Billing Supervisor

• Shared responsibility for the day-to-day supervision and oversight of Billing Department and designated staff
• Primary duty consists of hiring, promoting, training, evaluating and/or directing the work of designated staff
• Oversee daily workload for billing staff & ensure that established standards are followed with respect to productivity and accountability
• Work with manager to interview candidates for hire, monitor job performance of billing staff, counsel employees as needed and handle disciplinary action as necessary following approval
• Coordinate & deliver training to billing staff in daily operations for appropriate third party billing and follow up activity
• Assist in writing/establishing operating procedures to meet billing regulations/compliance and follow up enhancement
• Work with manager to monitor payment/denial activity for correct reimbursement by payor, inform manager of potential reimbursement issues and all updates/changes of billing regulations/guidelines.
• Inform manager of all problems /issues related to billing operations and staffing
• Responsible for ensuring that operations and billing work hand in hand
• Reconcile claims with AR
• Proactively identify simplification / automation opportunities
• Utilize metrics to improve performance
• Proactively manage and ensure compliance with control objectives
• Support internal and external auditors
• Ensure that all claims are submitted correctly and timely to avoid billing deadlines and timely follow up is performed to prevent aging of account activity
• Maintain Accounts Receivable for your own health plan-payer assignments.

• High School graduate or equivalent
• Minimum five (5) years’ billing experience
• Minimum two (2) years’ in a supervisory role
• Coding experience
• Valid California driver’s license and vehicle insurance; reliable transportation, to travel for meetings and/or to gather information for reporting purposes

• Two years' experience in FQHC environment

• Ability and willingness to work flexible schedule and hours
• Must be able to travel overnight
• Familiarity with billing fee-for-service payers including Medicare and HMO programs
• Knowledge of payer credit and collection policies
• Knowledge of patient accounting operations, third party policies, and industry standards
• Knowledge of billing software applications
• Strong knowledge of insurance billing in a medical/clinical setting
• Excellent interpersonal and both written and verbal communication skills with strong ability to create a comfortable, supportive learning environment
• Ability to effectively present information, and communicate initiatives, results and analyses to multiple levels of management
• Supervisory skills including the ability to counsel others and ensure adequate coverage for duties assigned to staff
• Intermediate to advanced knowledge of practice management systems (NextGen preferred)
• Demonstrated ability to exercise good judgment and problem solve under pressure of deadlines and resource constraints
• Strong analytical and problem solving skills
• Excellent verbal and written skills necessary for communication with patients/clients, providers and other staff
• Ability to interface with all levels of personnel in a professional manner
• Ability to work with people of all social and ethnic backgrounds and within the constraints of government funded programs
• Ability to perform work that is technically oriented
• Experience/familiarity with computers, Microsoft Office products (Word/Excel), business e-mail, communication systems and internet search capabilities
• Familiar with operation of telephone, fax and copier equipment

• $68,000 - $74,000 DOE

Vista Community Clinic