Billing Manager

Posted 3ds ago

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Job Description

Billing Manager overseeing production, billing, follow-up, collections, and compliance in healthcare. Managing revenue cycle improvements and supporting Billing Coordinator's development.

Responsibilities:

  • The Billing Manager is responsible for overseeing claims production, billing, follow-up, collections, and compliance with third party payer regulations.
  • This position is responsible for both strategic alignment and daily oversight and management of process-based revenue cycle functions.
  • Includes ongoing improvement to key revenue cycle indicators such as A/R days, cash collection goals and postings, etc.
  • Possess complete understanding of the billing/collection process to resolve complex, outstanding claims.
  • Ensures accounts are billed accurately and timely by providing proactive oversight and direction for billing and collections.
  • Provides operational oversight for the Billing Coordinator, mentoring them in their responsibilities.
  • Maintains current knowledge of hospital billing systems and government payer systems, including applicable federal/state laws and regulations.
  • Demonstrates ability to manage, train and motivate employees.
  • Organizes and leads efforts to maximize operational efficiency and optimize reimbursement.
  • Monitors denials and provides education and reporting regarding the effect of denials from their areas.
  • Reviews all statistical reports to monitor trends, determine operational deficiencies and implement corrective action plans as necessary.
  • Pro-active communication/escalation of potential claims/unbilled accounts/issues to the Director.
  • Exhibits excellent leadership and self-direction, good judgement in handling difficult situations and good organizational, time management, interpersonal and conflict resolution skills.
  • Assures that confidentiality of patient information is maintained without exception.
  • Attends all required meetings and activities.
  • Implements, and monitors the department budget.

Requirements:

  • Experience working in EPIC PB REQUIRED
  • High school graduate or GED equivalent
  • 5 years previous hospital billing experience
  • Working knowledge of insurance regulations, procedure and diagnosis coding and automated insurance billing
  • Excellent communication (written and oral) and interpersonal skills
  • Excellent critical thinking, organizational and time management skills with a strong attention to detail, accuracy and follow through
  • Must be able to work through issues to resolution
  • Preferred Qualifications: Associates or Bachelor’s Degree
  • 2 years Medicare hospital billing experience

Benefits:

  • Work remotely with a work/life balance approach
  • Robust benefits offering, including 401(k)
  • Generous time off allotments
  • 10 paid holidays annually
  • Employer-paid short term disability and life insurance
  • Paid Parental Leave