What are the responsibilities and job description for the Billing Manager position at Integrity House?
Are you searching for a fulfilling place to develop your career and an opportunity to make an impact in someone’s life? At Integrity, we believe that a vibrant company culture which supports and nurtures our employees is so important that it is the key to our success. With our team culture, we listen to your ideas and invest in your career growth! Our purpose and passion are to empower clients, their loved ones, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit. Be a part of our team whose mission is to help individuals and families through an effective and measurable system of comprehensive Therapeutic Community addictions treatment, mental health treatment, and recovery support in a way that brings about positive, long-term lifestyle change.
We are excited to announce our Billing Manager opening! The Billing Manager is responsible for all aspects of Integrity’s billing and claims management process, including timely and accurate claims submission, resolving billing discrepancies, and supervising a team of Billing Specialists. The Billing Manager performs this role while adhering to regulations, optimizing revenue and ensuring compliance with managed care organization, commercial insurers, and New Jersey Medicaid standards.
RESPONSIBILITIES
- Monitoring the submission of claims to Medicaid, Medicare, NJ Fee-for-service and other payors/insurers,
- Assigning and reviewing the work of billing staff to ensure accuracy and timeliness.
- Compiling and uploading billing data.
- Interpreting coding and reimbursement guidelines. Staying updated on standards and compliance with contract requirements.
- Manage credentialing, enrollment and contracting of Integrity sites with insurers. Maintain access to payor portals.
- Verifying health insurance coverage and eligibility for behavioral health services.
- Retrieving, compiling and researching EOBs
- Responding to Medicaid and Fee-for-service audits. Resolving discrepancies and managing refunds.
- Providing monthly updates on revenue cycle status, including reports and metrics.
- Acting as a liaison to payors/and insurance companies to ensure that the claims process is accurate and efficient.
- Evaluating billing processes and procedures. Analyzing data to identify trends and areas for improvement.
- Managing billing software and billing module updates in the Electronic Medical Record. Ensuring smooth operation of billing systems. Researching, and resolving systems issues.
REQUIREMENTS:
- Bachelor’s or Master’s degree in business, healthcare administration or a related field preferred; equivalent experience will be considered
- 5 years of experience in healthcare claims management for at least two of the following payors: Medicaid, Medicare, Managed Care and/or Commercial Insurance
- Strong understanding of healthcare terminology and coding.
- Prioritization and problem-solving skills; ability to work under pressure and meet deadlines with accuracy.
- Strong verbal and written communication to interact with clients, customers, and internal stakeholders.
- Proficiency with billing software and experience working hands on with an Electronic Health Record/Electronic Medical Record. Strong Microsoft Excel skills.
- Valid New Jersey Driver’s License
Work Schedule: Monday-Friday 9am-5pm
Why Work for Integrity?
We believe that work is more than a place you go every day. It is about being inspired and motivated to achieve extraordinary things. We believe that workplace diversity and the inclusion of a variety of views, perspectives, and backgrounds are integral parts of our company's success and provides you with the best co-workers you could ask for. Our employee benefits play an important role in making Integrity a great place to work.
Our Exceptional Benefits Package Includes:
- Low Cost and Generous Medical and Prescription Coverage (ask us for our benefits summary, we are proud of it!)
- Employer Paid Dental
- Employer Paid Vision
- Employer Paid Life and AD&D
- Employer Paid Long Term Disability
- Employer Paid Health Reimbursement Account
- Generous Vacation, Sick, Personal and Holiday Time
- 403(b) Plan with a Dollar for Dollar Match up to 3% of Compensation
- Employee Assistance Plan
- Flexible Spending Account
- Commuter Benefit Plan
- Tuition Reimbursement – up to $4,000 annual
- Recognition Rewards
- Professional Development Assistance
Apply today! Be part of an amazing interdisciplinary team committed to rebuilding lives, families and communities.
Integrity is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. Integrity House openly supports and fully commits to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws
Job Type: Full-time
Pay: $65,000.00 per year
Benefits:
- 401(k) matching
- AD&D insurance
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid sick time
- Paid time off
- Professional development assistance
- Referral program
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- No nights
- No weekends
People with a criminal record are encouraged to apply
Education:
- Bachelor's (Required)
Experience:
- healthcare claims management: 5 years (Required)
Ability to Relocate:
- Newark, NJ 07102: Relocate before starting work (Required)
Work Location: In person
Salary : $4,000 - $65,000