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Clerical Support Supervisor in Los Angeles, CA at TeamHealth

Date Posted: 5/29/2019

Job Snapshot

Job Description

JOB DESCRIPTION OVERVIEW:

The Clerical Supervisor is responsible for overall management of the department for both Reg Charge Entry and Clerical support. The Supervisor oversees the workflow, and daily activities to ensure the department meets quality and production standards and budget specifications. The Supervisor provides support to the following various processes GDI, Data Entry, Claim edits, TES edits, Bad Address claims report, Clerical Medical Records retrieval and processing, Daily Claim printing, EOB retrieval and matching of Overprovisions Checks and remits. The Supervisor is also responsible for staffing, disciplinary action, training, and enforcing adherence to established policies and procedures. The Supervisor is accountable for quality assurance of all functions in the department.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Manages and supervises the Reg Charge Entry and Clerical Support Representatives for the following processes GDI,Data Entry, Claim edits, TES edits, Bad Address claims report, Clerical Medical Records retrieval and processing, Daily Claim printing, EOB retrieval and matching of Overprovisions Checks and remits.
  • Supervisor ensures all processes are completed within expected TeamHealth time frames and metrics.
  • Supervises Bad Address Claims Reports on correcting payer addressed and escalating changes to IDXC as needed.
  • Supervises Daily claim printing and EOB retrieval Ensures that all claims requiring secondary insurance to be filed are have corresponding primary EOB’s attached, matched to copy and mailed out within 3 days of claim printing.
  • Ensures that Daily Claims are printing and processed daily by calling the Tamarac office and advising that we are ready for claims to print in our BC.
  • Ensures that the Clerical Medical records request are addressed timely and that all facility access issues are reported to the Manager in a timely manner.
  • Ensures Data Entry staff is processing the daily facesheets received from the Chart Capture team and we are processing within 3 days of receipt of the facesheets.
  • Ensures that all Claim and TES edits are worked timely and accurately.
  • Escalates any large issues related to unbilled charges
  • Ensures that all items sent to GDI from all departments in the Billing Center are scanned to the correctly folders and within expected timeframes.
  • Plans, organizes, directs, and monitors the assigned area(s).
  • Actively participates in the training/retraining of employees, especially working with new hires in the initial onboarding process.
  • Assists Manager with performance evaluations, rounding and initiates appropriate disciplinary action when required.
  • Assist Manager with staffing and maintains adequate levels of personnel in accordance with staffing plan
  • Assist Manager with the MOR.
  • Provided weekly updates to the Manager on all department metrics.
  • Conducts staff meetings/email communications to inform of changes in policies and procedures and to provide in-service training.
  • Actively participates in management meetings and provides accurate information
  • Scheduling the work hours of employees and maintaining accurate timekeeping records.
  • Assigning workflow and/or job duties to ensure effective, timely completion of departmental goals.
  • Maintaining accurate production and quality records.
  • Handling complaints and grievances made by employees with the assistance of Human Resources and Manager/Director.
  • Controlling inventory, supplies, and materials necessary for the function of the department.
  • Assuring compliance with applicable laws and regulations.
  • Defines and implements a program for quality assurance for assigned areas.
  • Monitors key performance indicators and metrics for the department providing corrective action as indicated.
  • Actively participates in the leadership of the department and motivating staff.
  • Completes employee performance appraisals and administers disciplinary action where appropriate.
  • Maintains accurate records of disciplinary actions, developmental conversations, and employee training sessions for their area.
  • Manages staff and procedures ensuring systems operate efficiently and maintains effective personnel relations.
  • Evaluates and refines systems to provide the most efficient, cost effective, and workable flow of reimbursement and accounts receivable management practices.
  • Strives to improve internal relationships between internal departments.
  • Develops long-range and short-range goals and objectives.
  • Prepares and monitors annual budgets.
  • Proactively keeps the Manager/Director/Vice President updated on the status of workload and any potential problems that may arise.
  • Performs any and all of the duties assigned by the Manager/Director/Vice President.
  • Assists in special projects as requested by the Manager/Director/Vice President.
  • Develops and maintains policies and procedures.
  • Assuring the safety of employees.

 

Job Requirements

SUPERVISORY RESPONSIBILITIES:

  • The Supervisor is responsible for overall, day to day management of the department.  

QUALIFICATIONS / EXPERIENCE:

  • Supervises Eligibility staff members
  • College education or 3-5 years of equivalent experience in a medical billing setting, with an emphasis on registration and charge entry preferred.
  • BS or BA preferred or equivalent of management/supervisory experience in physician billing related field.
  • Familiarity with the revenue cycle process.
  • Understanding of physician billing guidelines for commercial and government payers in multiple states.
  • Excellent written and verbal communication and interpersonal skills.
  • Proven analytical skills and ability to work in a structured, fast-paces environment.
  • Proficiency in working with systems, GE experience is desirable.
  • Must be organized, detail oriented, and meticulous with all tasks.
  • Astute problem solving skills and ability to interrelate and convey information professionally.
  • Medical billing experience with knowledge of the GE system, Microsoft Excel, Microsoft Outlook, and Microsoft Word.
  • Dependable, always conforms to standards for attendance.

PHYSICAL / ENVIRONMENTAL DEMANDS: 

  • Set in a pleasant, high-volume, fast-paced office environment.
  • Ability to meet closing deadlines, and production standards is required.
  • Also, may require physical and/or mental stamina to work additional hours beyond a regular schedule and/or more than five days per week.
  • Significant workload that may require after hours work and/or additional hours be mandated by Management.
  • Regular and reliable attendance is necessary.
  • Prolonged work on a PC/computer.
  • Physical requirements include but are not limited to sitting for extended periods of time, walking, and bending.
  • Periodic travel may be required for meetings and trainings.
  • This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions.

DISCLAIMER: 

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

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