SNF Billing Manager
Assembly Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $125,000 - $150,000 per year
About the role
- Lead, mentor, and manage a team of billing specialists and coordinators responsible for the billing performance of assigned facilities.
- Oversee day-to-day billing operations, ensuring the team submits claims in a timely and accurate manner.
- Provide training, development, and performance feedback to the billing team to ensure adherence to best practices and regulatory compliance.
- Set performance goals for the team, monitor progress, and ensure key metrics such as days in accounts receivable (AR) and collection rates are met.
- Serve as the primary point of contact for a portfolio of SNF customers, ensuring their billing needs are met and addressing any concerns or issues related to billing or revenue cycle management.
- Serve as primary point of contact for our offshore portfolio, including vendor management, SOPs, staffing needs, and general project management to optimize our offshore A/R processes.
- Monitor the billing performance of each SNF in the portfolio, identifying trends, potential issues, and opportunities for improvement.
- Develop customized strategies for each client to optimize billing processes, reduce claims denials, and maximize collections.
- Collaborate with clients to ensure they understand their billing performance, and work with them to resolve any discrepancies or challenges.
- Oversee the submission of claims for the SNF portfolio, ensuring accuracy and compliance with Medicare, Medicaid, and other payer requirements.
- Ensure timely follow-up on unpaid claims, manage denials, and coordinate with insurance providers to resolve disputes.
- Implement best practices in billing operations, continually seeking opportunities to improve the efficiency and effectiveness of billing processes for customers.
- Work closely with executive leadership to develop and refine policies and procedures related to billing and revenue cycle management.
- Ensure that all billing activities are compliant with state and federal regulations, including HIPAA, Medicare, Medicaid, and other third-party payer rules.
- Stay updated with changes in reimbursement models, billing regulations, and industry best practices.
- Conduct regular audits of the billing processes for the SNF portfolio to ensure accuracy and compliance.
- Prepare and present reports on billing performance, revenue collection, and other key financial metrics to senior management and SNF customers.
- Build and maintain strong relationships with clients, acting as a trusted advisor on billing and revenue cycle matters.
- Provide regular communication with customers regarding billing issues, financial performance, and resolution of any disputes.
- Work to proactively resolve issues before they escalate, providing clients with clear communication on their billing status.
- Other tasks and projects as needed and assigned.
Requirements
- Bachelor’s degree in business administration, finance, healthcare administration, or a related field.
- 5+ years of experience in medical billing experience with specific experience in skilled nursing or long-term care settings. Three plus years of experience leading or managing billing teams.
- Extensive knowledge of Medicare, Medicaid, and third-party insurance billing processes and regulations.
- Strong understanding of SNF-specific billing requirements and revenue cycle management.
- Experience managing offshore A/R vendors including Project Management, SOPs, Staffing operations, processes implementation, etc.
- Excellent leadership and team management skills.
- Strong analytical skills, with the ability to identify trends and develop solutions to improve billing performance.
- Proficiency with billing software systems and electronic health records (EHR).
- Strong communication skills, with the ability to interact effectively with clients and internal teams.
- Demonstrated ability to adapt to evolving industry trends and regulations and implement necessary changes to maintain compliance.
- Ability to function well in a fast-paced and at times stressful environment.
- Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.
Benefits
- Competitive Benefit Packages available
- Paid Holidays
- Paid Time Off to enjoy your time away from the office.
- Ongoing training and development programs
- An environment that values transparency
- Virtual and in-person events to connect with your team.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical billingrevenue cycle managementbilling performance analysisclaims submissiondenial managementvendor managementproject managementSOP developmentdata analysisbilling software proficiency
Soft skills
leadershipteam managementcommunicationanalytical thinkingproblem-solvingrelationship buildingadaptabilitytime managementcustomer serviceperformance feedback
Certifications
Bachelor’s degree in business administrationBachelor’s degree in financeBachelor’s degree in healthcare administrationCertified Revenue Cycle Specialist (CRCS)Certified Medical Billing Specialist (CMBS)Certified Healthcare Financial Professional (CHFP)Certified Professional Biller (CPB)Certified Coding Specialist (CCS)Certified Healthcare Compliance (CHC)Certified Revenue Cycle Executive (CRCE)