Provider Based Billing Supervisor

Who We Are:
Central Florida Health (CFH) is a locally owned and governed not-for-profit healthcare system and the largest, most comprehensive provider of healthcare services in the region. CFH provides services to Lake, Sumter, and Marion counties through inpatient acute hospital services at The Villages® Regional Hospital (TVRH) and Leesburg Regional Medical Center (LRMC), inpatient rehabilitation services at TVRH Rehabilitation Hospital, geriatric-psychiatry services at the LRMC Senior Behavioral Health Center and diagnostic laboratory services at several locations. As a premier healthcare provider, CFH takes pride in providing progressive, innovative technology, along with building strong relationships with patients, families, physicians and residents of the communities we serve. 

Position Title: Provider Based Billing (PBB) Supervisor 

Essential Functions:
The PBB Supervisor possesses advanced experience in all areas of Patient Financial Services and Professional Services Billing and Collections.  They must maintain knowledge of insurance claims processing, Coding, financial reimbursement, account reconciliation and claim resolution.  The PBB Supervisor assists with daily operations of the department for positions within their responsibility with regard to time keeping, work rules, associate performance, goal setting, process improvement and creation/implementation of policies and procedures.
 
Requirements:
Education:High School Diploma/GED, required
Post High School Special Training, preferred
Experience:  Minimum 3 years’ supervisory/management experience in a medical group/ hospital/medical business office,  Practice Management, Financial Accounting or customer service call center. Previous working knowledge of Lockbox services, statements, bad debt, Provider Coding Guidelines collections and patient accounts. 
Special Skills/Qualifications:  Detail oriented, analytical and excellent problem solving and communication skills. Strong knowledge of reimbursement methodologies and revenue cycle processes. Demonstrated knowledge of Revenue Cycle for Laboratory, Provider Billing and Ambulatory Surgical Center.  Experience with patient accounting billing systems, Practice Billing, claim forms, Tax Identification Numbers (TIN), National Provider Identifier (NPI), payer websites, and clearinghouses and can identify root causes and determine appropriate resolutions for claim rejections and claim denials.   Knowledge of HIPAA regulation, CMS Coding Guidelines, Credit Balances, reporting, third party billing, insurance follow-up, account reconciliation and managed care contracts.  Understands Federal, State, and local laws concerning Coding and the collection of healthcare bills.  Strong analytical, verbal and written communication skills.  Ability to make mathematical calculations and compose professional letters.  Basic computer, internet and spread sheet competencies required.  Insurance background and certified coding certificate preferred.