Billing Supervisor

Job Description

Job Description

Billing Supervisor

We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth.

Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 35,000 patients daily. Our mission is to remove all barriers to recovery and transform individuals, families, and communities with treatment that works. Our employees believe we are creating a better world where lives and communities are made whole again through comprehensive treatment.

The Billing Supervisor completes all billing accounting functions, including performing a variety of general or specialized functions and related duties. This position will report directly to a Revenue Cycle Manager.

Responsibilities :

• Completes Drug Medi-Cal Billing (DMC) for clinics.
• Completes and updates Billing Reports [e.g. Detox, Private Pay, Treatment Authorization Request (TAR), Veterans Administration (VA), and County Medical Services Program (CMSP)] including payment postings, resubmissions, etc.
• Completes and updates Clinics Activity Report.
• Completes and updates Batch Eligibility, including updating ineligible report.
• Collects information to prepare cost report for State-direct and county contracts.
• Completes Private Pay and DMC Refunds.
• Maintains County Electronic Medical Record (EMR) as it relates to individual county contract requirements but not limited to information technology and other programmatic requirements such as Client Index Card, Client Assignment, Demographic Information, Uniform Method of Determining Ability to Pay (UMDAP) / Financial Review, Third-Party Insurance, Diagnostic Review, and CALOMS.
• Maintains County Electronic Medical Record (EMR) as it relates to individual county contract requirements as it relates but not limited to ITS data, periodic evaluation data, or other information specified.
• Maintain confidentially by safeguarding PHI as outlined in provisions 42 CFR, HIPAA, the HITECH Act, and the HIPAA Regulations throughout the process of standard billing transactions which includes the protection and safeguarding of assigned passwords and user names needed to process the submittal of data.
• Attend all county trainings related to billing and data entry.
• Coordinates with the clinic manager, assistant manager, clinic coordinator and or other designee to ensure the facility maintains compliance with the Center for Medicare and Medicaid Services (CMS) and other regulatory agencies related to the standard transaction of billing.
• Review billing claims for accuracy prior to final submission.
• Maintain relationship with county agencies as it relates to billing and data entry.
• Ensure Phase and County EMR data (where applicable) is current and up to date.
• Review monthly billing reports for inaccuracies after final submission.
• Report potential billing issues to direct supervisor and corporate finance in real time.
• Complete proper reporting requirements and submission of correspondence to all departments as it relates to standard billing transactions.
• Ensure subordinate staff maintains current on procedures for standard billing transactions.
• Track all past and current billing transactions to determine proper reimbursement for all billing.
• Maintain proper accounting of all correspondences related to delays in billing and other data related topics.
• Archives billing and other department related documentation.
• Completion of applications.
• Completes insurance updates.
• Completes claims denials / resubmissions.
• Posts payments.
• Competes billing and payment invoices.
• Handle phone calls from patients and various insurance companies.

Requirements :

Possess a strong understanding and familiarity with Drug / MediCal billing principles.

Bachelor’s Degree in Accounting or business, or equivalent years of experience required.

Advanced Excel proficiency (pivot tables, VLOOKUP, macros, data analysis)

Excellent communication and problem-solving abilities.

Benefits :

18 days PTO

401k with company match

Company sponsored ongoing training and certification opportunities.

Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.

Join our team. Join or mission.