Revive BHS

Medical Billing and Coding

• Oversee Medical Billing Specialist team.
• Oversee billing and collections process to ensure claims are being submitted properly, timely, and efficiently.
• Assist Medical Billing Specialists with claim follow up and provide guidance to assist them in collecting unpaid claims.
• Oversee authorizations and provide guidance to Medical Billing Specialists to ensure all authorizations are submitted and approved timely.
• Communicate with Clients on the status of their claims, payments, and authorizations.
• Review claims, denials, and authorization data daily to ensure everything is complete and accurate.
• Point of contact for all Maryland Medicaid clients and any questions they have regarding their billing and collections.
• Maintains the highest level of confidentiality

Medical Billing Manager

• Oversee and manage a billing department, ensuring timely and accurate invoicing.
• Develop and implement billing policies and procedures to improve efficiency.
• Collaborate with healthcare providers to resolve billing discrepancies.
• Analyze billing data and prepare reports for management review.
• Train and mentor billing staff on best practices and compliance standards.
• Perform and review authorizations timely and effectively.
• Monitor accounts receivable and follow up on outstanding payments.
• Ensure compliance with healthcare regulations and billing guidelines.
• Utilize billing software to streamline processes and enhance accuracy.