Supervisor, Billing & Reimbursement -… at USA Health · Mobile

USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education, and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists, and researchers provides the region's most advanced medicine at multiple facilities, campuses, clinics, and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall well-being of our community.

• Supervise, train, and mentor billing staff and coding/reimbursement team members.
• Supervise and coordinate billing activities for institutional (UB-04) and professional (CMS-1 500) medical claims.
• Ensure timely and accurate claim submission to government and commercial payers.
• Monitor billing workflows, claim edits, and work queues within practice management system.
• Identify and resolve claim issues related to coding, documentation, payer requirements, and system configuration.
• Ensure adherence to coding guidelines.
• Ensure compliance with Medicare and Medicaid guidelines, third party payer rules, regulatory requirements, and internal policies.
• Oversee payer contract configuration and maintenance within the revenue cycle contract management system.
• Monitor variances between expected and actual reimbursement.
• Stay abreast of billing and compliance and other Federal, State and University regulations to ensure payer reimbursement rules, fee schedules, and contract terms are accurately built and maintained in the system.
• Analyze billing and coding reports to identify trends, denials, and revenue leakage.
• Lead initiatives to improve clean claim rates, reduce denials, and accelerate cash collections.
• Maintain documentation of billing processes, policies, and system workflows.
• Approve time sheets.
• Conduct performance reviews, coaching, and corrective actions when needed.
• Completes all mandatory department, educational and hospital requirements
• Adheres to current Infection Control and Safety Standards
• Regular and prompt attendance
• Ability to work schedule as defined and overtime as required
• Related duties as assigned

Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits.

• Bachelor's Degree and 3 years of healthcare revenue cycle experience of which one year of supervisory or training experience in medical billing and/or coding. Required
• Directly related experience may substitute on a year-for-year basis for the required education.  Preferred
• Experience with revenue cycle contract management. Preferred
• Certified Professional Coder (CPC) Upon Hire Required
• Comparable combination of education and experience may substitute for the above requirements.