Job Summary: The Supervisor- Medicare Hospital Billing and Collections (PBO) is responsible for oversight and integrity of the daily billing and collection activities in the Medicare department. Oversees the timely submission and collection of all initial, interim, final and appealable claims. Supervises the daily, weekly, monthly, and quarterly Medicare credit reviews and reporting. Maintains in-depth knowledge of all Medicare billing and collection procedures, rules, regulations and compliance guidelines, as documented in the CMS Medicare Provider Billing and Coverage Manuals, Internet Only Manuals; Palmetto/GBA website, National CMS newsletters, Medlearn Matters website and weekly Compliance newsletters. Displays an ability to work in a stratified priority environment with good organizational skills. Provides motivation, support, and training for employees. Plans, organizes, and completes projects and special projects. Displays management style congruent with the institution's mission and vision. These services may be provided for both the LLUMC and LLUCH hospitals. Performs other duties as needed.
Education and Experience: High School Diploma orKnowledge and Skills: Possesses a very good knowledge of all billing and collection procedures per office policies and federal/state regulations. Must have in-depth knowledge of all Medicare billing and collection procedures, rules, regulations and compliance guidelines, as documented in the CMS Medicare Provider Billing and Coverage Manuals, Internet Only Manuals; Palmetto/GBA website, National CMS newsletters, Medlearn Matters website and weekly Compliance newsletters. Proficient knowledge of Medi-Cal and commercial claims processing. Able to keyboard 35 wpm. Able to read, write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
GED required. Bachelor's Degree preferred. Minimum two years of experience in a hospital-based billing and collections department (or equivalent) required.
Licensures and Certifications: None
