Insurance Collections Supervisor

Billing Supervisor

The Billing will perform and oversee the Accounts Receivable, and Billing and Collection functions assigned. The supervisor will be responsible for the accurate and timely submission of all patient/customer billing to Medicaid, other third party payers and private payers. Supervisor will be responsible for accounts receivable tracking and follow up activities. Supervisor will be responsible for collecting past due accounts from Insurance Payers.

Qualifications:

• Minimum of five years’ experience in healthcare billing and collections is preferable.
• Must be able to analyze, record, and summarize fiscal transactions and prepare spreadsheets/financial statements.
• Requires the performance of calculations involving basic arithmetic skills, good degree of verbal and written communications and the ability to give/follow oral and written instructions.
• Must have strong working knowledge in third party billing and reimbursement with an emphasis on Medicaid.
• Candidates must have experience in medical terminology as it relates to our business, OTP coding and know thoroughly the authorization process.
• Working knowledge of different MCO authorization requirements
• Behavioral health or substance abuse experience a plus.
• Excellent verbal and written communication skills
• Data entry experience.
• Ability to fill in for other employees as needed.
• Compliance with all HIPAA policies
• Proficient in basic PC skills. Microsoft Word and Excel required
• Ability to multi-task and handle large volume of detail work accurately and efficiently and meet deadlines.
• Compliance with accepted professional standards and practices
• Satisfactory references from employers and/or professional peers
• Satisfactory drug screen and criminal background check

Responsibilities:

• Assist in billing and processing claims.
• Review, adjustment and collection of delinquent accounts to include preparation of patient refunds and write-offs including proper documentation for bad debt.
• Prepare financial and collection effort data.
• Answer a variety of correspondence from patients and their representatives, insurance companies, attorneys and administrators of estates regarding billing, insurance and payments.
• Interview or telephone concerned parties regarding delinquent accounts or unusual collection problems.
• Maintain liaison with clinic supervisory personnel to coordinate collection efforts and resolve problems.
• Assist in the preparation of reports and analyses for month end close.
• Participate in performance improvement activities that ensure important processes and activities are measured, assessed and improved systematically.
• Maintain all security passwords given to him/her.
• Maintain storage of all electronic data essential for functioning on the server.
• Keep staff and patient information within the HITECH HIPAA privacy laws.
• Ability to handle stressful situations and interact with others.
• Must be present during working hours at the office for in person meetings and access to a computer without violating company policy.
• Comply with policies, procedures, compliance guidelines and Code of Conduct.
• Comply with internal controls, policies and procedures.
• Comply with BayMark policies and procedures, Compliance Policy and Code of Ethics.
• Conduct all business activities in a professional and ethical manner adhering to medical necessity compliance and financial compliance.
• Regular attendance is to be maintained.
• Interact with all levels of the organization in a positive and motivational fashion supporting the Company’s mission.
• Perform and complete special projects as assigned for all BayMark regions and billing modalities.
• Travel by plane or by car as required.

Benefits:

• Competitive salary
• Comprehensive benefits package including medical, dental, vision and 401(K)
• Generous paid time off accrual
• Excellent growth and development opportunities
• Satisfying and rewarding work striving to overcome the opioid epidemic

COVID-19 considerations:

Everyone will be asked to be in compliance with the most recent COVID guidelines from CDC, State, County and City.

Here is what you can expect from us:

BayMark, a progressive substance abuse treatment organization, is committed to the highest quality of patient care in a comfortable outpatient clinic setting. Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.

BayMark is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran’s status or any other classification protected by State/Federal laws.