Medical Billing Manager

Job Description

Job Description

Description:

The Billing Manager is responsible for managing the company’s revenue cycle by ensuring that systems and team members are in place to properly apply payments and resolve collection issues. This position also expands the business by applying to obtain contracts with new payers.

Essential Functions:

• Develops, plans and implements current and future strategies to bill payers, process payments, minimize bad debt, improve cash flow and manage the overall health of the company’s receivables.
• Develops and implements written guidelines, policies and procedures related to all billing department work processes because of thorough analysis in order to meet company strategic goals.
• Develop strategic plans for the billing department and ensures that goals and objectives of the team are properly defined and clearly established.
• Monitors effectiveness of collection efforts to ensure billings are current within the time frame specified by each payer.
• Compiles and prepares various status reports for management to analyze trends and make recommendations.
• Selects qualified candidates for the billing team, provides coaching and performance enhancement plans and performance improvement plans as indicated.
• Designs and develops training programs that are relevant and necessary for the continuous development of the technical competencies of the department.
• Develops and communicates performance measures for the department, and reviews team performance regularly to ensure goals and objects are being met.
• Develops future business by completing applications and submitting them to prospective payers to obtain contracts.
• Oversee the relationships and licensing compliance with all state Medicaid and Medicare plans.

Supervisory Responsibilities:

This position supervises a team of 75+ who handle the complex work of collecting payments from hundreds of payers.

Work Environment:

This job is performed in an office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Position Type:

This is a full-time in office position, with the expectation of maintaining a regular work schedule. It is understood that the person in this position will routinely work longer hours to meet demands of the role. Occasional evening and weekend work may be required.

Travel:

Local day travel may be required on occasion.

Requirements:

Required Education and Experience:

• Minimum of 15 years managing healthcare billing in an environment with a complex, high-volume revenue cycle
• Strong team leadership experience
• Good understanding of the nuances of DME billing

Preferred Education and Experience:

• Related degree or equivalent

Other Duties:

All other duties as assigned by management. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are request of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.