• Job Description

  Req#: REIMB003430

  The Billing Supervisor is responsible for a broad range of billing processes related to managing the Ready to Bill unbilled revenue, will proactively work assigned payer billing to maximize accurate and timely payment.

  Education/Experience: High School Diploma or equivalent (GED) Excellent interpersonal, communication and organizational skills required. Ability to prioritize, problem solve, and multitask is required. A minimum 5 years in medical billing (preferably home infusion) with a working knowledge of managed care, commercial insurance, and Medicare reimbursement preferred. Responsible to: Reimbursement Manager

  Responsible to: Department Manager

  Ensures daily accomplishments work towards company goals for cash collections and A/R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined. Manages the Ready to Bill queue on a daily basis; performs QA to insure accurate and timely creation of new claims and generic invoices; insures submitted claims meet payer guidelines. Processes confirmed tickets in “unworked” status with 48 hours of confirmation date; assigns appropriate status to insure proper handling by branch and billing personnel; makes necessary demographic changes to reduce rejections of submitted electronic and paper claims. Works “resolved” unbilled tickets with 24 hours to “ready” or next status for resolution. Conducts billing utilizing most efficient resources to secure timely payment of open claims or invoices; electronic solutions should be given priority. Identifies patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation and delivery tickets. Reviews delivery tickets for accuracy and completes claims per payer specific guidelines. If applicable, submits secondary billing in a timely manner with appropriate supporting documentation per payer specific guidelines to insure expected revenue is allowed. Researches websites of assigned payers to bill for payer updates and shares updates accordingly. Works within specified deadlines and stressful situations. Works overtime when necessary to meet department goals and objectives. Performs other tasks or special projects as assigned. WORK STANDARDS Understands and adheres to all external accreditation review standards, applicable state, local and Federal laws and / or regulations including maintaining patient confidentiality through abiding by HIPAA laws/regulations. Understands and adheres to all company policies and procedures. Establishes and maintains positive working relationships with internal and external customers as well as all company employees. Displays a neat, clean, and professional appearance at all times. JOB DESCRIPTION KEY INDICATORS Paragon Healthcare, Inc. BILLING SPECIALIST Meets expectations for customer/patient satisfaction and anticipates customer/patient needs. Handles customer/patient complaints in a fair and empathetic manner. Promotes PHI culture by providing quality, comprehensive services to all customers through a team approach. TECHNICAL Competent with office computer program, if applicable (i.e. DripSync, CPR+). Competent at partner programs (i.e. Word, Excel, PowerPoint). Effective written and oral communication skills. Employee Signature: ______________________________________________

• About the company

  How many times have you wished healthcare wasn’t so complicated? At Paragon, our only focus is to make your life a little bit easier. We've been serving patients and physicians for over 15 years.

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