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Supervisor-Billing at CSI Pharmacy

Remote: 
Full Remote
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Offer summary

Key responsabilities:

  • Supervise claim creation and transmission process
  • Review edit reports and ensure claims accuracy
  • Monitor claims queues for timely submission
  • Manage team schedules and performance evaluations
  • Implement operating procedures and conduct audits
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CSI Pharmacy Scaleup https://www.csipharmacy.com/
51 - 200 Employees
See more CSI Pharmacy offers

Job description

Job Title 

Supervisor-Billing

Location

Virtual TX

Additional Location(s)

Employee Type

Employee

Working Hours Per Week

40

Job Description

  • Supervise team in the process of claim creation and transmission.
  • Review billing edit reports to identify and perform data edits needed to ensure claims are submitted to the correct payer following payer requirements and standards for coding and submission.
  • Ongoing monitoring of claims queues for timely submission.
  • Monitor and manage claims between EMR and clearinghouse.
  • Ensure timely resolution to claims denied by the clearinghouse or the payer.
  • Serve as escalation agent for the team to resolve any complaints.
  • Manage team schedules to reallocate resources to meet KPIs. 
  • Track distribution of workloads and conduct ongoing needs assessments to identify staffing opportunities.
  • Conduct 1:1 coaching, mentoring, feedback with Management, and annual performance reviews.  Provide counseling when required to address performance.
  • Monitor staff timecards for accuracy and ensure approval is timely for payroll.
  • Implement, communicate, and maintain operating procedures covering functional areas, quality, compliance, and related productivity expectations.
  • Audit transactions the team processes to ensure accurate processing and compliance with policies and procedures to identify training opportunities.
  • Interview, select, and train staff to meet business requirements and create and maintain a highly effective Team.
  • Other duties as assigned.

NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

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CSI Pharmacy is an Equal Opportunity Employer

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Experience

Spoken language(s):
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