Job Description

Department:

MMF Physician Clinic Billing

Shift:

Primarily Days (United States of America)

Employee Type:

Regular

Per Diem Type (if applicable):

Minimum Pay Range:

$30.86 - $37.04

The Supervisor, Professional Billing oversees daily operations within the professional billing support

functions, ensuring timely, accurate execution of all aspects of the billing activities. This role leads front-

line staff, reviews performance metrics, and prioritizes departmental workflows to align with

organizational objectives. This role manages team members, providing hands on coach performance

feedback and day to day support. Ensures work processes and personnel policies are consistently

adhered to by staff. Continuously seeks opportunities and provides recommendations for innovation and

process improvement while maintaining standards of accuracy, prompt response, and customer service.

Works with other departments to ensure positive, harmonious, interdepartmental relationships.

POSITION QUALIFICATIONS

Education/Licensure/Certification:

· Must be current with either Certified Professional Coder (CPC) or Certified Coding Specialist

(CCS); additional certifications such as CCSP, RHIT, or RHIA will be considered.

· Associate or bachelor’s degree in business preferred.

Knowledge/Experience:

· Minimum five (5) years’ progressive professional billing experience required.

· 1-2 years in a leadership or supervisory role preferred.

· Emphasis on third party payment and regulatory provisions preferred.

· Must have knowledge of Medi-Cal, Medicare, Workers Compensation and third-party payers

billing and collections, CPT coding, ICD10, and HCPCs coding.

· Proficiency with coding software, electronic medical records (EMR), CPT and HCPCS coding

systems, and compliant modifier usage.

· Experience with 837 P, 837 I and 835 claim transactions.

· Knowledge of corporate compliance programs.

· Requires working knowledge of MS Office (i.e., Excel and Word).

· Must have experience with Hospital billing systems, experience with Epic a plus.

Skills:

· Must be a team-oriented, highly organized and productive individual with proven record of

confidentiality, achievement, diplomacy, flexibility and prioritization skills.

· Must have good analytical thinking skills.

· Has the ability to establish and maintain effective working relationships with other employees,

patients, organizations, and the public.

· Ability to work in difficult and time sensitive situations.

· Ability to work well and communicate with physicians and mid-level providers.

· Must be able to attend educational seminars, which may require out-of-town travel.