Supervisor, Facility Billing Operations

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6 days ago

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EMS Management & Consultants, Inc.

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Healthcare Insurance • Compliance • SaaS

EMS Management & Consultants, Inc. (EMS|MC) is a company that specializes in providing comprehensive operational solutions for over 1,500 emergency medical services (EMS) providers across the United States, including hospital systems, municipalities, and private companies. Founded by professionals within the EMS industry, EMS|MC offers services designed to optimize reimbursement, resources, and regulatory compliance. With more than 25 years of experience, the company leverages technologies like EMsmart, a SaaS-driven billing solution, to enhance revenue performance for EMS agencies. EMS|MC also works closely with the PWW Advisory Group to ensure compliance with the ever-changing regulatory landscape, providing tools and educational resources to EMS providers.

501 - 1000 employees

⚕️ Healthcare Insurance

📋 Compliance

☁️ SaaS

📋 Description

• Provide leadership and manage the daily activities of the Facilities Billing Claims Management team • Ensure efficient, timely, and high-quality performance • Establish policies and procedures, maintaining daily workflows to ensure specified turnaround times are met • Provide work direction and overall performance management for the staff • Oversee the claim status follow-up to ensure timely processing and maximize cash flow • Support staff in claim preparation and submission by addressing escalations, clarifying procedures, and ensuring adherence to established workflows and payer requirements • Work with Billing and Coding teams to identify and correct errors and issues • Generate reports on facility billing performance, aging, and reimbursement trends • Identify root causes for underpayments and/or delays • Coordinate and manage the distribution of work and scheduling for the team based on business needs • Support a multi-functional team by hiring staff, addressing concerns, and employee development • Communicate process changes, organizational issues, and departmental matters with appropriate staff • Monitor staff productivity and quality through internal performance systems; provide appropriate feedback and coaching and implement performance management when needed • Analyze and clearly communicate QA findings, emerging trends, training needs, performance patterns, and operational gaps • Recommend and implement targeted improvements to strengthen staffing effectiveness, elevate performance, and enhance overall quality • Maintain current working knowledge of relevant rules, regulations, statutes, policies, and procedures • Manage the implementation of new processes, procedures, and technologies as needed • Collaborate with other departments in departmental and organizational continuous improvement efforts and lead such efforts when related to the receivables area • Perform other duties as assigned

🎯 Requirements

• Associate’s degree in Business Administration, Healthcare, or related field, or high school diploma with comparable work experience • 1 or more years of supervisory experience or other relevant leadership experience • 1 or more years of experience with medical billing, insurance, or other healthcare financial areas • Experience in non-healthcare, high-volume receivables will also be considered • Demonstrated ability to lead and motivate diverse staff in a positive and effective manner • Excellent written and verbal communication skills with the ability to communicate with peers at all levels, internally and externally • Strong analytical and critical thinking skills with the ability to improve processes, solve problems, and provide innovative solutions with little direction • Demonstrated ability to multi-task and work with cross-functional teams • Ability to give and receive positive and negative constructive feedback in a consistent and respectful manner; this includes difficult or sensitive topics/conversations, applying corrective action, resolving escalated issues, employee conflicts, etc. • Proficiency with Microsoft Office programs; strong level of Excel experience, including formulas and pivot tables • Strong listening, decision-making, time management, communication, and problem-solving skills • Capable of handling multiple and complex tasks simultaneously, while meeting deadlines, working efficiently, and contributing to a cross-functional team environment • Strong sense of confidentiality regarding financial information • Proficiency in English is necessary for job-related communication, including understanding policies, writing correspondence, and engaging with colleagues or clients.

🏖️ Benefits

• Individuals in this role are eligible to participate in a discretionary bonus plan • Comprehensive benefit package, including a retirement plan • Health coverage • Paid time off