supervisor, medical billing

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The Central Business Operation office has an exciting opportunity for a full-time to work remotely.   

The Supervisor, Medical Billing supervises, orients, trains, and monitors the performance of staff responsible for third party medical collections. This position processes and collects primary care and specialties accounts and ensures department compliance with applicable guidelines and regulations.

• Assists medical collectors with day-to-day collections issues and serves as subject matter expert for department staff and management of the Third Party unit. 

• Reviews various third party reports, distributes them to staff for appropriate collections actions and uses the paperless collection system to process third party insurance accounts. 

• Creates and compiles work files for medical collectors.

• Advises senior staff of any significant trends in insurance denials in order to identify problems with particular payors. 

• Makes necessary corrections to accounts, updates patient demographic information, and reviews ICD-9 and CPT 4 codes for correctness. 

• Reviews and processes insurance requests for refunds and provides follow up on accounts until they are resolved.

• Reviews, sorts, and distributes incoming third party correspondence. 

• Makes suggestions on process changes that will improve overall performance.

• Meets regularly with staff to review productivity reports and assess payer issues.

• Initiates performance management processes to address on-going performance issues.

• Approves time off in accordance with UM policies while maintaining adequate staff.

• Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

MINIMUM QUALIFICATIONS                                                                                                         

• High school diploma or equivalent

• Minimum 3 years of relevant experience

• Certification in relevant specialty or field

• Ability to maintain effective interpersonal relationships.

• Commitment to the University’s core values.

• Ability to direct, manage, implement, and evaluate department operations.

• Ability to establish department goals and objectives that support the strategic plan.

• Ability to effectively plan, delegate and/or supervise the work of others.

• Ability to lead, motivate, develop and train others.

• Proficiency in computer software (i.e. Microsoft Office).

Department Specific Functions

• Reconciles and monitors all self-pay bundles/Packages/Episodes for all UM Facilities, Jackson South and recently 2 new Jackson hospitals; Jackson West and Jackson North.  September 2024 will include Doral and Sole Mia in 2025.  Increased volume responsibility for new hospitals Jackson North and West.

• Reconciles Anesthesia charge batches in UChart with compliance Logs for all JMH Hospitals, North, South, and West and Main. 15% increase in responsibility with J West and J North.

• Works in a Lead capacity with the charge capture team to ensure timely submittal of daily charges.

Any appropriate combination of relevant education, experience and/or certifications may be considered.

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The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller Sch