Manager, Billing Services Operations – Acute Care

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee daily operations of a team within OCHIN Billing Services.

• Supervise team performance and foster the development of personnel, processes, and enhancements.

• Deliver billing services to various members while ensuring exceptional billing support for OBS clients.

• Perform in-depth financial analyses to pinpoint high-risk accounts, boost collections, and optimize processes.

• Collaborate with executives and the partnering director to formulate actionable, prioritized plans.

• Manage workflows that align with departmental goals and objectives.

• Fulfill individual and team objectives that correspond with the organization's strategic initiatives.

• Distribute work based on account requirements, staff expertise, and experience.

• Prepare and conduct performance coaching sessions and reviews for direct reports.

• Recognize and address risks and escalate issues to leadership as necessary.

• Identify, document, and enhance processes in collaboration with departmental leadership.

• Assess each billing client's revenue cycle, identify challenges, and implement effective solutions.

• Engage with customers and cultivate relationships to resolve revenue cycle issues promptly.

• Ensure bills are processed accurately in accordance with payer specifications and organizational policies.

• Compile and present monthly performance analyses for the team and members to OBS leadership.

• Maintain relationships with patients, payers, team members, OBS clients, OCHIN Members, vendors, and other stakeholders.

• Uphold the confidentiality of patient and organizational information in line with HIPAA regulations.

• Adapt to changing priorities, demands, and timelines.

• Complete assignments and projects independently with minimal direct supervision.

• Perform additional duties that support the organizational mission and objectives.

• Assist member organizations on-site for new software implementations as required; travel nationwide based on business needs.

⛳️ Requirements

• Bachelor’s Degree in Business, Healthcare, or a related field, or a combination of higher education and 1–2 years of relevant experience.

• At least four (4) years of supervisory or leadership experience within a department.

• A minimum of five (5) to seven (7) years of progressive experience in the Medical Billing sector.

• Solid understanding of Medicare, Medicaid, MVA, Workers Comp, and private insurance billing and reimbursement processes.

• Familiarity with legal requirements regarding State, Federal, and County policies, procedures, regulations, and the release of confidential patient information, including HIPAA.

• Experience in Hospital Billing is mandatory.

• Medical Coding experience is preferred.

• Excellent written and verbal communication skills.

• Knowledge of and experience with the Epic practice management system is preferred.

• Previous experience with FQHC/RHC is preferred for the PB Operations Manager role.

• Coding experience or CPC (Certified Professional Coder) certification is advantageous.

• Strong preference for candidates with experience using the EPIC practice management system for the PB Operations Manager position.

• Required experience with Acute Care EHR software, specifically the HB Resolute module, for HB Operations Manager roles.

• Preference for candidates familiar with HB Claims, Prelude, Cadence, and EpicCare modules.

• Experience with Critical Access Hospital or Method 2 Billing is highly desired for HB-focused positions.

• COVID-19 vaccination is required, or an approved medical/religious exemption must be provided prior to the hire date.

• Ability to work independently and productively from a home office setting.

• High-speed internet access is necessary.

• Capability to work in a distraction-free environment.

🏝️ Benefits

• Competitive compensation package.

• Healthy work-life balance.

• Fair opportunities for professional growth.

• Remote working from home options.

• Comprehensive benefits package (details available on the OCHIN website).

• COVID-19 vaccination or approved medical/religious exemption process in place.