Team Lead, Billing & Posting Resolution

Role Description

The Billing Manager is responsible for overseeing claims production, billing, follow-up, collections, and compliance with third party payer regulations. This position is responsible for both strategic alignment and daily oversight and management of process-based revenue cycle functions, including ongoing improvement to key revenue cycle indicators.

• Possess complete understanding of the billing/collection process to resolve complex, outstanding claims.
• Ensures accounts are billed accurately and timely by providing proactive oversight and direction for billing and collections.
• Provides operational oversight for the Billing Coordinator, mentoring them in their responsibilities.
• Maintains current knowledge of hospital billing systems and government payer systems, including applicable federal/state laws and regulations.
• Demonstrates ability to manage, train and motivate employees, as well as a professional attitude in relating to executive management, professionals and third-party insurance carriers.
• Organizes and leads efforts to maximize operational efficiency and optimize reimbursement.
• Monitors denials and provides education and reporting to the areas regarding the effect of denials from their areas.
• Reviews all statistical reports to monitor trends, determine operational deficiencies and implement corrective action plans as necessary.
• Pro-active communication/escalation of potential claims/unbilled accounts/issues to the Director.
• Exhibits excellent leadership and self-direction, good judgement in handling difficult situations and good organizational, time management, interpersonal and conflict resolution skills.
• Assures that confidentiality of patient information is maintained without exception.
• Attends all required meetings and activities, maintaining a professional affiliation to stay abreast of current trends and changes in legislation and industry best practices.
• Liaise with facility management and operates as the lead point of contact.
• Implements, and monitors the department budget.
• Assures that revenue, expenses, contribution margin and FTE’s meet or exceed budget; prepares and submits budget and related reports; forecasts and accurately projects expenses; takes corrective action to address negative variances.
• Maintain employee time and attendance and scheduling demands.
• Responsible for ensuring employee annual reviews are completed on time and accurately.
• Responsible for accuracy of customer invoices, and creating the invoices monthly.
• Understanding the contract terms and ensuring we stay within those terms.
• Performs all functions from the Management Expectations List.
• Performs all other duties assigned.

Qualifications

• High school graduate or GED equivalent.
• 5 years previous hospital billing experience.
• Working knowledge of insurance regulations, procedure and diagnosis coding and automated insurance billing.
• Excellent communication (written and oral) and interpersonal skills.
• Excellent critical thinking, organizational and time management skills with a strong attention to detail, accuracy and follow through.
• Must be able to work through issues to resolution.

Requirements

• Associates or Bachelor’s Degree (preferred).
• 2 years Medicare hospital billing experience (preferred).

Benefits

• Work remotely with a work/life balance approach.
• Robust benefits offering, including 401(k).
• Generous time off allotments.
• 10 paid holidays annually.
• Employer-paid short term disability and life insurance.
• Paid Parental Leave.