Supv Billing

Engage with us for your next career opportunity. Right Here.

Job Type:

Regular

Scheduled Hours:

40

💙 Why You’ll Love Working with St. Elizabeth Healthcare

At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 

 

🌟 Benefits That Support You

We invest in you — personally and professionally.

Enjoy:
- Competitive pay and comprehensive health coverage within the first 30 days.
- Generous paid time off and flexible work schedules
- Retirement savings with employer match
- Tuition reimbursement and professional development opportunities
- Wellness, mental health, and recognition programs
- Career advancement through mentorship and internal mobility

Job Summary:

This position is responsible for the billing portion of the Electronic Billing System (EPIC) and providing leadership for the Commercial and Government billing staff. Position is also responsible for management of the department in the absence of the Manager and Follow-up unit in the absence of the Follow-up Supervisor. Assist with system evaluation, testing, implementations, upgrades, and software changes. Perform troubleshooting, auditing, system integration(s), and coordination with Information Systems personnel (IS), Revenue Enhancement, Registration, Hospice, etc. Provides technical support and training to users as needed and assist management team with system related issues. Responsibilities include staying current on Commercial, other third party, and Government regulation. In addition, training all department staff in regards to billing functions and acting as liaison between billing/follow-up staff and other units and/or departments. Work closely with the Clearinghouse System Coordinator to achieve the most cohesive billing and clearing-house systems.

Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.

Job Description:

Supervisor Responsibilities

• Manage and coach a subordinate group
• Performs employee performance evaluations and participates in Follow-up employee performance evaluations by giving the Manager and Follow-up Supervisor billing information gathered from account reviews and observations.
• Develop, promote and maintain professional relationships, both internally and externally.
• Train, develop and coach, counsel, assign duties and work schedules. Evaluate job performance and review performance appraisal with personnel. Initiate or recommend necessary counseling, disciplinary actions, termination and commendatory actions.
• Communicates with supervisor/Manager and payers of any issues that would prohibit claim payment and elevate serious barriers to appropriate management.
• Provide effective leadership to ensure goals of the department and the organization.
• Demonstrates adequate, appropriate, and professional levels of communication with insurance company representatives, team members, managers and directors.
• Assists other associates when necessary, as determined by manager, works with staff to identify and resolve issues and develop standard practices
• Completes special projects & tasks by the established time frame which can include organizing workload and/or associates for successful account resolution: proactively notifies manager of any barriers that prohibit billing and/or payment of claims.
• Assumes duties of manager as needed. Assists co- worker in problem solving, with reports and work lists, meetings, etc.
• Serves as a backup in the absence of staff members.
• Assign, monitor / review the task progress and ensure accurate work of a group of employees.  
• Provide instruction so others on the team can complete tasks quickly and effectively.
• Inform management of overall performance of team members
• Provide technical guidance on more complex issues including but limited to maximum reimbursement.

Team Coordination

• Create and maintain Procedures for the department
• Assists the Clearinghouse Systems Coordinator with the identification and resolution of Commercial and Government billing issues. This includes trending coding issues, charging issues and reconciling electronic billing issues. This position will also serve as a backup to the Systems Coordinator.
• Reviews and works with the Commercial Billing Lead, PFS Lead, and Patient Finance Specialist II weekly in reconciling unbilled accounts, billing edits issues and/or associate issues.
• Execute training of contracted staff (internal and external).
• Maintain collaborative working relationships with HIM, clinical, financial and support departments and Third-Party Payers to coordinate and facilitate the unit activities, to accomplish goals and objectives and to resolve problems.

Billing Responsibilities

• Work Specific Reports (as applicable)
• Manages Expected Reimbursement Medicare IME no pay accounts along with DRG readmit accounts
• Submits bills to payers electronically if possible, otherwise paper
• Proficient in Medicare/Government regulations and  reimbursement policies
• Proficient in third party contractual agreements and  regulations to apply requirements for accurate billing and to make recommendations for system changes as needed
• Assist Medical Records and Revenue Department on high dollar claims, changing DRG, coding, and charges on processed claims including but not limited to Consecutive Account management, Follow-up Vendor Account management and Reimbursement Account management.

Follow-Up Responsibilities

• Calls payers/ Patients or uses online resources to obtain status on accounts housed on work lists.
• Records appropriately detailed notes in the billing system
• Takes appropriate action to resolve claims, i.e., the representative will execute any and all steps to resolve unpaid claim, including but not limited to; rebill of claim.
• Initiate appeals when necessary or works with Utilization Management / Risk Management for appropriate appeal process.
• Calculates expected reimbursement/ Adjustments on accounts if/when necessary.
• Facilities, generate spreadsheets/ invoices, track payment/nonpayment.
• Establishes relationship with payer contacts
• Establish Relationship with other Departments
• Performs due diligence on all collection efforts
• Ensures expected reimbursement is secured

Communication/Trending

• Trends weekly productivity, Billing CFB, Follow-up agings
• Edit WQs (Securing required data necessary for billing.)
• Attends weekly billing staff meetings
• Identifies payer & billing issues
• Participates in a positive & constructive manner
• Responds to internal and external customer calls or concerns.
• In the absence of management will lead meetings and other operational issues.

Continuing Education & Training

• Seeks opportunity for training & informs manager of all training needs.
• Attends Seminars and workshops as assigned by manager, to obtain billing and/or follow up information related to specific payers
• Performs other duties as assigned.

Education, Credentials, Licenses:

High School Graduate AND

4 years of experience OR

Equivalent combination of education and

Experience comparable to associate’s degree

Specialized Knowledge: 

Knowledge of regulations for Commercial, Government

and other Third Party insurance

PC Window Applications

Excellent communication skills – verbal and written

Kind and Length of Experience: 

3 years of related experience including:  Commercial,

Government and other Third Party hospital billing/

reimbursement/collection experience.

FLSA Status:

Exempt

Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.