Supervisor, Client Billing-Long Term Care

Primary City/State:

Phoenix, Arizona

Department Name:

LTC Client Billing-Ref Lab

Work Shift:

Day

Job Category:

Revenue Cycle

Your pay and benefits are important components of your journey at Sonora Quest Laboratories/Laboratory Sciences of Arizona. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management or Sales Incentive Programs as part of your Total Rewards package.

POSITION SUMMARY
This position will manage the billing of all our external client accounts, including our Long Term Care Facilities. This position will direct assigned departments to improve service levels through continuing education and by implementing innovative technology and processes to the billing and collections of client accounts. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.    

CORE FUNCTIONS
1. Hires, trains, conducts performance evaluations, enforces quality performance, and supervises the workflow for the designated staff. Provides leadership, coaching, recognition, staff development and corrective actions when necessary. Establishes priorities, workloads, controls and work procedures, as well as determines resources needed.

2. Oversees the department, ensuring all billing submissions and denials are addressed in a timely and professional manner in accordance with departmental policies, procedures, quality performance standards, compliance, and all applicable laws and regulations as it relates to the billing and collection of a claim.

3. Monitors Client Accounts including Long Term Care Facilities ensuring bills are sent timely, and census compliance is followed. Reviews and analyzes account aging, credit balances, client adjustment rate and collections ensuring all are handled professionally and maintained in accordance with departmental policies, procedures and quality performance standards. Manages the direction of all requests for missing information from clients, ensuring data received from clients and long term care facilities is entered timely and accurately and maintained securely in accordance with departmental polices procedures policies, procedures and all applicable laws and regulations.

4. Conducts monthly meetings with staff to provide instruction on updated collection techniques, bill code changes, Medicare rules and regulations, client and facility issues, compliance updates and payor changes. Annually reviews and maintains updated standard operating procedures, training manuals as well as develop and drive billing best practices.

5. Oversees the communication, tracking, monitoring, reporting and addressing errors in the front end data entry process and client initiation process. This includes communication to other internal departments related to errors with the client account set/up process. Performs audits daily on production standards and service quality to provide management trend reporting weekly. Schedule and manages the use of labor and resources within budgetary guidelines. Utilizes Six Sigma concepts and drives tools and methodology usage in the department.

6. Ensures that internal audits and quality controls are in place in accordance with departmental policies, procedures, generally accepted accounting principals and all applicable laws and regulations.

SUPERVISORY RESPONSIBILITIES

DIRECTLY REPORTING
Directs trains and motivates 4 – 6 exempt professionals 13 – 16 entry-level staff.

TYPE OF SUPERVISORY RESPONSIBILITIES
Ensures department expenditures are in line with annual budget requirements. Oversees work schedule and daily activities of department staff. Makes employee selection decisions and writes performance reviews.

MINIMUM QUALIFICATIONS

• Must possess a strong knowledge of business and/or healthcare as normally obtained through the completion of a bachelor’s degree in business, healthcare administration or related field.
• Requires two (2) years of collection experience.
• Requires two (2) years previous supervisory experience.
• Must communicate effectively in oral and written formats.
• Proficient with Windows, Excel and Word.
• Must demonstrate excellent employee relation skills and behaviors consistent with the values of LSA/SQL.

PREFERRED QUALIFICATIONS

• Prior laboratory billing or healthcare billing experience preferred.
• Medical claims collection experience and/or knowledge of commonly used medical billing terminology will be helpful.
• Certification in procedural and diagnostic coding is desired.

EOE/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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