Laboratory Claims & Coding Supervisor

The Laboratory Claims & Coding Supervisor is responsible for timely and accurate submissions of all laboratory claims. Job responsibilities include but are not limited to: managing employees, ensuring regulatory compliance, providing billing trends and guidance to supervisor(s) and staff, and monitoring collections and other internal indicators. The person is responsible for leading and planning the billing operations. The individual is responsible for designing, implementing and enforcing policies and procedures, as well as streamlining effective billing processes across multiple payer markets. Candidates MUST possess a minimum of five years experience in medical billing and coding.

Work Schedule: M-F 8:00a.m. to 5:00p.m., and longer hours based on workload

Primary Duties: -

Oversees the lab billing department and works closely with management to evaluate department's productivity and performance to ensure revenue maximization

- Ensures compliance with federal, state, and local regulations and billing and collections policies in order to facilitate attainment of accounts receivable (AR) targets

- Champions revenue cycle improvements throughout the organization including working with appropriate individuals including medical records, billing, denial management, etc., to aid in the resolution of identified revenue cycle issues

- Actively participates in staff development and assessments to support industry best practice

- Provides direction and leadership within all areas of the billing department including but not limited to reimbursement, coding & compliance, and credentialing business units

- Monitors and makes decisions regarding the value and collectability of accounts receivable. Makes recommendations and procedures to keep Days of Revenue in AR at acceptable levels

- Prepares monthly analysis and reports pertaining to department

- Perform other duties as assigned Basic Preferred Profile:

- Bachelor’s Degree College degree in accounting, healthcare administration, business management/administration preferred

- CPC (Certified Procedural Coder) preferred

- At least 1 year of medical billing experience in a laboratory/diagnostic environment

- Prior experience billing within clinical molecular diagnostics

- At least 1 year supervisory experience

- Experience with medical terminology, CPT, ICD9 and ICD10 terminology

- Knowledge of pertinent Federal, State, and local laws, codes, and regulations related to patient billing and collection

Knowledge of HIPAA Privacy and Security Rules

- Knowledge of all regulatory reimbursement and insurance related requirements

- Effective, clear, and persuasive oral and written communication skills with individuals and groups

- Excellent analytical and problem solving skills

- Strong skills in fostering working relationships

- Detail oriented; organized; sets priorities; meets deadlines

- Must have high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy

- Advanced skills in computer programs particularly Microsoft Excel Compensation:

- Medical, Dental, Vision

-401K