Title: Billing Supervisor - Maternal Health Care & Child Health Care Hospitals

Job Description: The Billing Supervisor in Maternal Health Care & Child Health Care Hospitals is responsible for overseeing the billing operations and ensuring accurate and timely submission of claims for services provided to patients. This role requires a strong understanding of medical billing processes, insurance regulations, and coding procedures.

Responsibilities: 1. Supervise and manage the billing department staff, including hiring, training, and performance evaluations. 2. Develop and implement billing policies and procedures to ensure compliance with healthcare regulations and insurance requirements. 3. Review and verify accuracy of patient demographic and insurance information for billing purposes. 4. Coordinate with healthcare providers, insurance companies, and patients to resolve billing issues and disputes. 5. Monitor and analyze billing data to identify trends, patterns, and opportunities for improvement. 6. Ensure timely submission of claims to insurance companies and follow up on outstanding claims. 7. Review and appeal denied claims, ensuring proper documentation and adherence to insurance guidelines. 8. Stay updated on changes in healthcare regulations, coding guidelines, and insurance policies to ensure compliance and accurate billing. 9. Collaborate with other departments, such as medical records and finance, to ensure seamless billing processes. 10. Provide training and support to billing staff on coding, billing software, and insurance requirements.

Requirements: 1. Bachelor’s degree in healthcare administration, finance, or related field (preferred). 2. Minimum of 3-5 years of experience in medical billing, with at least 2 years in a supervisory role. 3. Strong knowledge of medical billing processes, including coding (ICD-10, CPT), insurance regulations, and reimbursement methodologies. 4. Proficient in using billing software and electronic health record systems. 5. Excellent analytical and problem-solving skills, with the ability to identify and resolve billing issues. 6. Strong attention to detail and accuracy in data entry and documentation. 7. Excellent communication and interpersonal skills to effectively collaborate with healthcare providers, insurance companies, and patients. 8. Ability to prioritize and manage multiple tasks in a fast-paced environment. 9. Knowledge of Medicaid and Medicare billing regulations (preferred). 10. Certification in medical billing and coding (e.g., Certified Professional Biller, Certified Professional Coder) is a plus.

Note: The job description provided above is a general outline of the responsibilities and requirements for a Billing Supervisor in Maternal Health Care & Child Health Care Hospitals. The specific duties and responsibilities may vary depending on the organization’s size, structure, and specific needs.