Professional Billing Supervisor Jobs in Rockingham, NC

Purpose of Position:

The Qualified Professional provides support to the Lead Qualified Professional in overseeing the development and implementation of strategies and structures in Residential/Day Support facilities to assist persons served so they may achieve their personal goals.

Salary Range:

Commensurate with experience

Work Schedule:

Monday – Friday 9:00am – 5:00pm; Hours could vary based on facilities needs - to include varying shifts; may participate in on call rotation.

Job Responsibilities:

• Provide coverage in facilities for understaffed shifts as needed 
• Ensure individual’s Progress summaries are correct and submitted prior to deadline
• Prepare annual paperwork for ISP meetings (Short Range Goals forms)
• Provide monthly inspection schedule to complete unannounced visits of facilities/vans.
• Collect all Documentation from facilities and Review Progress Notes, Supervised/Group Notes and Incident reports for correction (ensure managers cc Lead QP on all reports)
• Ensure ALL incident reports are correct and organized for the quarterly reports to be completed by the end of each month.
• Print and review Alliance weekly updates.
• Serve on the Interview Panel for vacancies and provide feedback of candidates to QP
• Participate in all required team meetings, committees, and audits as required
• Complete agenda for QA/QI meetings and various meetings as needed
• Consult with QP on appropriate solutions to complex issues
• Perform other duties as defined by the QP

Service Management:

• Provide staff training for Orientation and Documentation, individual disabilities and Person-Centered Plan (PCP) implementation.
• Assist QP with clinical and technical assistance for support staff, as needed
• Assist QP with implementation of the PCP for clinical appropriateness of service delivery.

Quality Assurance and Improvement:

• Ensure consistent provision of quality services to consumers
• Monitor the implementation of the PCP to assure that services are being provided in a manner that is professional, effective, and consistent with governing rules, statues, service definitions and the PCP.
• Ensure the case management, supervision, and service notes are being completed in a manner consistent with Federal, State, and Agencies statues, rules, policies and procedures respectively.
• Submit reviewed and signed service data to the Medical Records Manager for billing verification, filing and submission to the Home Office, as applicable.
• Participate in peer review activities of agency offices as requested.
• Communicate ideas on improving services to his/her supervisor.

Communication

• Maintain consistent communication with his/her supervisor regarding documentation, authorization, consumer progress toward goals, and consumer satisfaction.
• Maintain regular contact with persons served, their treatment teams, guardian, Office Manager and significant others in persons lives.

Qualifications:

Education/Experience

The minimum requirement for this position is either:

• A master’s degree in a related field and 1 year of supervised, postgraduate, experience serving
• persons with developmental disabilities.
• A bachelor’s in Human Service related field with 2 years of supervised, post graduate,
• experience serving persons with developmental disabilities.
• A bachelor’s degree in another field with four years for supervised, postgraduate, experience
• serving persons with developmental disabilities.
• Must have knowledge and experience with the age and population served and meet Qualified
• Must have IDD experience
• Professional Status and defined by 10A NCAC 27G. 0104 Rule

Training

• Must successfully complete all state required trainings pursuant to the support service delivered
• Must successfully complete all required SERENITY THERAPEUTIC SERVICES INC. trainings and in-services 

Additional Requirements

• Basic mathematical skills
• Ability to read, write and understand the language of the person served and read and write in English. 
• Ability to work as a team member
• Valid driver’s license, reliable transportation including proof of current automotive insurance, acceptable driving record, current inspection sticker and registration, clean criminal records report, clean Health Care Registry check.
• Excellent interpersonal skills
• Team building skills
• Analytical and problem solving skills
• Decision making skills
• Effective verbal and listening communications skills
• Attention to detail and high level of accuracy
• Very effective organizational skills
• Effective written communications skills
• Computer skills including the spreadsheet and word processing programs, and e-mail at a highly proficient level
• Stress management skills
• Time management skills
• Ability to work independently with the necessary discipline required in a home office setting

Personal Attributes

• The prospective candidate must maintain strict confidentiality in performing the duties requested. 
• Be Honest and trustworthy
• Be respectful
• Possess cultural awareness and sensitivity
• Be flexible
• Demonstrate sound work ethics

Performance Expectations:

• The Qualified Professional Assistant will serve as a role model to support staff, by consistently conducting him/herself in a professional and ethical manner in all situations, including but not limited to promptness of completing assignments, verbal/non-verbal communications, maintaining professional boundaries, representing Agency with a professional image, appropriate attire (See Employee Handbook), complying with Federal Anti-Kickback Laws, and not engaging in, or coercing others to engage in, any fraudulent behavior (see Federal Anti-Kickback Laws and Medicaid Fraud Defined)
• Have or develop a working knowledge of various forms of developmental disabilities and common accompanying issues
• Monitor the Division of MH/DD/SAS, Division of Medical Assistance, Value Options, and Local Management Entities websites for changes to and impact on services to be provided
• Have or develop a working knowledge of rules, service definitions, and statutes governing the provision of the services provided
• Have or develop a working knowledge of all applicable authorization/re-authorization processes, Agency policies and procedures, documentation requirements, and billable tasks, 
• Have or develop a working knowledge of local community resources, both public and private
• Maintain a person centered focus throughout service provision
• Serve as a team player to the general office staff and Agency as a whole
• Provide services according to the philosophy, standards, values and ethics set forth by Agency
• Follow all Agency Policies and Procedures
• Maintain current training and certifications/licensure requirements

Accuracy Required In Work And Consequence Of Error:  The Qualified Professional Assistant is responsible for insuring systems are in place to address the on-going facilitation of services to each consumer, as well as oversees the collective services of his/her caseload , which has the potential to severely affect the health and safety of consumers and staff.  This position has a fiduciary responsibility to Agency including but not limited to billing, in which errors could result in significant funding infractions for the agency.

Supervision and Training Provided to Employee:  The local office will provide initial training.  On-going training and supervision is provided by the supervisor.

Physical Effort:  A variety of physical activities are necessary for this position and depending upon the needs of the consumers of the agency.  From time to time travel will be required, which may include out-of-town travel.  There will also be interaction with consumers served at each local office and facility.  

Work Environment and Conditions:  The Qualified Professional Assistant works primarily in environmentally controlled offices where conditions are pleasant, although visits to the sites where services are being provided are necessary in order to ensure the quality and provision of services to the consumers.

Direct Supervisor for this position:

Immediate supervisor is the Lead Qualified Professional