Publix Super Markets tops the list of privately-owned supermarkets in the US. We hold no long-term debt and continue to grow year after year. Publix and our associates excel in community involvement, volunteerism, and environmental sustainability. Our collective commitment to diversity has contributed to our success in being a great place to work and shop. It’s satisfying to work for – and be an owner in – a Fortune 100 company that is widely recognized as a leader in the supermarket industry.
The Bill Review Supervisor oversees the multi-state workers compensation clinical billing process, ensures payment of bills are in compliance with with the respective state department of financial services, and monitors the relationship between Publix and its clinical care and bill review vendors.
In Publix’s corporate offices, we value in-person interactions, similar to those our store associates have with customers. Many of Publix’s corporate offices offer work from home up to two days a week. Each business area implements their policy differently and should be discussed during interviews.
What you’ll do
supervise clinical services utilization and bill payment functions, and monitor and direct associates
collaborate with IT services to create and manage data tracking reports to measure medical spend, timely billing and staff productivity
coordinate with software vendors to resolve technical issues which may impact the billing process
supervise the utilization of clinical services by clinical providers and ensure that provider billing is in accordance to contractual agreements with Publix and our Preferred Provider Organization (PPO)
oversee the bill reconsideration process with respect to denied or contested medical billings and ensure the process is administered in compliance
supervise the electronic data exchange of medical billing information with the Department of Financial Services in the respective states that require it
Bachelors degree in any discipline or equivalent applicable experience
at least three years in hospital, medical provider billing, insurance bill review operation, or workers compensation billing
experience supervising or leading others
medical terminology certification
driver’s license
knowledge of medical CPT and ICD-9/10 coding
intermediate skills with Microsoft Word, Excel
basic skills with Microsoft Powerpoint
ability to communicate effectively in written and verbal format
ability to work with little supervision
interpersonal and customer service skills
willingness to work nights and weekends when necessary
willingness to travel with some overnight stays as needed
Bachelors degree in business administration or computer billing/accounting
five or more years of multi-state billing for hospital, insurance or workers compensation in a supervisory role
certified coder
knowledge of multi-state Workers Comp fee schedules and billing requirements
