SCOPE OF POSITION

The Billing Supervisor is primarily responsible for managing all billing/collection resources for a positive cash flow for Overmountain Recovery (Ballad Health) and is responsible for total account receivables. The management of billing/collection resources shall include outpatient procedures medical billing, ICD-10 and CPT/HCPCS coding as well as office patient billing and collections. Must be able to successfully communicate with all social and educational levels of the population to include insurance company representatives, executives, and attorneys. Demands a high level of professionalism and courtesy at all times towards peers and the general public.
Responsible for all purchasing and maintenance of inventory for the front office. Responsible for front office budgets which include maintaining a staffing level to adequately and efficiently maintain a positive cash flow. Supervises and directs all front office staff (PARs, FOCs, etc.) in all aspects of billing/collections procedures. Responsible for maximizing effective and positive job results from his/her employees while displaying and teaching positive public and peer relationship.
The Billing Supervisor shall oversee all aspects of insurance billing, to include: Obtaining prior authorizations, verifying patient eligibility, ensuring proper coding, the timely submission of claims, claim follow up, working denied claims and submitting appeals as needed. Responsibilities also include ensuring insurance check payments & other manual deposits get to the bank, posting insurance payments/ERAs within SAMMS, and ensuring SAMMS and US Bank accounting align daily.
Consistent review and management of all patient and insurance account balances are required in order to resolve outstanding accounts. Works in conjunction with the Ballad Financial Department to successfully establish guidelines for the efficient collection of accounts receivable. Provides reports and information at the end of the month, as well as on an as-needed basis.


REPORTING RELATIONSHIP
See Table of Organization.

EDUCATION AND EXPERIENCE
Associates degree, Bachelor's of Science Degree preferred, in business related field. Five years experience in the healthcare field.