LRCHC Billing Supervisor
Job Details
Inchelium - , WA
Full Time
2 Year Degree

CLOSING DATE: Position is Open until filled. Applications will be reviewed on a weekly basis.

POSITION: Billing Supervisor

SALARY: $24.45 - $27.50, per hour DOE

REPORTS TO: CFO

LOCATION: Inchelium, WA; Keller as needed

Basic Functions: The

STANDARDS OF EMPLOYMENT:

Lake Roosevelt Community Health Centers are dedicated to providing responsive, high quality health care services that meet the needs of all users in a non-discriminatory, confidential, compassionate and professional atmosphere. In order to meet this mission it is expected that all employees, regardless of job title, perform their job duties in a professional manner; this expectation includes awareness of and high quality service to our many customers, developing and maintaining job competence, ethical personal behavior, the development and maintenance of supportive and caring relationships with others at work and basic professional integrity. Meeting these expectations is a minimum requirement for continued employment.

ESSENTIAL JOB FUNCTIONS AND STANDARDS:

  1. Provide oversight and supervision of the billing, coding and credentialing team.
  2. Set up and implement computerized billing and collections systems, procedures and processes. This process may involve developing capability and competency in-house and developing policies and procedures.
  3. Must be able to train current and new staff.
  4. Desk audit all staff, ensuring that job duties are being completed in a timely manner
  5. Educates self and department on how to use and best practices of the practice management system.
  6. Audit the Accounts Receivable (AR) reports and ensure that staff are working the 120 and over/AR.
  7. Enters financial and encounter data into the RPMS system and generates reports as needed.
  8. Educates self and department on how to use and best practices of the practice management system.
  9. Regularly reports to CFO any trends, changes or unusual activity as it relates to billing of services.
  10. Knowledge of provider credentialing and Insurance credentialing.
  11. May be asked to provide review of options for possible implementation
  12. Requires knowledge of medical terminology, anatomy and pathophysiology, medical and behavioral health services, provider specialties, and insurance terminology.
  13. Requires current knowledge of third party billing regulations and ability to stay up to date with regulations.
  14. Requires the knowledge to maintain working knowledge of current changes in coding and billing requirements from Medicare, Medicaid, and other third-party payers.
  15. Requires a working knowledge of the practices, procedures, and terminology of medical claims processing.
  16. Requires a working knowledge of office clerical procedures and computer-aided office productivity software.
  17. Requires sufficient writing skills to prepare basic business correspondence.
  18. Requires sufficient math skills to compute totals, extensions, portions, ratios, quotients, and percentages.
  19. Requires sufficient human relations skill to convey policies and procedures and to deal cooperatively with others on accounting transactions.
  20. Requires the ability to perform the functions of the position.
  21. Requires ability to apply and review diagnostic and procedural coding utilizing approved coding tools including but not limited to current coding textbooks.
  22. Requires ability to effectively operate computer and software applications associated with office requirements as well as Revenue Cycle Management.
  23. Demonstrates the ability to undertake multiple tasks and follow through to completion.
  24. Requires ability to complete assigned workload in an accurate and dependable manner with minimum supervision.
  25. Requires ability to communicate effectively verbally as well as in writing.
  26. Requires ability to analyze and effectively solve problems.
  27. Requires ability to provide reports on assigned program account regarding unpaid balance, denials, adjustments, and provider activity quarterly, or upon request.
  28. Requires the ability to maintain strict confidentiality in compliance with HIPAA standards.
  29. Requires the ability to research, compile, analyze, and interpret claims data.
  30. Requires the ability to maintain accurate and retrievable files, records, audit trails and trace transactions to original entries.
  31. Requires the ability to organize and prioritize work to meet deadlines and timetables.
  32. Requires the ability to work cooperatively and professionally with customers, staff, tribal government personnel and outside agency personnel and vendors.
  33. Requires the ability to access and use a computer, common office productivity software, and specialized accounting software to access databases.
  34. Requires the ability to work in an office setting engaged in work of a primarily sedentary nature.

Other Duties (specific to each individual employees duties):

  1. May be asked to summarize, project or prepare statistical or other report information for presentation.
  2. Supervise credentialing of both initial and renewal applications
  3. May be asked to provide review of options for possible implementation
  4. All other duties and responsibilities deemed as needed and necessary.

KNOWLEDGE, SKILLS, AND ABILITIES:

Skills: Experience with Microsoft Windows and Office Suite. Knowledge of medical terms and clinic processes. Knowledge of office procedures and equipment, data compilation, chart and graph preparation. Knowledge of billing processes and procedures and working knowledge of ICD10 coding preferred. Must have ability to interpret and present data clearly in tabular or graphic forms, operate office machines, and follow oral and written instructions.

Abilities: Previous work history must reflect above average attendance and performance. Successful candidates will: be a self-starter, have strong customer service skills, be able to multitask in a sometimes stressful environment, work efficiently and accurately, have strong oral and written communication skills, be well organized and detail oriented, be a team player and work well with others, exercise good judgment, be able to maintain strict confidentiality, and demonstrate cultural

MINIMUM JOB QUALIFICATIONS:

Education: AA degree and 12 months billing and/or coding experience; experience may be substituted for education.

Billing and Coding Certificate (required)

Medical terminology & anatomy (preferred) willing to obtain in one year of employment (required)

Experience:

Two (2) years experience as a medical biller (required)

Two (2) years Supervisory experience (required)

Strong working knowledge of medical billing systems and procedures (required).

Customer service 2-3 years (required)

RPMS IHS software or other medical billing software (preferred).

Certification of ICD-10 requirements, certified dental terminology (CDT), current procedural terminology (CPT) coding (required)

Understanding of Medicare, Medicaid, commercial carriers and general healthcare billing guidelines (required).

TRIBAL MEMBER AND INDIAN PREFERENCE WILL APPLY; PREFERENCE WILL ALSO BE GIVEN TO HONORABLY DISCHARGED VETERANS WHO ARE MINIMALLY QUALIFIED.

If required of this position, you must possess and maintain a valid Washington State drivers license and be eligible for the Tribes Vehicle Insurance. In addition, this position may be subject to pre-employment background clearances. If applicable, these clearances must be maintained throughout employment.

INFORMATION: Lake Roosevelt Community Health Centers, Human Resources Office, P. O. Box 290, Inchelium, WA 99138, Contact information: Stefanie Lelone, 509-722-7686 or Stefanie.lelone@lrchc.com .

 

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