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Supervisor - Claims Administration & Follow-Up Job
Job Number: LCS17849
Job Title: Supvr Claims Admin Follow Up
Department: Medical Practices Billing - 0014656
Facility: Corporate Headquarters
Location: Providence, RI
High school graduate with knowledge of medical business office practices, human resource management/training, proficient in medical systems and additional training or experience in healthcare billing/coding. Associate’s degree in accounting, business office practices, or computer science preferred.
Three to five years senior level or supervisory experience in patient accounting at a multi-facility healthcare system environment. Experience and knowledge in the use of software applications, databases and spreadsheets. Knowledge of third party billing issues, claims administration in similarly complex healthcare organization, as well as effective communication, organizational, human resource and leadership skills. Must be familiar with ICD-9/10, CPT-4 coding, UB04 and HCFA 1500 claims administration. Knowledge of Access, Express, Database Management, Monarch and EClinicalWorks.
The Supervisor PFS reports to the Director Billing Patient Financial Services. Under general supervision of Billing Manager, assures consistent and accurate deployment of claims editing, auditing; processing, claim status system applications, database management and integrated data files. Ensures integrity and utilization of Patient Financial Services Billing Systems in accordance with established operating parameters and audit standards. Coordinates the daily work flow, quality of work and coaching of the physician (1500) Third Party Billing staff.