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Supervisor of Billing

Location: Epsilon Dr. Pittsburgh, PA

Description

Job Summary:

Manages a staff of Reimbursement Process Specialists to include Billing Specialists, Associate Billing Specialists, Collection Specialists and Reimbursement Contact Specialists, ensuring that the responsibilities of each are completed in a timely and accurate manner.

 

Responsibilities    

  • Ensures timely and compliant billing of all medical claims associated with the LifeVest.
  • Oversees monthly audit process is completed on time and accurately to ensure clean claim submission and appropriate performance standards are maintained.
  • Ensures all required communications are logged appropriately and timely.
  • Utilize A/R reports from billing systems trends and correct issues timely.
  • Assist with month end and segment end close processes as needed.
  • Maintain communication with other areas of Reimbursement and Customer Support.
  • Develop/improve statistical performance measures for department and demonstrate ability to develop same metrics for performance review of individual staff goals.
  • Responsibility for new hire training and development of all team members.
  • Responsible for resolution of all escalated accounts and issues received from team members in a timely and accurate manner.
  • Work with other leadership staff within Reimbursement Department in order to identify issues and create and implement resolution in order to ensure clean claim submissions and denial prevention.
  • Responsible for designing, updating and recommending improved processes or operational policies and works with Senior Managment and peers to refine and implement those changes.
  • Measures, tracks, and reports performance against standards.
  • Responsible for completing yearly staff appraisals and assisting Senior Billing Specialists with monthly scorecard process for line staff.
  • Performs other duties as assigned by Management.

 

Qualifications: 

  • H.S. Diploma or equivalent required; Associate’s or Bachelor’s degree in business, finance or related field preferred.
  • 3-5 years experience in medical insurance verification and medical claims processing.
  • Strong negotiation skills.
  • Experience working with all payer types to include Medicare, Medicaid, and third party commercial insurance companies.
  • Superior communication and customer service skills.
  • Ability to handle multiple tasks simultaneously under strict deadlines.
  • Proficiency in MS Office Suite.
  • Experience in provider appeals with all payer types.
  • Proven Leadership/Management Experience.

 

Language Skills:                                              

Ability to read and comprehend simple instructions, short correspondence, and memos.  Ability to write simple correspondence.  Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

 

Mathematical Skills:                                                    

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

 

Reasoning Ability:                                           

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.

 

Computer Skills:                                              

To perform this job successfully, an individual should have knowledge of Internet Explorer and MS Office Suite.

 

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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee must occasionally lift and/or move up to 10 pounds.

 

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

 The noise level in the work environment is usually quiet.

 
ZOLL is an Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity.

 

 





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