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New Listing - Billing Supervisor
Large ophthalmology practice looking for an experienced Billing Supervisor.
Preferred candidates should have prior Billing Supervisor/Manager experience in the healthcare setting.
Qualifications:
2-5 years supervisory experience in Healthcare
Must have billing/collections experience
Oversee daily operations of billing, coding and payment posting staff
Thorough understanding of insurance plans and programs a must
Manage and coach staff on day to day issues
Understanding of and experience with computers, especially Medical Manager experience a plus
Candidate must have speed, accuracy, and attention to detail.
We seek a proven record of successful oversight of collections from 3rd party payors.
Competitive salary and rich benefit package.
Please send resume to lrobinson@peposevision.com
Old listings:
Listed - November 16th, 2009: Claims Recovery Specialist
Identify, validate and track overpayments to providers by reviewing claims audits results and provider claims reports. Handle occasional Provider communication regarding overpayment disputes.
REQUIRED SKILLS AND QUALIFICATIONS
Education: High School diploma or equivalent. Associates degree preferred.
Experience: 1 -2 years in Claims collections recovery and/or claims auditing. Thorough knowledge of various claims payment methodologies. Medicaid, Medicare or Managed Care experience required. Billing or collections experience in a healthcare environment preferred.
Licensure/Certification: Certified Professional Coder Certification
PRINCIPLE ACCOUNTABILITIES
ˇ Review suspended claims for accuracy and completeness
ˇ Research claim issues to ensure compliance with RFP, provider contracts, and Medicaid fee schedules
ˇ Ensure fee-for-service claims are paid correctly in accordance with provider contracts
ˇ Act as contact for provider-related claim payment issues
ˇ Researches claims associated with other insurance or TPL
ˇ Responsible for working the daily claim phone log report
ˇ Contact providers and handle collection arrangements for overpayment claimants that have not responded to overpayment requests
ˇ Prepare written provider overpayment notification and supporting documentation such as explanation of benefits, claims and attachments Responsible for analyzing claims overpayments not to exceed 1 year and determine collection recovery strategies
ˇ Notify State of member primary insurance changes
ˇ Maintain and reconcile department reports for outstanding payments collected, past-due overpayments, uncollectible claims, and auto-payment recoveries
Essential Job Functions include the following:
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job and include the ability to type and operate a personal computer with various software programs, effectively operate standard office equipment, Bend, stoop, crouch, kneel, twist, balance, and work at a desk, Lift and carry up to 25 pounds, and communicate (written and oral) in a clear and professional manner.
Mental/Cognitive Demands: Establish and maintain effective work relationships with co-workers and customers, maintain regular attendance, understand and carry out a variety of oral and written instructions, have knowledge of proper English usage, grammar, punctuation, spelling, and vocabulary, have the ability to learn office principles, practices, and methods, understand filing systems, including numerical, alphabetical, and chronological, learn a variety of procedures, policies, and services of the assigned work unit or program, perform assigned duties with efficiency and accuracy and maintain confidentiality.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Contact - n.snider@colinahealthcare.com for more information.
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