Apply directly for Hurley Medical Center Professional Billing Supervisor

Position is hybrid - 2 days on site in Flint Township, Michigan, 3 days remote

SUMMARY: 

Supervises and participates in activities in professional billing in Patient Billing Services.  Plans, controls, and implements departmental policies and procedures to effect orderly flow of third party payer bills and other work assignments.  Interacts with clinic and contract physicians as necessary.  Participates in quality assessment and continuous quality improvement activities.  Ensures compliance of all appropriate safety and infection control standards.  Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior.

ENTRANCE REQUIREMENTS:
•    Graduation from high school or equivalent.
•    Five (5) years of experience in inpatient and outpatient, computerized and manual physician billing for both physician and non-physician practitioners and third party carriers utilizing a 1500 claim form and/or 1500 electronic billing procedures/methods in a professional office or multi-practice setting.  
•    An Associate degree in Business Administration, Health Care Administration, Medical Insurance Specialist or related field with at least eight (8) semester or twelve (12) quarter credits in Accounting may substitute for two (2) years of the required experience.  
•    A Bachelor’s degree in Business Administration, Health Care Administration, and Medical Insurance Specialist with at least eleven (11) semester or sixteen (16) quarter credits in accounting may be substituted for three (3) years of the required experience.
•    Demonstrated knowledge in medical terminology, anatomy, physiology, and coding classification systems (ICD-9-CM, CPT, HCPCS).
•    Demonstrated knowledge of Medical Center computer systems (e.g., Advantae, SMS, MRIS, Medifax/HDX, DENIS, PHO referral).
•    Knowledge of inpatient and outpatient professional billing regulatory requirements for third party carriers.
•    Knowledge of documentation requirements for professional billing.
•    Knowledge of fee for service and capitation payment methodologies and CCI edits.
•    Knowledge of accounts receivable control and general credit policy.
•    Demonstrated ability to problem solve and to use conflict resolution techniques.
•    Ability to understand and analyze accounts receivable management-related reports.
•    Ability to analyze and interpret data.
•    Ability to develop electronic spreadsheets.
•    Ability to organize and coordinate daily assignments independently.
•    Ability to communicate both orally and in writing.
•    Ability to establish and maintain effective working relations with administration, department heads, co-workers, subordinates, physicians, other Medical Center employees, patients, and the general public.

NECESSARY SPECIAL QUALIFICATION:
•    Incumbents appointed to this classification must be certified by the American Health Information Management Association or the American Association of Physician Coders as a Certified Coding Specialist-Physician Based (CCS-P) and/or Certified Professional Coder (CPC) within six (6) months of date of appointment.  Failure to obtain and maintain required certification shall be grounds for termination.