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Engaged Employer

Health Prime Services (India)

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3.5

based on 174 Reviews

17 Health Prime Services (India) Jobs

Billing Supervisor

HEALTH PRIME SERVICES (INDIA) PRIVATE LIMITED

3.5

based on 174 Reviews

3-8 years

Mumbai

1 vacancy

Billing Supervisor

Health Prime Services (India)

posted 2mon ago

Job Role Insights

Fixed timing

Key skills for the job

Medical Coding Medical Billing Operations Backend Active Directory Training and Development

+ 3 more

Job Description

The Billing Manager oversees, manages and coordinates daily operations of backend revenue cycle activities within athenaOne for assigned client(s) while promoting positive relationships with the client(s). They have a deep understanding of the athenaOne PM system and strong reporting knowledge in order to drive denial reductions, aging resolution and to identify trends and recommendations for solutions.

The individual in the position is responsible for day-to-day staff management, including offshore team working on their account(s). They will engage with and monitor client and team performance, while identifying and recommending improvement to maximize recoveries and improve workflow efficiencies.

The Manager is a key member of the management team, working with other leaders to cultivate a collaborative culture within the organization while encouraging high performance in all areas.

Duties/Responsibilities:

Fosters positive client relationships with regular communications regarding performance and responding to inquiries.
Responsible for RCM daily, weekly and monthly meeting communication including and facilitation regarding operational performance, reporting and operational meeting cadence.
Responsible to assure client specific standard operating procedures (SOPs) are developed to streamline workflows ensuring consistency and quality processes, while maximizing technology, productivity and performance.
Identifies key areas of process improvement and recommends methods of modification, implements approved changes.
Designs, communicates and implements new approaches to reporting, policies, and SOPs, to increase reporting accuracy and influence continuous improvements in operation efficiency.
Gathers, analyzes and evaluates the results of billing operations regularly, makes adjustments to performance needs and shares with the Director of Revenue Cycle Management.
Creates and reviews monthly reports, identifies problem areas if any, compares performance to industry standards as available and communicates trends to Director and client as directed.
Ensures that quality of work is maintained, and that compliance policies and procedures are followed through billing operations.
Prepares agendas, reporting and supporting documents for client meetings in collaboration with the Director.
Oversees and manages day-to-day global team activity through established workflow, continuous communications including new processes, changes, projects and issues.
Collaborates with Coding team on client claim scrubbing and denials.
Oversees operational metrics for both internal and external results including:
1. Cash flow and balancing
2. Aging
3. Credit balances
4. Rework targets
5. Adjustments
6. Patient Team emails
Other duties may be assigned.

Required Skills/Attributes:

Directly manages billing supervisors and staff level team members.
Responsible for day-to-day direction, and coordination of the billing operations department.
Carries out responsibilities in accordance with the organization s policies and applicable laws.
Assists supervisors with all aspects of employee development.
Mentor s supervisors on the planning and assigning of work as well as training and development of their team members.

E ducation and Experience:

Experience working with athenaOne EHR/PM required
Associate s degree in business administration or related field preferred
Minimum of 3 year s billing experience
Bachelor s degree and relevant leadership experience is required in lieu of billing experience
Computer savvy with Microsoft Office suite of products, Excel, Word, PowerPoint and Outlook in addition to excellent 10 key and mathematical skills
Knowledge of insurance submittal procedures and medical forms (including UB04 and HCFA 1500) and physician reimbursement preferred
Proficient with a variety of billing and medical terminology
Skillful in responding to inquiries and complaints from clients
Thrives in a deadline-driven, fast paced environment
Actively supports change
Capable of making timely independent decisions
Inspires respect and trust