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About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
hospital billingclaims productioncollectionsA/R dayscash collectionbilling/collection processprocedure codingdiagnosis codingautomated insurance billingMedicare hospital billing
Soft Skills
leadershipcommunicationinterpersonal skillscritical thinkingorganizational skillstime managementattention to detailproblem resolutionmentoringconflict resolution
Certifications
high school diplomaGEDAssociates DegreeBachelor’s Degree