Outpatient Billing Supervisor

7 days ago


Johannesburg, Gauteng, South Africa St. John's Riverside Hospital Full time
Job Summary

We are seeking a highly skilled and experienced Outpatient Billing Supervisor to join our team at St. John's Riverside Hospital. As a key member of our revenue cycle team, you will be responsible for supervising and coordinating the activities of medical billers and collectors, ensuring accurate and timely billing and collection of patient accounts.

Responsibilities
  • Supervise and coordinate the activities of medical billers and collectors to obtain and record financial data for statistical records.
  • Determine work procedures, prepare work schedules, and expedite workflow.
  • Assign duties and examine work for exactness, neatness, and conformance to policies and procedures.
  • Direct and coordinate the patient accounting function to consistently produce accurate bills that are paid in a timely manner.
  • Utilize and understand the departmental computer system to realize its optimal potential and evaluate and answer staff member questions regarding the mechanics of the system.
  • Effectively communicate with auditors to locate various patient bills as required.
  • Ensure cooperation and collaboration with staff members to maintain accurate billing practices, including standard codes sets (CPT4 & ICD-9 coding, UB 04 & 1500 forms, 837 and 835 requirements).
  • Maintain appropriate internal controls over cash posting and reconciliation.
  • Stay current with third-party reimbursement regulations and contractual arrangements with HMOs and other payers.
  • Maintain all required records for the department and demonstrate good organizational skills.
  • Train and supervise medical billing, cash posting, self-pay, and collections staff.
  • Adjust and refund requests to insurance companies for overpaid or underpaid accounts.
  • Business office denials, payments, and adjustments reports.
  • Create billing reports as needed and respond to inquiries from patients, insurance companies, Medicare, and other parties regarding charges and/or billing activity.
  • Identify and resolve account collection problems for maximum collection results.
  • Attend meetings and participate on committees as directed.
  • Schedule and evaluate the work of assigned staff members as needed and handle disciplinary action as necessary.
  • Conduct annual reviews of employees and maintain patient Medicaid and Hospital Charity Care applications and collect associated information.
  • Assist in any other projects assigned by the Director of Patient Accounts.
Qualifications

We require a high school graduate with some college courses, preferably a Bachelor's degree. A minimum of three (3) or more years of previous hospital experience in all aspects of business office functions is required. Ability to read, write, and communicate effectively in English is required. Knowledge of MS Word, Excel, PowerPoint, Access, and Outlook is also required.



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