The Billing Manager, RCM is a position that manages the billing and cash posting for all payers specific to the business unit(s). This position is responsible for all aspects of coordinating processes and ensuring execution with operations, clinical, compliance and the authorization team. In this role, you will report to the VP of Revenue Cycle Management.
Supervisory Responsibilities:
Manage all aspects of team including hiring, termination, training, performance evaluations, time management, process management
Duties/Responsibilities:
Oversees all aspects billing, payment posting, payor setup and maintenance
Ensure all claims are submitted timely and rejections are resolved daily
Complete monthly audits of unbilled and relay issues to the appropriate RCM, operational, and clinical departments
Monitor the cash posting, MEC process to ensure accuracy and timeliness
Manage EFT, ERA and other payor enrollments as needed for all new and existing payors
Ensure team maintains a daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate
Lead, coach, and mentor a scalable team through team building, constructive feedback, work delegation and goal setting
Participates in efforts with other departments to define and maintain payer strategy
Participates in the Quality Assurance Performance Improvement (QAPI) process as requested by Clinical Supervisor/Director of Nursing/Regional Director
Interfaces with Compliance Department to ensure compliance with federal, state, and payer specific regulations
Audits current procedures to monitor and improve efficiency in billing process
Ensures that the activities of billing are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulations, guidelines, and requirements
Participates in the development and implementation of operating policies and procedures
Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency
Analyzes issues and regulations impacting billing, collections, and denials and identify resolutions to ensue these items are approved timely
Keep up to date with carrier rule changes and distribute the information within the practice
Attains goals as set forth in annual performance evaluation
Performs other duties as assigned
Required Skills/Abilities/Knowledge:
Strong skill set in Microsoft Office products
Excels in high pressure environments
Attention to detail with excellent verbal and written communication skills
Strong time management skills
Education/Experience/Licenses/Certifications:
High School diploma
Two years or more of medical collections experience
One year or more in a leadership position
Medical, Dental, and Vision Insurance
Paid Time Off and Paid Sick Time
401(k)
Referral Program
Pay Range: $50,000 - $60,000 / salary
Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law. Team Select Home Care is an employment-at-will employer.