Billing Supervisor Business Health

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Job Type:

Scheduled Hours:

💙Why You’ll Love Working with St. Elizabeth Healthcare

At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do.

🌟Benefits That Support You

We invest in you — personally and professionally.

Enjoy:

- Competitive pay and comprehensive health coverage within the first 30 days.

- Generous paid time off and flexible work schedules

- Retirement savings with employer match

- Tuition reimbursement and professional development opportunities

- Wellness, mental health, and recognition programs

- Career advancement through mentorship and internal mobility

Job Summary:

Job Description:

Supervisor Responsibilities

• Manage and coach subordinate group
• Develop, promote, and maintain professional relationships, both internally and externally
• Communicates with supervisor/Manager and payers of any issues that would prohibit claim payment and elevate serious barriers to appropriate management
• Demonstrates adequate, appropriate, and professional levels of communication with insurance company representatives, team members, managers and directors
• Completes special projects and tasks by the established time frame which can include organizing workload and/or associates for successful account resolution: proactively notifies manager of a barriers that prohibit billing and/or payment of claims
• Assign, monitor/review the task progress and ensure accurate workload of a group of employees
• Provide instruction so others on the team can complete tasks quickly and effectively
• Inform management of overall performance of team members
• Provide technical guidance on more complex issues including but limited to maximum reimbursement

Billing Responsibilities:

• Work specific reports (as applicable)
• Bill self-pay worker’s compensation accounts receivable
• Submits bills to payers electronically if possible, otherwise paper
• Proficient in Worker’s Compensation regulations and reimbursement policies
• Proficient in third party contractual agreements and regulations to apply requirements for accurate billing and to make recommendations for system changes as needed

Follow-Up Responsibilities:

• Calls payers/ Patients or uses online resources to obtain status on accounts housed on work lists
• Records appropriately detailed notes in the billing system
• Takes appropriate action to resolve claims, i.e., the representative will execute all steps to resolve unpaid claim, including but not limited to; rebill of claim
• Initiates appeals when necessary or works with Utilization
• Management/Risk Management for appropriate appeals process
• Calculates expected reimbursement/Adjustments on accounts if/when necessary
• Facilities, generate spreadsheets/invoices, track payment/nonpayment
• Establishes relationship with payer contacts
• Establish Relationship with other Departments
• Performs due diligence on all collection efforts
• Ensure expected reimbursement is secured.

Customer Service, Quality Management, and Problem Resolution:

• Actively participates in the patient/corporate client experience following AIDET
• Resolve routine patient/corporate client complaints on a timely manner
• Initiates further follow up with Manager/Director patient/corporate client issues in a timely manner
• Participation in all patient /corporate client customer services surveys
• Responsible for development and implementation of annual goals, with quarterly review and updates of progress
• In coordination with Manager/Director, will develop procedures and protocols associates with efficient operation of billing

Human Resources:

• Performs employee performance evaluations and participates in follow-up employee performance evaluations given by the Manager/Director and follow-up billing information gathered from account reviews and observations
• Train, develop, coach, counsel, assign duties and work schedules.  Evaluate job performance and review performance appraisal with personnel.  Initiate or recommend necessary counseling, disciplinary actions, termination and commemoratory actions
• Along with Manager/Director, making recommendations regarding hiring of staff

Planning, Development, and Marketing:

• Provide effective leadership to ensure goals of the department and the organization
• Work with billing staff to develop and implement measurable goals for program and individual growth and development
• Participate, when appropriate and necessary with marketing/sales representative on sales calls or follow up visits to client companies with the serviced area of the clinic

Financial/Budget:

• Responsible for managing inventory and supply needs, and will maintain the total supply cost below budget
• Responsible for managing FTE levels at cost or below budget for the billing staff

Performs other duties as assigned.

Education, Credentials, Licenses:

High School Graduate AND

4 years of experience OR

Equivalent combination of education and

Experience comparable to associate’s degree

Specialized Knowledge: 

Knowledge of regulations for Commercial, Worker’s Compensations, Third Party Insurance, PC Window Applications

Excellent communication skills-verbal and written

Kind and Length of Experience: 

3 years of related experience including:

• Commercial
• Worker’s Compensation
•  Third Party – hospital billing/reimbursement/collections experience

FLSA Status:

Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.