Medusind

Billing Manager, FQHC

Medusind

full-time

Posted on:

Location Type: Remote

Location: Remote • California • 🇺🇸 United States

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Job Level

Mid-LevelSenior

About the role

  • Oversee billing department operations including charge processing, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management
  • Provide direct support to supervisory staff, mentor and coach staff, and develop training tools
  • Ensure billing operations follow Federal, State, and payer regulations, guidelines, and requirements
  • Spearhead payor projects and resolve complex billing issues, discrepancies, and claim denials
  • Review and interpret operational data; design and implement systems to enhance revenue and operating efficiency
  • Develop and implement standard operating policies and procedures
  • Supervise billing office personnel including work allocation, training, and coordination of time off
  • Prepare, analyze, and present accounts receivable and daily/weekly/monthly financial reports; monitor KPIs, SLAs, and productivity
  • Audit procedures to monitor and improve efficiency of billing and collections operations
  • Analyze trends impacting charges, coding, collection, and accounts receivable and realign staff and revise policies as needed
  • Keep up to date with carrier rule changes and distribute information; perform physician credentialing actions
  • Contribute to internal process documentation, training materials, and maintain library of documentation guidelines and coding

Requirements

  • Associate's degree preferred in business administration or related field
  • Bachelor’s degree preferred
  • 5+ years of medical insurance/healthcare revenue cycle experience will be considered in lieu of the degree
  • Minimum of 3 years medical insurance/healthcare billing and collections experience in a medical practice or health system
  • FQHC, or Experience with Community Health Centers – Required
  • Two years’ supervisory or management experience
  • Familiarity with credentialing and other health center operations
  • Medical coding/industry-related certification a plus
  • Experience working in ECW, Athena, Nextgen
  • Advanced proficiency in RCM software and Microsoft Office Suite
  • Data analytics and process improvement experience
  • Strong communication, negotiation, and interpersonal skills
  • Ability to work independently and as part of a collaborative team
  • Detail-oriented with exceptional problem-solving abilities
  • Ability to set and maintain priorities in a fast-paced client-focused environment
  • Ability to monitor team performance and make adjustments as needed
Benefits
  • Fully Remote (CA) 📊 Resume Score Upload your resume to see if it passes auto-rejection tools used by recruiters Check Resume Score

ATS Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
billing operationscharge processingclaims submissionspayment postingaccounts receivablereimbursement managementmedical codingdata analyticsprocess improvementfinancial reporting
Soft skills
communicationnegotiationinterpersonal skillsproblem-solvingdetail-orientedindependent workteam collaborationsupervisory skillsmentoringtraining development
Certifications
medical coding certification
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