Billing supervisor

ESSENTIAL DUTIES:

Supervises and manages the daily activities of the billing team, ensuring all claims, payments, adjustments, denials, and other financial transactions are posted and recorded accurately and timely. Participates in hiring; trains and mentors staff, schedules, evaluates performance; and disciplines. Prepares and updates training manuals. Prepares information to assist in annual and third-party payer audits and the UDS report, as needed. Reviews and ensures compliance with federal, state, and payer-specific coding guidelines, as well as HIPAA regulations and PHC Policies in regards to compliance, integrity, patient privacy and ethical billing and collection practices. Stays informed of payer policies, industry trends, and changes in healthcare reimbursement practices that impact billing and posting processes. Serves as the liaison for various insurance companies, clearinghouses, providers, patients, and the collection company. Monitors and signs off on account adjustments; revises credit and collection policies. Directs tracking and preparation of delinquent accounts for collection. Reviews and verifies payment postings for completeness and accuracy, ensuring compliance with payer requirements, coding standards, and company policies. Monitors and oversees billing staff processes to ensure accuracy. Conducts regular audits and quality control checks to ensure billing, coding, and payment practices are followed for accuracy, identifying errors or issues, and recommend and implement corrective actions. Collaborates within the billing department and with other departments to streamline processes and improve efficiency. Generates reports on key billing metrics such as productivity, accuracy, compliance metrics, cash posting accuracy, denial rates, and aging of receivables to identify trends and areas for improvement. Addresses escalated billing and coding inquiries from providers, patients, or payers and assists in resolving complex issues promptly.

OTHER DUTIES:

Performs related work as required or directed.

SUPERVISION RECEIVED:

Works under the direction of the Billing and Coding Manager.

SUPERVISION EXERCISED:

Provides direct supervision of billing staff.

WORKING RELATIONSHIPS:

Has frequent contact with billing, coding, and accounting staff. Has frequent contact with employees throughout Partnership Health Center. Has regular contact with other departments, patients, and insurers. Purpose of contacts is primarily to obtain or provide information, to resolve difficulties and to ensure effective operations.

PHYSICAL/ENVIRONMENTAL DEMANDS:

The work is primarily performed in an office setting and requires little physical activity. A significant amount of the work is performed at a computer workstation. May require occasional light lifting (up to 20 lbs.). May be required to attend off-site meetings. May require working occasional evenings and weekend hours. This position is not eligible for full-time remote work.

CURRENT EMPLOYEES STARTING RATE MAY BE DIFFERENT FROM BASE.

Located halfway between Yellowstone and Glacier National Parks and home to the University of Montana, Missoula is an academic center situated in an outdoor enthusiast’s paradise. Depending on the season, you can hike, ski, fish, float rivers, ride mountain bikes, or just sit back and marvel at the surrounding scenery. Join us in scenic, sophisticated, and service-oriented Missoula!

Partnership Health Center (PHC)

2019 and 2022 winner of the Employer of Choice Award for Missoula, and 2022 winner of the Montana Employer of Choice Award, offers impeccable, integrated services to over 18,000 individuals and families. A 14-site, Federally Qualified Health Center in Missoula County, PHC fulfills its mission through the provision of a full range of primary care services - medical, dental, behavioral health, and an on-site pharmacy with a dedication to attending to the social determinants of health. Please visit our website to see the amazing benefits you will receive by joining our team such as medical (no cost for employee), dental, and vision insurance, loan forgiveness, retirement plan contributions, and generous paid sick and vacation time.

DEFINITION:

The Billing Supervisor is responsible for overseeing the billing, coding, and payment posting functions within Partnership Health Center (PHC). This role ensures accurate and timely processing of claims, payments, adjustments, and billing information in the system, while leading a team of billing staff members. The supervisor plays a key role in managing revenue cycle operations, ensuring compliance with billing protocols, and addressing issues related to payment discrepancies or coding errors. The Billing Supervisor ensures that all billing information is posted correctly and promptly to facilitate accurate revenue recognition, minimize errors, and maximize cash flow.

TO APPLY:

• Please complete all sections of the online application at www.partnershiphealthcenter.org/careers, even if a resume is submitted. A resume will not substitute for completing the work history section of the application.
• Please include with your completed application the following attachments: Cover Letter, Resume, and any professional licenses. In your Cover Letter, please address why you are applying for this position. Incomplete applications and applications without required attachments will be disqualified.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

KNOWLEDGE:

In-depth knowledge of medical billing and coding, payment posting, accounts receivable management, and revenue cycle management processes. Knowledge of payer policies and practices, including Medicare, Medicaid, and commercial insurance carriers. Strong understanding of remittance advice (RA), Explanation of Benefits (EOB), and payer requirements for payment posting and reconciliation. Awareness of industry-standard billing codes (ICD-10, CPT, HCPCS), as well as the impact on payment posting. Knowledge of electronic health records (EHR), practice management software, and billing systems used for payment processing. Understanding of healthcare reimbursement methodologies, including fee-for-service and value-based care. Working knowledge of medical terminology and procedures for diagnostic coding. Working knowledge of modern office practices and procedures. Working knowledge of methods and techniques to evaluate system performance and to make recommendations for improvements. Working knowledge of principles and practices of staff supervision. Working knowledge of HR policies and relevant collective bargaining agreements. Working knowledge of the principles and practices of HIPAA compliance. Working knowledge of the PHC Corporate Compliance Guidelines. Ability to coordinate and motivate a hybrid office/home office team.

SKILLS:

Skill in computer data entry and the use of a personal computer (word-processing, spreadsheet, e-mail, computerized accounting system). Skill in the use of computerized accounting systems. Skill in the use of a calculator and other modern office machines. Supervisory and leadership skills, with the ability to effectively manage and motivate a team. Strong analytical skills, with the ability to interpret complex payment data and identify discrepancies or trends. Proficiency in using billing and payment posting software, as well as reporting suites to generate reports and analyze data. Strong communication skills to interact with patients, providers, insurance companies, and internal teams to resolve billing issues. Attention to detail and accuracy, with a focus on minimizing errors in payment processing and posting.

ABILITIES:

Ability to learn and follow departmental policies and procedures. Ability to communicate effectively in the English language, orally and in writing. Ability to establish and maintain effective working relationships with diverse individuals and groups. Ability to provide direction to staff and to coordinate work efforts. Ability to perform detailed work in a precise and accurate manner. Ability to lead and mentor a team, fostering a positive and productive work environment. Ability to assess and address payment posting issues quickly and accurately, offering solutions to complex billing discrepancies. Ability to train staff on complex billing processes and new system updates effectively. Ability to manage multiple priorities in a fast-paced environment and meet deadlines consistently. Ability to maintain confidentiality and ensure compliance with all relevant privacy and regulatory guidelines, including HIPAA.

MINIMUM QUALIFICATIONS:

An equivalent combination of education and experience may be considered.

EDUCATION:

High school diploma or equivalent required; Bachelor’s degree preferred. Certification such as Certified Professional Biller (CPB) or Certified Professional Coder (CPC) through AAPC or similar certification is a plus. Degrees best suited to this position are accounting and health services administration.

EXPERIENCE:

Requires three years of experience with billing and collection practices that includes one year of supervisory or leadership experience. Experience in a medical office setting is preferred.

SPECIAL REQUIREMENTS:

Requires immunizations or proof of immunity to certain infectious diseases and a TB test. Employees who have not received the vaccines required for their positions or who are unwilling to voluntarily provide vaccination status for required vaccines will receive a reasonable accommodation where such accommodation does not require an undue hardship or endanger the health or safety of any person. Subject to a criminal background check, including fingerprinting.