Billing Manager

Job Description

Job Description

Job Description Summary

Responsible for managing accurate, timely completion and submission of all the billing, collections, and accounts receivable functions of the organization. Responsible for the management of the billing and collections team.

Essential Job Functions/Responsibilities

• Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Ensures that billing and patient account record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal, and Joint Commission regulations.
• Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.
• Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate organization personnel.
• Monitors aged accounts receivables and resubmit bills to overdue accounts submits seriously overdue accounts to collection agencies for collection and prepares bad debt reports for the Director of Finance.
• Gathers collates and reports key billing information to the Director of Finance and COO.
• Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
• Supervises and reconciles cash receipts and bank deposits according to policy.
• Establishes and maintains positive working relationships with patients, family members, payers, and referral sources.
• Protects the confidentiality of patient and organization information through effective controls and direct supervision of billing operations.
• Oversight and approval of claims audits and processing. Conducts final billing audit and issues assignments to billing team when findings require further documentation.
• Comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions. Represents and acts on behalf of the agency in resolving conflicts with payers.
• Aged accounts receivables and resubmit bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings.
• Works with the Executive Leadership Team in strategizing monthly, quarterly and annual goals for optimized billing efficiency.
• Successfully reconciling the billing system reports with the general ledger.
• Billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal and Joint Commission regulations.
• Day-to-day operations of the department, assigning work list files to billing staff
• Training on all systems for new staff.
• Supervising contact with guarantors and third party carriers regarding account resolution
• Special projects with regard to billing and payment issues.
• Evaluating account follow-up activity and conducting quality reviews.
• Patient account review and provide feedback to financial counselors in order to improve performance and Q.A.
• Identify denial trends, root cause, and action steps to correct.
• Other duties as assigned.

Job Type: Full-time

Pay rate: $60,000.00 - $120,000.00

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule: Monday to Friday, 9:00AM- 5:30PM

Work Location: In person

Requirements

Position Qualifications

• Associate's degree in Accounting, Business Administration or related field, Bachelor’s degree preferred.
• At least two years experience in home health care billing and collections management required. Billing information systems knowledge required.
• Demonstrated ability to supervise and direct personnel.
• Knowledge of corporate business management, governmental regulations.
• Demonstrates good communication, negotiation, and public relations skills.
• Demonstrated capability to accurately manage detailed information.
• Demonstrates autonomy, organization, assertiveness, flexibility, and cooperation in performing job responsibilities.