RRC Billing Manager

Job Description

Job Description

Overview

• Responsible for and will oversee the daily functions of the Revenue Resource Billing Team.
• Will work closely with the team to ensure efficient and timely collections and provide detailed feedback to the Business Services Director and VP of Business Services regarding Accounts Receivables.

Responsibilities

• Identify and participate in process improvement initiatives that improve the customer experience, enhance work flow, and/or improve the work environment.
• Management duties including, but not limited to, hiring, training and developing, coaching and counseling, and terminating department staff, as deemed necessary.
• Ensure that all employment practices are administered fairly and without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or veteran status in accordance with applicable federal, state and local laws.
• Manage processes and comply with aspects of Medicare, Managed Care, and Workman’s Compensation, Commercial Insurances, Telehealth Billing and any other areas of billing.
• Identify and report trends within specific payor categories that may provide insight into payment challenges.
• Responsible for ensuring proper cash flow management, including compliance with all Medicare and Medicaid regulations.
• Function as a liaison between facilities and RRC regarding billing and collection issues.
• Review and authorize account write offs and refunds, according to policy and procedure.
• Provide and coordinate on-going training for the RRC Stakeholders.
• Prepare and submit reports on a timely basis, as required and directed by the RRC Director, CFO, the company, and governmental agencies.
• Ensure completion of Medicare Quarterly Credit Balance Reports.
• Monitor billing exceptions to ensure all billing is completed timely to include validation of submission and acceptance.
• Monitor all aging reports and complete monthly Accounts Receivable reviews.
• Monitor Open Billing Items for resolution.
• Complete One-on-One with Stakeholders.
• Conduct monthly team meetings.
• Ensure remote access is obtained for all new Stakeholders and upon onboarding of new facilities.
• Complete and ensure training is provided to all new Stakeholders.
• Other special projects and duties, as assigned.

 

Qualifications

• Bachelor’s or Associate’s Degree in Business or Healthcare Administration or equivalent work related experience.
• Minimum of five (5) years related experience in long term care and/or hospital billing.
• Two (2) to three (3) years management/supervisory experience required, ten (10) plus employees preferred.
• Knowledge and understanding of billing practices within the healthcare and long term care industry.
• Comprehension of Medicare, Medicaid, Managed Care, Workman’s Compensation, Commercial Insurances and/or any other areas of billing.
• Must be current with industry regulations and compliance issues.
• Must possess the ability to read, analyze and interpret financial reports
• Effective verbal and written English communication skills.
• Demonstrated intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation.
• Highest level of professionalism with the ability to maintain confidentiality.
• Ability to communicate at all levels of organization and work well within a team environment in support of company objectives.
• Customer service oriented with the ability to work well under pressure.
• Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity.
• Strong analytical and problem solving skills.
• Ability to work with minimal supervision, take initiative and make independent decisions.
• Ability to deal with new tasks without the benefit of written procedures.
• Approachable, flexible and adaptable to change.
• Function independently, and have flexibility, personal integrity, and the ability to work effectively with stakeholders and vendors.