Job Description
Position Summary The primary responsibilities of the Billing Manager are to provide oversight and management of the Billing department, including the filing of all claims to third-party payers (e.g., commercial insurers, Medicare and Workers Compensation), sending co-pay statements to patients, and ensuring the accuracy and completeness of Accounts Receivable (A/R) cash posting. Responsible for the development and implementation of billing processes, procedures and policies, as well as recruiting, hiring and training of billing personnel. Direct the development and operations of the companys A/R and billing software, including updates and management reporting. Ensure adherence to all regulatory standards and requirements including Medicare, ACHC and HIPAA.
Job Responsibilities Responsibilities include, but are not limited to, the following:
- Develop and implement billing processes, procedures and policies.
- Recruit, hire and train Billing staff.
- Oversee the Billing staff in the preparation and submittal of accurate and timely claims for all products to third party payers.
- Oversee the Billing staff in preparing and sending patient co-pay statements; monitor and coordinate the collections activities related to such copays.
- Develop, implement and oversee the operation of the companys electronic billing software.
- Oversee the A/R payment staff in the posting of payments from third-party payers and patients for all products.
- Oversee the accurate and appropriate processing and scanning of all reimbursement correspondence from third party payers and patients.
- Partner with Collections Manager to analyze denials and incorrect payment trends to improve front-end authorization or billing procedures.
- Assist Collections Manager in responding to any inquiries on A/R.
- Assist Director of Finance in the execution of a bi-annual billing and file audit.
- Assist Reimbursement team in the preparation of payer audit responses, including coordination of supporting documentation.
- Other duties as assigned.
Required Qualifications - Bachelor's degree or equivalent work experience
- 7 to 10 years of experience with medical insurance claims, including Medicare, Medicaid and commercial payers
- 3+ years of management and supervisory experience with ability to attract and retain a talented billing team
- Strong verbal and written communication skills
- Strong customer service and continuous improvement approach
- Comprehensive knowledge of healthcare regulations and standards, such as HIPAA and Medicare accreditation standards
- Demonstrated ability to work independently
- Experience with medical equipment desirable
Experience with billing software and the Microsoft Office software suite; experience with Filemaker desirable
Benefits: - 401(k) with company match
- Dental Insurance
- Health Insurance
- Vision Insurance
- Life Insurance
- Paid Vacation
Work Location: On Site
Job Tags
Work experience placement,