SUPERVISOR PHYSICIAN BILLING in Prince Frederick, Maryland at CalvertHealth

Responsible for coordinating and processing of billing and follow-up claims. Assisting the Manager of Patient Financial Services with analyzing workflow, denials, and utilizing system reports and other tools to identify challenges and opportunities in the billing process. Make recommendations to the PFS Manager to create an efficient and effective workforce. Will work as part of the PFS leadership team to support the activities necessary within the Revenue Cycle and Finance Division.

High School Diploma required, 2 years of college preferred

Technical certification through AAHAM required or obtained within one (1) year of hire (or similar certification).

5-7 years' experience in healthcare (business office setting). A minimum of one year professional billing experience in healthcare required.

Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements.

Extensive knowledge of insurance plans, coverage types, and medical terminology.

Proficient understanding of revenue cycle concepts and process flows.

Knowledge of claim forms used for healthcare billing (CMS 1500).

Able to work within a team environment to achieve department goals.

Familiarity with HIPAA compliance regulations.

Keeps current on all updated payer and coding information.

Exhibits outstanding organization, listening, and problem solving skills.

Computer literacy especially with Microsoft Office Suite; demonstrating proficiency in MS Excel, Word, and Outlook.

Ability to meet deadlines and work with frequent interruptions.

Demonstrates effective leadership and decision making skills