Medicaid Billing Supervisor - Fortitude Program

ORGANIZATION OVERVIEW: At Catholic Charities of the Archdiocese of Washington, your knowledge and service in areas such as immigrants and refugees, mental health, social work, employment and adult education, legal and financial services, health care, food assistance, shelter and housing, developmental disabilities and prison outreach can make a profound difference in the lives of many. Through more than 50 programs across the district and five surrounding counties, Catholic Charities is opening doors to help and hope. At CCADW, we continue to build an inclusive culture that celebrates a diverse workforce. We offer so much more than just a job. We offer careers. We take pride in our "promote from within" culture. We offer professional development, a comprehensive benefits package, a hybrid work model with both remote and in-office work, and a passion for building and motivating world class, high performing teams. Explore your career opportunity with Catholic Charities. Join us in Inspiring Hope and Building Futures.

Compensation Package:

• Medical, prescriptions, dental and vision insurance
• Retirement savings plan with company match
• Company-paid and supplemental life insurance
• Flexible spending accounts
• Paid vacation, sick and personal leave
• 11 paid holidays
• Professional development and training
• Tuition reimbursement
• Employee referral bonus program
• Flexible work arrangements
• Clinical supervision for licensed social workers and counselors

JOB SUMMARY: The Medicaid Billing Supervisor plays a crucial role in overseeing the Medicaid and local dollar billing process and ensuring accuracy and efficiency. The Medicaid Billing Supervisor is responsible for managing a team of Medicaid Billing Specialists and ensuring compliance with industry and agency standards and regulations. The Medicaid Billing Supervisor must possess strong leadership skills, attention to detail, and a comprehensive understanding of Medicaid billing practices.

SUPERVISORY RESPONSIBILITIES: Provides administrative supervision of up to 3 FTEs.

ESSENTIAL DUTIES and RESPONSIBILITIES:

• Maintain Medicaid Billing practices in compliance with contract expectations, District rules & regulations and agency policies and procedures.
• Supervise the full medical billing process, from claim submission to payment collection, ensuring accuracy, timeliness, and compliance with relevant regulations.
• Monitor and analyze billing data to identify trends, issues, and areas for improvement, and implement necessary changes to optimize billing operations.
• Collaborate with Catholic Charities HHS Front Office team, Finance Department, Senior Director of Business and Data Systems, Department of Human Services (DHS) and Department of Health Care Finance (DHCF), to resolve billing-related inquiries, discrepancies, and issues.
• Develop and monitor written billing policies and procedures to ensure adherence to program standards and regulations.
• Stay updated on Medicaid billing regulations, coding guidelines, and insurance policies, and ensure that the team is trained accordingly.
• Conduct regular audits of billing processes and records to identify and rectify errors, discrepancies, and potential areas of non-compliance.
• Generate and analyze billing reports to assess team performance, identify areas for improvement, and provide recommendations for increased efficiency and productivity.
• Participate in meetings to provide updates on billing operations, challenges, and achievements.
• Maintain confidentiality of client records in Credible, Housing the Homeless (HTH) portal and sensitive billing information, ensuring compliance with HIPAA and e-HIPAA regulations.
• Supervise assigned staff which includes recruiting, staffing, hiring, performance evaluation, employee discipline, training, and development; conduct regular staff meetings; communicate policies and procedures; and facilitate team dynamics.
• Perform all other job-related duties as assigned.

EDUCATION and EXPERIENCE:

• Bachelor's Degree with three years Medicaid Billing experience.
• At least two years of prior supervisory experience. Supervisory experience shall include planning work to be accomplished by and setting priorities for subordinates and evaluating and providing feedback on subordinate's performance.
• Proficient in using Medicaid billing software and electronic health record (EHR) systems such as Omnicaid, Credible, HTH portal and HMIS system.
• Attention to detail and strong analytical skills to identify and resolve billing-related issues and discrepancies.
• Proficiency in the use of Microsoft Office Suite and related software.

SKILLS and COMPETENCIES:

• Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Ability to read, analyze, and interpret general health and social services guidelines, technical procedures, or government regulations. Ability to author reports, guidelines, and procedures. Ability to effectively present information. and respond to questions from staff, internal and external partners. Skill in the use of computers, preferably in a PC, Windows-based operating environment.