Benefits:

401(k) matching

Bonus based on performance

Dental insurance

Health insurance

Opportunity for advancement

Paid time off

Vision insurance

Job Summary:

The Physician Medical Billing Supervisor (CPC) will be responsible for overseeing the billing operations, managing a team of billing specialists, and ensuring the accurate and timely submission of medical claims.

Essential Job Functions:

· Provide guidance, training, and support to medical billing specialists to ensure high performance and adherence to industry standards.

· Foster a positive and collaborative team culture that emphasizes accuracy, efficiency, and continuous improvement.

· Oversee the accurate and timely submission of medical claims to insurance providers, government agencies, and other payers.

· Ensure compliance with coding guidelines, billing regulations, and payer policies.

· Monitor key performance indicators (KPIs) to assess the team's productivity, accuracy, and efficiency.

· Develop and implement effective denial management processes to minimize claim denials and resolve issues promptly.

· Collaborate with team members to address complex denial cases.

· Provide ongoing training to billing specialists to keep them updated on changes in coding guidelines, billing regulations, and payer policies.

· Communicate with insurance companies, healthcare providers, and internal stakeholders to resolve escalated billing issues and ensure effective coordination.

· Provide clear and concise updates to management on team performance and key metrics.

· Collaborate with cross-functional teams to identify opportunities for process improvement and workflow optimization.

· Implement changes to enhance the efficiency and effectiveness of the medical billing process.

· Adheres to all company and departmental policy and procedures

· Performs monthly quality reviews of assigned staff to ensure compliance with departmental policies and workflow standards

· Performs other related duties as assigned.

Required Skills/Abilities:

· Proficient in using medical billing software, electronic health record (EHR) systems, and other relevant tools.

· Advanced knowledge of CPT, ICD-10, and HCPCS coding.

· Excellent analytical and problem-solving skills to identify trends, patterns, and opportunities for improvement.

· Effective communication skills, both written and verbal, to interact with internal and external stakeholders.

· Ability to adapt to changing industry regulations, coding updates, and payer policies.

Education and Experience:

High School diploma or equivalent

Certified Professional Coder certification through AAPC or similar certification.

Proven experience in medical billing, with a minimum of 2 years in a supervisory or leadership role.

Thorough understanding of medical billing practices, reimbursement methodologies, and coding requirements.

Physical Requirements:

Prolonged periods sitting at a desk and working on a computer.

Must be able to lift up to 15 pounds at times.

This is a remote position.