maintains proper documentation after co-payment posting to expedite secondary or tertiary claims. Enters financial, administrative and patient information into billing system; retrieves information, as needed. Prepares patient refund vouchers. 3. Executes necessary pre-certifications for pending surgical procedures. Determines if responsibility of pre-certification is that of the patient or physician's office. Provides insurance companies billing and clinical information for pending surgical procedures necessary to pre-certify. Maintains proper documentation after receipt of pre-certification from specific agency. Registers patient including gathering demographic and financial data. 4. Maintains physician accounts receivable. Prints monthly aged-trial balance reports and to review in an attempt to reduce the accounts receivable. Reviews and completes correspondence from insurance carriers, lawyers, networks, etc. 5. Follows up on outstanding payments. Maintains record of submitted bills and aging of accounts. Sends inquiry letters on unpaid invoices. Responds to questions and/or problems related to bills. Reviews all correspondence, answers patient/family questions. Responds to inquiries from insurance companies pertaining to billing. Keeps billing and collection statistics for designated accounts. 6. Acts as liaison between patient and insurance company pertaining to matters relating to pending and post procedures (managed care contracts). Calls insurance company in reference to problem checks. Answers patient calls with reference to problems or information. Handles matters dealing with patient account inquiries and collection agencies. Assists physicians with write-offs and problem accounts. Assists private practice manager with problem areas, policy and procedure. Additional Requirments / Information