Billing Manager

Role Overview

• 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