Billing Supervisor

The Billing Supervisor is responsible for overseeing the patient billing, collections and billing teams to ensure the resolution of patient accounts and effective vendor management. This role emphasizes quality customer service while managing the resolution of overpayment requests, discrepancies, and vendor interactions. The Supervisor will mentor team members in best practices, ensure timely and accurate billing and receivable balances.  Uses extensive knowledge of payor coverage criteria and medical insurance billing and coding to maximize clean billing practices to ensure a low denial rate and timely payment. Must also understand the insurance verification, payment posting, and patient pay process in order to assist within those departments when needed.

Major Areas of Accountability

• Supervise and lead the Patient Billing & Collections Vendor Liaison and billing teams to ensure prompt account resolution and effective management of collection vendors.
• Oversees billing outstanding accounts receivable daily; either electronically or on paper, as instructed by company protocol.
• Supervisers claim exceptions, payer rejections and clearinghouse rejections daily and daily review of aged held billing.
• Communicate professionally with appropriate parties to facilitate prompt account resolution and provide guidance to team members in their interactions.
• Build and maintain excellent relationships with collection vendors, ensuring alignment with operational goals and standards.
• Research and respond to all inquiries or requests to support vendor operations, ensuring the teams provide prompt and accurate account resolutions.
• Collaborate with internal and external customers to obtain appropriate documentation necessary to resolve open account issues effectively.
• Investigate payment status and determine patient financial responsibility, guiding the teams in reviewing health plan explanations of benefits for accuracy.
• Oversee the processing of correspondence and ensure it is forwarded to the appropriate designee, as applicable.
• Review open accounts and ensure appropriate actions are taken, guiding team members through understanding charges, billed claims, payments, denials, adjustments, and refunds.
• Exercise good judgment, interpret data, and remain knowledgeable of all related Comfort Medical contracts, policies, and procedures, providing training and support to team members as needed.
• Identify problem accounts, processes, and trends, escalating issues as appropriate and working collaboratively to develop solutions.
• Ensure documentation of actions in the billing system and CRM in accordance with company standards to support a strong historical record of actions taken on accounts.
• Collaborate with Revenue Cycle Leaders and Collections Specialists to identify payer issues and trends, ensuring outstanding patient balances are resolved completely.
• Proactively identify and address recurring problems, construct action plans for solutions and oversee their implementation.
• Communicate effectively with management, teammates, and other departments to source and collect data, fostering a strong team culture within the organization.
• Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
• Travel as needed for vendor meetings and on-site visits.
• Lead and support operational projects.
• Act as trusted advisor to our Comfort Medical management team on select projects and tasks.
• Facilitate sharing of operational best practices across departments within the organization.
• Participate in special projects and perform other duties as assigned.

Basic Qualifications

• High School diploma required.
• A minimum of 5 years of experience in healthcare payor and/or provider organizations with demonstrated functional knowledge in revenue cycle management and cash posting.
• 4 years of DME experience required.
• 4 years’ experience in medical billing and payment posting.
• Knowledge of governmental payors, medical terminology, regulatory compliance, billing codes, and understanding of EOBs/ERNs and compliance rules.
• Excellent written and verbal communication skills.
• Proven ability to lead a team and work successfully as both an individual and a team contributor.
• Strong working knowledge of advanced Excel and understanding of PowerBI Apps.
• Knowledge of medical billing codes and ability to read and understand explanations of medical benefits and EOB.

Preferred Qualifications

• BA preferred.

At Coloplast, we believe in recognizing and rewarding the contributions of our employees. Our total rewards package is designed to support your well-being, foster your professional growth, and ensure a healthy work-life balance. Here is some of what you can expect:

• Health and Wellness: Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents.
• Financial Security: A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services.
• Work-Life Balance: Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available.
• Professional Development: Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
• Recognition and Rewards: Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
• Community and Culture: A supportive and inclusive work environment where everyone feels valued, and diversity is celebrated. Participate in team-building activities, volunteer opportunities, and company-sponsored events. Employee Resource Groups that support Women, Minorities, Veterans and LGBTQ+ Community. Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.
• Competitive Compensation: The compensation range for this position is $79,190 - $118,786. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location. Hired candidates may be eligible to receive additional compensation in the form of bonuses and/or incentives.

Comfort Medical provides an extensive selection of name brand catheter and ostomy supplies to thousands of customers nationwide. Our attention to detail, unmatched customer service, and dedication to helping our customers live happier, healthier lives are just a few of the many reasons we are one of the fastest growing catheter and ostomy supply companies in the nation!​

Comfort Medical employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.

Comfort Medical is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification.

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