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Description

A Hospital in the San Fernando Valley is seeking an experienced Medical Collections Supervisor to lead its medical collections team, ensuring efficient claim handling, timely resolution of denials, and adherence to regulatory guidelines. You will focus on leadership, tracking performance metrics, managing insurance denials, auditing medical billings, and driving process improvements. This is a pivotal position that requires a seasoned professional with expertise in hospital collections and the UB-04 claim form.

Key Responsibilities:

+ Supervise and Lead Team: Provide daily oversight and guidance to the medical collections team, encouraging consistent performance and professionalism.

+ UB-04 Expertise: Ensure accurate processing and submission of UB-04 forms, resolving any issues that impact revenue flow.

+ Insurance Denials Management: Oversee the review, analysis, and resolution of claims denied by insurance carriers, ensuring reasons are appropriately documented and corrected.

+ Policies and Procedures: Develop, implement, and maintain comprehensive policies and procedures for medical collections and billing audits.

+ Auditing: Conduct regular audits of medical billings to ensure compliance, identify trends, and recommend corrective measures.

+ Process Improvement: Identify and implement strategies to streamline collection processes and improve efficiency.

+ Reporting: Generate and analyze collection performance reports to meet targets and support financial planning.

+ Leadership Support: Collaborate with department leaders and revenue cycle management to achieve organizational goals.

Requirements

+ Experience: Minimum of 5 years of experience in medical collections, with at least 2 years in a supervisory or leadership role.

+ Technical Skills: Comprehensive knowledge of UB-04 claim forms, electronic medical records systems (e.g., Epic, Cerner), and insurance denial codes.

+ Certifications: Relevant certifications such as Certified Professional Biller (CPB) or Certified Professional Coder (CPC) are a plus.

+ Skills: Strong leadership, analytical, and problem-solving abilities. Proven expertise in creating policies and auditing medical billings.

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