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Physician Billing Supervisor: Olympic Staffing Services
    Must have: FAMILY PRACTICE, OB\GYN, PEDIATRICS, AND INTERNAL MEDICINE experience.
JOB SUMMARY Works closely with Physician Billing Manager and CFO to plan and manage the administration activities within the Billing Department. PRINCIPLE DUTIES AND RESPONSIBILITIES Daily • Responsible for monitoring the timely receipt of deposit batches from the practice staff. o Notifies the Physician Billing Manager, via e-mail, when deposit and/or superbill batches have not been received within 48-hours from date of service. Human Resources General • Processes all Time Off Requests for Billing Department employees, ensuring that there is sufficient coverage for all assignments. • Reviews bi-weekly time sheets for department staff compliance with IHO attendance polices (i.e., tardiness and absenteeism) and appropriate reporting from time off requests. Approves bi-weekly time sheets for all direct reports. • Supervises daily activities of department employees, including monitoring staff productivity targets and preparing summary productivity reports for each employee. • Monitors employee conduct as outlined in IHO Employee Handbook. Recruitment • Prepares position requisition, including attachment of job descriptions for open positions. • Performs initial review of applicant resumes. • Schedules applicant interviews. • Conducts interviews with Physician Billing Manager. • Under direction of Physician Billing Manager, performs reference checks for qualified candidates. • Initiates background checks with Human Resources staff. Staff Training • Trains new employees in use of NextGen Electronic Practice Management (EPM) System. • Trains new employees in Billing Department policies and procedures (i.e., Demographic Verification, Coding, Charge Entry, etc.). Auditing/Coding • Audits charges submitted from Electronic Medical Records (EMR) into a “holding tank” prior to upload into Electronic Practice Management (EPM).Audits charges to identify billing inconsistencies such as, but not limited to: a) Unbundling of CPT codes; b) Diagnosis supports CPT code(s) submitted; c) CPT submitted is age appropriate for patient; d) Diagnosis is coded to the highest level of specificity (i.e., fourth or fifth digit); e) Whenever possible, non-specific diagnosis codes are not used. • Ensures proper cross-reference of procedure and diagnosis codes for compliance with State and Federal regulations. This includes calling the physician's office to obtain a proper diagnosis code for the procedure performed, if the physician or the physician's office has not supplied one. Miscellaneous • Prepares for Billing Department meetings including the following: - Preparation of the agenda; - Distributing prior month’s departmental minutes before the current month’s meeting; and - Copying any documents for distribution such as policies and procedures, health plan updates, etc. • Processes requests for billing and medical records received from third parties (i.e., subpoena, attorneys, etc.). • Interacts with internal and external customers of the department and the organization, to facilitate resolution of issues related to physician billing. • Participates in occasional projects and provides information and access to billing processing documentation as necessary. • All other duties as assigned. MACHINERY, TOOLS, EQUIPMENT AND WORK AIDS Computer, printer(s), telephone, facsimile machine, calculator and photocopier. POSITION QUALIFICATIONS A) EXPERIENCE: Minimum 2-3 years supervisory experience in a Healthcare organization. Strong knowledge of CPT, HCPCS, ICD-9 coding, Primary Care and OB/GYN billing, Medicare, Medi-Cal and CHDP billing. Ability to interpret contracts, strong people skills and effective communication skills. B) EDUCATION AND TRAINING: High school graduate or equivalent. C) LICENSE, CERTIFICATION AND REGISTRATION: None D) SPECIALIZED KNOWLEDGE AND SKILLS: Excellent communication, problem solving and people skills. E) OTHER REQUIREMENTS: This position requires a highly motivated individual with a positive attitude. Possesses strong communication and organizational skills to ensure that assignments are completed in a timely manner. Also possesses ability to maintain a professional attitude while performing multiple tasks as well as leading a team. Must have the ability to motivate a team and peers and establish a good rapport with internal and external customers. RELATIONSHIPS/SUPERVISION A) REPORTS TO: Billing Department Manager B) SUPERVISES: Billing Department Staff C) LEADS/GUIDES: None D) CONTACT: Physicians, physician offices, patients and other IHO employees
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