Billing Manager

Hedy Holmes Staffing Services

Salida, CA

$75,000 to $80,000 Yearly
Full-Time

Job Description

Position: Billing Manager

Salary: $75,000 - $80,000 /annually

Location: Salida, CA

Schedule: Monday - Friday | 8:00am - 5:00pm

Job Description:

The Billing Manager is responsible for overseeing the billing department and ensuring accurate and timely invoicing for our clients. They will also be responsible for managing the billing team and developing strategies to improve the billing process.

Duties and Responsibilities:

Lead and manage a team of authorization and billing specialists, providing guidance, training, and mentorship.
- Provide leadership over all aspects of the revenue cycle and reporting
- Foster a collaborative and productive work environment, ensuring effective communication within the department
- Ensure the processing, monitoring, and collections of Medicare, Medi-Cal, and other commercial insurance claims are completed timely and in compliance with HIPAA and coding standards
- Ensure insurance authorizations are completed timely and collaborate with clinical team on any authorization issues
- Timely resolution of all claim's denials, including filing of all appeals and resubmissions within applicable filing deadlines
- Verify accuracy of billing data and revising any errors
- Verify insurance eligibility during new year or open enrollment periods for Medicare
Financial Reporting to Director of Finance & CEO
- Develop and implement strategies to maximize revenue collection, reduce denials, and improve cash flow
- Create and distribute revenue cycle reports on schedule and as needed
- Analyze billing data and financial reports to identify trends and opportunities for improvement
Collaboration with the Director of Provider Contracting
- Gain understanding of authorization, billing, and collection procedures for any new insurances and share information amongst your team
- Complete the setup of new insurance portals and users
- Monitor and maintain compliance with contractual reporting obligations, under agreements with third party payors, and other partners
Reduce AR (Accounts Receivable) aging to less than 90-days across all lines of business

Qualifications:

Professional Medical Billing Requirements:
- Five years (or more) related medical billing and collections experience
  - Minimum three years managing a medical billing team
- Experience in a Home Health, Hospice, or similar setting
- Strong working knowledge of Medicare, Medicaid/Medi-Cal, and insurance payors
- Continuing education of California and Federal billing regulations

Preferred Software Experience:
- Knowledge of EMR Systems: preferably Wellsky, DeVero, and ClearCare
- Knowledge of DDE, Zirmed, EASE Ability, Office Ally, and Rev Connect
- Strong Excel, Word, PowerPoint, and database management skills
- Knowledge of NetSuite Accounting integration with EMR’s a plus!

Personal Attributes:
- Highly organized individual who displays strong attention to detail
- Analytical thinker with strong written and verbal communication skills
- Proactive, resourceful, with sound judgement and ethics
- Team player who will actively contribute to a positive, collaborative environment
- Ability to manage their team’s (and personal) workflow for multiple entities, locations, and disciplines

Education:

High School Diploma

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