Jobs and Careers at the U.S. Medical Management Talent Network

Home Health & Hospice Billing Supervisor

Department: Billing
Location: Troy, MI
Company: USMM

Home Health & Hospice Billing Supervisor

U.S. Medical Management (USMM), an affiliate of a leading Fortune 250 company, manages a nationwide continuum of premier providers of medical services delivered primarily to the homes of elderly and homebound patients. Providing primary home care is the future of medicine, and at USMM, the future is now. With the knowledge and experience to address the evolution of healthcare, USMM is poised for a phenomenal future.

Position Description

Under the direction and support of the SVP Administrative Services, the Home Health & Hospice Ė Billing Supervisor directs and coordinates all functions of the Billing department to ensure maximization of cash flow while improving patient, provider, and other customer relations. The Billing Supervisor requires business office skills, critical thinking, and willingness to develop and embrace leadership skills to lead the back end of the revenue cycle and directly manage the claim submissions, accounts receivable follow-up, payment posting and charge entry functions of USMM.†

Essential Duties and responsibilities

  • Responsible for driving the USMM culture through values and customer service standards
  • Accountable for outstanding customer service to all external and internal customers
  • Develop and maintain business relationships through effective and timely communication
  • Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner
  • Under the direction of the SVP, oversee the day to day operations of the billing department for home health and hospice, including but not limited too-charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management
  • Serve as USMMís billing subject matter expert and go to person for home health and hospice
  • Work directly and in strong collaboration with all internal and external customers, inside and outside of revenue cycle
  • Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues
  • Prepare billing reports for month end close, year-end audit and Medicare cost report
  • Collaborate with home health and hospice locations throughout the country on Accounts Receivable issues and further education on policies and procedures
  • Follow up on claims using various systems
  • Audit current procedures to monitor and improve efficiency of billing and collections operations†
  • Ensure that the activities of the billing operations for home health and hospice are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements
  • Participate in the development and implementation of operating policies and procedures
  • Review and interpret operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency
  • Analyze trends impacting charges, collection, and accounts receivable and take appropriate action to realign staff and revise policies
  • Keep abreast of changes in reimbursement contracts, rules and regulation as they apply to Billing revenue cycle functions, adapts all requisite policies/procedures, staffing and training to ensure compliance
  • Prepare and distribute various key metrics to internal leadership and staff
  • Oversee the supervision of personnel, which includes work allocation and training
  • Perform miscellaneous job related duties as assigned

REQUIRED Knowledge, Skills and Experience

  • Bachelor degree in business, finance, accounting, or comparable years of leadership or home health and hospice revenue cycle experience
  • Thorough understanding of home health and hospice billing, collections and payment posting, revenue cycle, third party payers, Medicare; strong knowledge of Federal payer regulations
  • Working knowledge of CPT and ICD10 codes, HCFA 1500, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes
  • Knowledge of business management and basic accounting principles to direct the billing office
  • Sufficient knowledge of billing policies and procedures
  • Effective communicator with the ability to partner with shared stakeholders to achieve mutual success
  • Proficient in Microsoft Office, including Outlook, Word, and Excel
  • Skill in organizing resources and establishing priorities
  • Ability to foster a collaborative work environment
  • Experience with and/or willingness to learn employee development and performance management skills
  • Ability to motivate team and create a culture of accountability at all levels

preferred Knowledge, Skills and Experience

  • Prior experience leading a team
  • Experience providing service level agreements to internal and external customers
  • Experience in developing, implementing, and administering work processes
  • Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures

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