Billing Supervisor Business Health

Engage with us for your next career opportunity. Right Here. Job Type Regular Scheduled Hours 40 💙 Why You’ll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 🌟 Benefits That Support You We invest in you — personally and professionally. Enjoy Competitive pay and comprehensive health coverage within the first 30 days. Generous paid time off and flexible work schedules Retirement savings with employer match Tuition reimbursement and professional development opportunities Wellness, mental health, and recognition programs Career advancement through mentorship and internal mobility Job Summary This position is responsible for the billing portion of the Electronic Billing System (Systoc) and providing leadership for Business Health billing staff. Assist with system evaluation, testing, implementations, upgrades, and software changes. Perform troubleshooting, auditing, system integration(s), and coordination with Information Systems personnel (IS), Revenue Enhancement, Registrations. Provides technical support and training as needed and assist management team with system related issues. Responsibilities include staying current on Commercial, Worker’s Compensation, other third party, and Government regulations. In addition, training all department staff regarding billing function and acting as liaison between billing/follow up staff and other units and/or departments. Work closely with third party vendors to achieve the most cohesive billing and clearing house systems. Responsible for ensuring month end processes, daily work flow and AR. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description Supervisor Responsibilities Manage and coach subordinate groupDevelop, promote, and maintain professional relationships, both internally and externallyCommunicates with supervisor/Manager and payers of any issues that would prohibit claim payment and elevate serious barriers to appropriate managementDemonstrates adequate, appropriate, and professional levels of communication with insurance company representatives, team members, managers and directorsCompletes special projects and tasks by the established time frame which can include organizing workload and/or associates for successful account resolution: proactively notifies manager of a barriers that prohibit billing and/or payment of claimsAssign, monitor/review the task progress and ensure accurate workload of a group of employeesProvide instruction so others on the team can complete tasks quickly and effectivelyInform management of overall performance of team membersProvide technical guidance on more complex issues including but limited to maximum reimbursement Billing Responsibilities Work specific reports (as applicable)Bill self-pay worker’s compensation accounts receivableSubmits bills to payers electronically if possible, otherwise paperProficient in Worker’s Compensation regulations and reimbursement policiesProficient in third party contractual agreements and regulations to apply requirements for accurate billing and to make recommendations for system changes as needed Follow-Up Responsibilities Calls payers/ Patients or uses online resources to obtain status on accounts housed on work listsRecords appropriately detailed notes in the billing systemTakes appropriate action to resolve claims, i.e., the representative will execute all steps to resolve unpaid claim, including but not limited to; rebill of claimInitiates appeals when necessary or works with UtilizationManagement/Risk Management for appropriate appeals processCalculates expected reimbursement/Adjustments on accounts if/when necessaryFacilities, generate spreadsheets/invoices, track payment/nonpaymentEstablishes relationship with payer contactsEstablish Relationship with other DepartmentsPerforms due diligence on all collection effortsEnsure expected reimbursement is secured. Customer Service, Quality Management, And Problem Resolution Actively participates in the patient/corporate client experience following AIDETResolve routine patient/corporate client complaints on a timely mannerInitiates further follow up with Manager/Director patient/corporate client issues in a timely mannerParticipation in all patient /corporate client customer services surveysResponsible for development and implementation of annual goals, with quarterly review and updates of progressIn coordination with Manager/Director, will develop procedures and protocols associates with efficient operation of billing Human Resources Performs employee performance evaluations and participates in follow-up employee performance evaluations given by the Manager/Director and follow-up billing information gathered from account reviews and observationsTrain, develop, coach, counsel, assign duties and work schedules. Evaluate job performance and review performance appraisal with personnel. Initiate or recommend necessary counseling, disciplinary actions, termination and commemoratory actionsAlong with Manager/Director, making recommendations regarding hiring of staff Planning, Development, And Marketing Provide effective leadership to ensure goals of the department and the organizationWork with billing staff to develop and implement measurable goals for program and individual growth and developmentParticipate, when appropriate and necessary with marketing/sales representative on sales calls or follow up visits to client companies with the serviced area of the clinic Financial/Budget Responsible for managing inventory and supply needs, and will maintain the total supply cost below budgetResponsible for managing FTE levels at cost or below budget for the billing staff Performs other duties as assigned. Education, Credentials, Licenses High School Graduate AND 4 years of experience OR Equivalent combination of education and Experience comparable to associate’s degree Specialized Knowledge Knowledge of regulations for Commercial, Worker’s Compensations, Third Party Insurance, PC Window Applications Excellent communication skills-verbal and written Kind And Length Of Experience 3 years of related experience including: CommercialWorker’s Compensation Third Party – hospital billing/reimbursement/collections experience FLSA Status Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.