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Supervisor-Billing

CSI Pharmacy
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Job ID JR241015
Location
Location Type Remote
Company CSI Pharmacy
Date posted 08/09/2024

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.

By supplying your phone number, you agree to receive communication via phone or text.

By submitting your application, you are confirming that you are legally authorized to work in the United States.

JR# JR241015

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