Claims Billing Supervisor

Under the leadership of the Claims Billing Manager, the Claims Billing Supervisor is responsible for assisting in the day-to-day oversight of functions of the Claims Billing and Reimbursement Quality Assurance team to ensure accuracy and completeness of duties and tasks including submissions and finalizations of the CDCs, clams scrubbing, claims compiling, batching and submissions, claims tracking reviews, and claim error corrections.

POSITION SPECIFIC DUTIES & RESPONSIBILITIES:

• Serves as an agency Subject Matter Expert and “go to” person for CDCs and Claims Billing.
• Review and track assigned reports to address errors and submission delays with Claims Billing processes.
• Maintain collaborative relationships with other departments/teams to ensure timely finalization of the Customer Data Core (CDC)/authorization for payment and process billing.
• At the direction of the Claims Billing Manager, analyzes key error reports.
• Monitor team progress based on performance benchmarks and address issues as they arise, as deemed necessary by the Claims Billing Manager.
• Active participant in Revenue Cycle Monthly Operational Reviews to address denial trends.

Monitor metrics highlighting the viability of the team and take necessary action as directed by the Claims Billing Manager.

• Recommend improvements to streamline operational and system problems.
• Must adopt a “working” Supervisor philosophy.
• Other duties, tasks, and responsibilities as assigned.

QUALIFICATIONS

education:

• Associate's degree or higher in a related field is required.
• Combination of Experience and Education considered in lieu of Education requirements on a case-by-case basis.

EXPERIENCE:

• 5+ years' experience in healthcare, preferably Behavioral Health.
• Experience with billing through Electronic Health Records.
• Supervisory experience required.

PERFORMANCE COMPETENCIES:

• Communication
• Decision-Making
• Engagement
• Initiative/Accountability
• Interpersonal
• Learning
• Organizational Alignment
• Quality of Work

KNOWLEDGE/SKILLS/ABILITIES:

• Knowledge of government and commercial insurance procedures, regulations and billing requirements.
• Strong analytical and organization skills.
• Ability to lead and/or work as a member of various cross-functional teams.
• Excellent written and oral communication skills.
• Strong understanding of quality customer service.
• Profecient in Microsoft Suite.

CERTIFICATIONS/LICENSES:

• N/A

OTHER INFORMATION

SAFETY SENSITIVE JOB CLASSIFICATION:

This job is classified as a “safety-sensitive” position as defined by the Oklahoma Medical Marijuana and Patient Protection Act. Due to the “safety-sensitive” classification, an employee in this position would be subject to drug and alcohol testing, including random testing. Marijuana is one of the substances included in the drug panel screening. Possession of a medical marijuana license will not excuse you from the testing process or the consequences of testing positive for marijuana per the Family & Children’s Services Drug Free Workplace Policy, including possible revocation of a job offer or dismissal from employment.