Sup PFS Billing Position Available In DeKalb, Georgia

Sup PFS Billing Wellstar Health System, Inc. – 3.6

Atlanta, GA Job Details Full-time Estimated:

$44.8K – $56.7K a year 7 hours ago Qualifications 5 years Mid-level High school diploma or GED Supervising experience Bachelor’s degree

Full Job Description Facility:

VIRTUAL-GA

Job Posting How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what’s possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people’s lives. A Brief Overview

JOB SUMMARY

Reporting to the Manager of Billing, this role is responsible for overseeing the submission of timely and accurate claims to government and non-government payors. The Billing Supervisor will coordinate efforts to address billing and administrative challenges, develop and implement billing policies and procedures, and provide ongoing training for team members. What you will do Supervises the billing of claims related to government and non-government payors. Supervises and maintains claim gilling policies to ensure that claims are adjudicated according to program guidelines. Recommends and implements procedures that will ensure the requirements of the policies are met and sustained. Ensures that all claims edits, rejections, and other pre-bill work queues are worked properly according to department and individual productivity goals. Maintains an effective working relationship with management and staff in other departments to include WMG, Revenue Cycle, Coding, and Provider Enrollment. Keeps staff updated on guidelines and regulations related to billing and claims submission. Identifies and creates proper education to ensure government and non-government claims are properly and accurately submitted. Participated in payor seminars, webinars, and educational learning programs that provide information related to payor guidelines and CMS guidelines for claims submission. Works closely with the Wellstar Connect team to ensure an effective implementation of new billing systems, identify opportunities for system or process improvements, and drive efficiencies through targeted initiatives. Leads and completes payor claims enrollments ensuring electronic claims submission is timely and accurate. Builds and creates appropriate claims holds and edits to capture specific inventory that requires review before claim submission to the payors (i.e. master claim hold, credentialing, attachments related holds, and/or payor specific claim holds) Ensures rejections, claims errors, and clearing house edits and bridges appropriately captures the correct claim information from the facility management system. Other Duties Assists in interviews and screening of job applicants, to help find for for the team. Develops special recognition programs and incentives for employees that is consistent and engaging. Ensures that all new and existing employees receive training appropriate to their job functions. Provides daily, weekly, and monthly reporting related to current claims inventory, outstanding issues that require resolutions, obstacles, unresolved claims, and root cause opportunities to the Manager and Director. Maintains effective control systems to ensure that all work is completed in cooperation with expectations in accordance with guidelines and policy guidelines. Collaborates with team to ensure a hyper focus on payers with complex billing requirements, claims with high dollar balances, claim approaching timely filling deadlines, and other advanced billing scenarios. Completes month end reporting to include aging, timely filing, other claim error trending reports that impact aging, AR, and cash payments. Identifies ways to reduce clearing house errors and rejections through automation, Epic hard stop and rules, and training to key stake holders that will help reduce claims from being billed. 15% Qualifications High School Diploma Other Required and Bachelors Other Preferred and( Other / Certificate Other Preferred or) Minimum 5 years of healthcare billing experience Required strong knowledge of revenue cycle principles and hospital billing systems Required previous supervisory experience in hospital revenue cycle Preferred Our people are passionate about what they do, the product they sell, and the customers they serve. If you’re looking for an opportunity to be an opportunity to be a part of a work family that values collaboration, innovation and dedication, we’re the right company for you.