OVERVIEW: Responsible for overseeing the daily administrative activities and supporting the Strategic operations of the practice. This candidate will also be responsible for managing patient billing accounts, provide insurance claims process oversight, developing processes that aim at reducing cost, manages entry-level staff, manages patients and vendor relationship to impact business growth and enhancing of the overall efficiency of the organization. The Medical Office & Billing Supervisor role will oversee the daily administrative activities and oversee the overall operations of the practice along with management of patient billing accounts and insurance claims review. This role will also support monthly accounting, administrative processes, programs & platforms, and manage staff. The candidate will also monitor activities for compliance in health industry regulations and be the liaison with external parties such as government bodies and insurance companies.

To ensure success, the candidate should demonstrate an in-depth knowledge and experience of medical billing and office management and have worked in a busy office environment.We are looking for an outstanding candidate who can efficiently contribute to the growth of the organization by strategically plan to help increase clients flow and reduce cost.

Strategic Operation & Supervisory Responsibilities:

•  Manages HIPAA & OCR guidelines to ensure compliance
• Manage the day-to-day flow of patience and respond appropriately to their concerns.
• Oversee staff daily including developing the staff Planner Dashboard
• Ensure assigned tasks are completed in a timely manner.
• Monitor active patient list and ensure the patient schedule is regularly full including addressing appointment conflict issues to ensure efficient patient care.
• Support with monthly accounting and bookkeeping month-end reconciliation process.
• Create a safe, friendly, and inviting medical office environment.
• Act as a liaison with outside agencies such as third-party vendors, government bodies and insurance companies.
• Manage the Veteran Evaluation Services Partnership program and website
• Manage various Self-Pay Membership programs and ensure patients are aware of various policies around the programs.
• Manage the office inventory and ensure an accurate EMR-based inventory process.
• Manages various clinical and administrative platforms, including the EMR system,
• Support HR Director with onboarding, training, performance evaluation & review as well as termination.
• Monitor health and patient care practices for compliance with health regulations.
• Create and implement healthcare service delivery improvement plans.
• Represent the company at various community meetings and events.

Medical Billing Responsibilities

• Account Receivable and Aging Audits
• Conduct insurance verifications & pre-authorizations and addressing any patient concerns
• Review billing accounts to ensure accuracy in demographic and billinginformation
• Patient payments: Monitor patient accounts for non-payments, delayed payments and other irregularities by aging report. 
• Prepare patient statements, invoices and document amounts due for medical procedures and service
• Address patient concerns with their accounts and abide by our standard payment plans. 
• Custom codes review and management
• Payment posting support as needed
• Prepare and manage various billing reports to oversight patient billing account. 
• Monthly Patient Collection Report Review  
• Monthly AR Payor Outstanding Balance Report Review  
• Oversight the Medical Billing Vendor to ensure efficient management of claims appeals, rejections and denials in the clearinghouse  
• Oversight the investigation ofappeals anddenialclaims 
• Handle correspondence from insurance companies includes information requests and refunds 
• Assist with maintaining the billing software. 

Objectives and Key Results

• Ensure accurate and timely processing of patient billing and insurance claims
• Implement and maintain efficient office operations to support patient care and administrative functions
• Monitor and analyze billing processes to identify areas for improvement and optimization

Key Performance Indicators

• Percent of claims processed accurately and in a timely manner
• Efficiency of office operations, measured through patient wait times and staff productivity
• Rate of billing errors and rejections, with a focus on reducing denials and improving collections

Role Requirements:

• At least five years' experience in Medical Office Management and Billing in a busy office environment.
• Proficiency in electronic practice and health record management systems.
• Extensive experience in financial management.
• Familiarity with medical billing procedures  
• Knowledge of Medical terminology, CPT & ICD-10 coding procedure, medications, and injection procedures 
• Possess in-depth knowledge of billing software and medical insurance policies. 
• Associate or bachelors degree in business, Health Care Administration, Accounting, or relevant field. 
• Solid understanding of billing software and electronic medical records. 
• CPR certification 

Effective Professional Skills: 

• In-depth knowledge of applicable healthcare regulations
• Must be able to work independently  
• Must have the ability to multitask and manage time effectively 
• Outstanding problem-solving, proactiveness and productivity skills 
• Exceptional organizational, interpersonal, communications and time-management skills
• Responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. 
• Demonstrate excellent written and verbal communication skills to communicate with clients and various insurance agents 
• Ability to thrive in a fast-paced environment 
• Ability to be always professional 

SHWC Employee Retention Benefit Program includes the following:

• Competitive Pay & Wage Increase Planning based on Key Performance Indicators, Role budget and State of Florida Wages Law
• Family oriented & Supportive work Environment (Bring Your Whole Self to Work)
• Professional Development & Career Planning/Coaching
• Flexible day Fridays (Most often)
• Unpaid Time off request flexibility with 2-4 weeks notice (Management approval required)
• Employee Discount Program
• General Healthcare Advice We do not accept our employees as patient. But we will provide general health advice as a goodwill gesture and courtesy, but all employees must work with their own primary care provider to obtain appropriate care.
• Monthly Appreciation Luncheon & Healthy Snacks
• Healthy Drinking Kegan Water
• Play background and uplifting music to motivate our staff and patients
• Open Door Policy. If closed, simply knock. 

The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. I have read the Medical or Nursing Assistant job description and understand the functions and objectives of the position.

SHEKINAH HEALTH & WELLNESS CENTER IS AN EQUAL OPPORTUNITY EMPLOYER