Administrative Supervisor

Primary Role:

At Integra Healthcare, the Administrative Supervisor's position is responsible for ensuring that all Reception duties and Claims handling responsibilities are met in compliance with system policies and procedures and within industry practices.  This position coordinates and advises the organization's Administration Team operations, including Reception, Billing, and Claims.

The Administrative Supervisor's responsibilities include assisting the Medical Billing Supervisor in overseeing the activities of the department staff, ensuring quality, productivity, functional excellence and efficiency to accomplish strategic and operational financial objectives.  In addition, this position is accountable for employee engagement, adequate staffing levels, budget development and compliance, staffing decisions such as hiring and terminating employment, coaching and counselling employees on work related performance, and developing and implementing policies and procedures to ensure a safe and effective work environment. 

Duties and Responsibilities:

• Staffing Recruitment
  • Assist with online applications and set up interviews with candidates.
  • Interviewing and hiring administrative staff.
    
• Onboarding and Training of New Hires
  • Assisting Support Admin Team Lead to execute uninterrupted training, to ensure correct procedures are being done, calculation of benefits and co-pays are estimated properly since inception to ensure we have minimal outstanding debt, review all guidelines, and understand insurance benefit verifications.
• Administrative Team Coordination
  • Set monthly schedule and approve/track holiday paid time off.
  • Fairly balance opening and closing shifts throughout the month, including Saturday's half days and post schedule in advance.
  • Approve holiday requests and ensure front desk flow is covered.
  • Sick day Tracking.
• Billing and Claims Process Review & Analysis
  • Ensure all bills are generated on the system accurately, invoices are created, and claims are completed for submission.
  • Weekly, Monthly, and Quarterly Spot Checks to ensure Administrative Process is accurate and complete.
  • Review pending claims and provide requested information for approval (i.e, Medical Records, Supply Lists, CMO Approved Referrals, etc)
• Claim Submissions & Troubleshooting
  • Liaise with finance team to ensure clinic and hospital claims are finalized and ready for submission as soon as LOA is received.
  • Assist with the submission of all claims from all Integra locations to proper insurance entities, when needed.
  • Liaise with each department nurse for claim amendment and resubmit to insurance provider thereafter.
  • Review & Assist with weekly invoice lists (DX Codes and Pre-Certs).
• Audit & Spot Check Admin Operational Policy & Procedures
  • Monitor and improve efficiency of calculation of co-insurances and deductibles within the team.
  • Guide and educate administrative staff on how to recognize which CPT's to be charged from a patient's wellness or outpatient benefits, CPT codes not covered by insurance, recognize diagnostic charges that would come out of a patient's deductible, therefore, having to collect full charges, etc.
  • To review gaps and improve efficiency.
  • Review Closing Reports and ensure no discrepancies are left unattended.
  • Ensure weekly bank deposits are made and review discrepancies, if any.
• Train/Mentor Medical Billing Apprenticeship Program.
  • Provide training, schedule study time, and review progression with course and hands on experience.
• Collections
  • Ensure admin is allocated dedicated time for debt recovery calls and track performance.
  • Review payment plans and ensure these are followed up on.
  • Liaise with courier for Insurance Cheques collection.
• Purchasing
  • Office Supplies.
  • Janitorial Supplies.
  • Coffee orders for refreshment areas.
  • Coordinate weekly purchases for refreshment areas.
• Mid-year and End-of-Year Performance Evaluations
  • Prepare and conduct Performance Evaluations & Reports for all Administrative and Janitorial Staff.
    

Qualifications / Knowledge Requirements:

• Bachelor's degree in Business Administration or equivalent experience. Actual management experience may supplant actual academic requirements. 
• 1+ years of Supervisory Experience
• 5+ years of Customer Service Experience
• 2+ years of Medical Billing & Coding within the Cayman Islands
  

Travel:

None expected.

Benefits:

Integra offers a competitive benefit package that includes paid vacation, health insurance, and pension in accordance with the Cayman Islands regulations.