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Position Summary:

We have an exciting opportunity to join our team as a Customer Service Team Supervisor. Coordinate all aspects of charge submission, coding review, accounts receivable, authorizations, or customer service and assigned work queues. Provide financial and/or operational analyses and reports, and audit current procedures to monitor and improve efficiency of operations. Review and advise physicians and staff with regard to local and national coding and reimbursement policies. Work with patients and guarantors to clarify financial responsibilities.

Job Responsibilities:

Perform other duties asneeded. Manage a team responsible for performing important revenue cycle functions.

Monitor reports and work queues,ensuring charge submission and accounts receivable follow-up is occurring on a timely basis. Identify issues and suggest improvements and available tools to physicians and admin support staff to address issues. Escalate issues as needed to practice and FGP Leadership. Interact with vendors as it relates to billing andcollections. Work with front-end staff to ensure patient insurance information and benefits are verified accurately and timely.

Act as a resource to front end practice staff to identify gaps in clearance processes. Review and respond to practice,physician, and patient inquiries following CBOguidelines. Serve as resource to physicians,staff, and management regarding local and national coding and reimbursement policies. Educate physicians,staff, and management on new policies and changes to existing policies. Collaborate with coders to understand CPT and ICD-10 manuals,payer policy and procedure manuals,updates,and CMS publications to ensure practices are compliant with current policies and procedures. Adhere to general practice and FGP guidelines on compliance issues and patientconfidentiality. Review unbilled charge reports and follow up with physicians and/or practice management for unbilled services. Meet CBO quality and productivity targets. Review practice Action Plans and/or reports on a timely basis. Analyze issues to identify trends in denial rates to focus improvement initiatives on, and charges that requires action. May act as a financial counselor to patients who require assistance understanding their benefits and financial options. Act as the patient advocate with the patient and/or family members and liaison with the insurance companies to assist in obtaining insurance information. Take initiative to teach and share new information and provide constructive feedback;Communicate delays and workqueue issues to management daily. Work with practice operations to implement changes to improve revenue wherenecessary. Ensure timely and accurate collection, preparation,and verification of billing information submitted to the outsourced billing service.

Review billing collection and denial reports from the vendor and identify trends and recommend changes on how to improve issues. Serve as a liaison to the outside billing for questions, data request, and other inquiries. Review charge encounter forms for complete CPT code, ICD-10 code,and other required billing information on a daily basis. Compare coding to notes/documentation and communicate with providers to clarifyerrors. Analyze/audit notes and ensure the appropriate codes are charged in order to maintain billing compliance and prevent denials. Identify denial trends and train staff accordingly to avoid in the future, emphasizing improvement of accurate charge capture.

Develop supporting training documentation as needed with FGP management. Maintain current Certified Procedural Coder (CPC)certificate. Meet or exceed the accountabilities of the Billing Coordinator I and II, and serve as a role model and resource to entry-level team members. May assist with leading and coordinating all aspects of charge submission and accounts ...For full information see follow application link.