Billing Manager

📋 Description

• The Billing Manager oversees and coordinates all functions within the billing department, encompassing claim submissions, outstanding account resolutions, and optimizing cash flow.

• Furthermore, the manager stays updated on payor policies and regulations, ensuring adherence to Medicare, Medicaid, and Commercial Insurance standards.

• Responsible for the daily operations of the Billing Department, including the monitoring and updating of policies and procedures.

• Establishes internal controls to guarantee timely and accurate billing to third-party payors.

• Ensures that days in accounts receivable are maintained at or below company standards while also monitoring daily cash flow.

• Reviews monthly productivity and quality assurance (QA) reports.

• Aids in the execution of audits conducted by third-party payors and/or government entities.

• Develops, analyzes, and presents accounts receivable performance metrics to management.

• Conducts root cause analysis to pinpoint opportunities for process enhancements and/or automation, implementing new procedures as necessary.

• Undertakes additional duties as assigned.

⛳️ Requirements

• Bachelor’s degree or a comparable combination of education and experience.

• At least five (5) years of relevant health billing and collections experience.

• A minimum of one (1) year of management experience.

• Strong management abilities, including the capacity to motivate and mentor staff at all levels, provide training, establish departmental policies and procedures, and handle human resource issues for supervised staff.

• Capability to thrive in a fast-paced environment while remaining proactive, detail-oriented, resourceful, and efficient, demonstrating a high level of professionalism.

• Excellent customer service abilities, interpersonal skills, independence, teamwork, critical thinking, organizational skills, and knowledge of regulatory requirements pertinent to the role.

• Proven expertise in Home Health, Hospice, and physician third-party billing along with relevant regulations.

• Familiarity with state and federal billing regulations.

• Proficient computer skills in Excel, Word, PowerPoint, and database management.

• Outstanding written and verbal communication skills.

• Superior analytical skills.

🏝️ Benefits

• Adhere to all state, federal, and local government regulations, maintaining a robust stance against fraud and abuse.

• Follow Company policies, procedures, and standard practices.

• Observe the Company's health, safety, and security protocols.

• Maintain confidentiality regarding patients, families, colleagues, and other sensitive situations within the Company.

• Utilize resources in a fiscally responsible manner.

• Represent the Company by participating in community and professional organizations.

• Engage proactively in enhancing performance at both departmental and individual levels.

• Enhance personal professional knowledge and skill set.

• Advance skills in electronic media.

• Support the Company's research and educational initiatives.

• Share expertise with colleagues through both formal and informal means.

• Participate in Quality Assessment and Performance Improvement activities as deemed appropriate for the position.