What are the responsibilities and job description for the Medical Billing Manager position at Another Source?
At a glance
American Behavioral Health Systems is recruiting a Medical Billing Manager to join their team in Spokane, WA! This role will be a hybrid opportunity, working on-site with the flexibility to work a few days remotely each week. This new role will manage the medical billing functions for the company. The primary objective of this position is to supervise staff, develop and manage the billing team to ensure accuracy of work, mitigate denials, and continually work on system/workflow improvements. This is an excellent opportunity to build a team and join a positive and collaborative environment!
Learn more and submit your resume today!
Description: What you'll be doing
Another Source’s client, American Behavioral Health Systems, Inc., is recruiting a Medical Billing Manager to join their team in Spokane, WA. This role will be a hybrid opportunity, working on-site with the flexibility to work a couple days remotely each week. The team works at home every Friday!
Salary Range:
The anticipated annual base salary range for this position is $75,000 - $100,000.
This role offers full benefits including:
- Medical, Dental & Vision insurance
- Additional Voluntary Benefits Life and AD&D insurance
- 401k with up to a 4% employer match
- Generous vacation time
- Additional Monthly sick time
- Nine paid holidays per year plus a personal day
About American Behavioral Health Systems:
American Behavioral Health Systems, Inc. (ABHS) provides rehabilitation to those in need of behavioral health intervention so they can regain effective control of their lives. We believe individuals have the ability to overcome personal difficulties, but often are in need of assistance, guidance, and counseling in order to successfully reach their goals. Through continued assessment, education, and intervention, ABHS staff will diligently address the needs of all clients admitted into our programs.
American Behavioral Health Systems is one of only a few programs in Washington State that offers 3-tiers of treatment: detoxification services for substance use disorders; residential treatment programs for substance dependence and co-occurring disorders; and intensive outpatient/outpatient services for mental health problems, substance use disorders, and co-occurring disorders.
Learn more about ABHS:
https://www.americanbehavioralhealth.net/about-us/our-story/
About the role:
The Medical Billing Manager’s primary focus is to manage the medical billing functions for the Company. The primary objective of this position is supervision of staff, develop and manage the billing team to ensure accuracy of work, mitigate denials and continually work on system/workflow improvements. In addition, this position is expected to represent the Company and maintain positive relations with contracted payors.
The billing team’s focus is to manage medical invoicing and related documents to ensure proper documentation is remitted to solidify payment. The focus centers around timeliness and accuracy of documentation.
The Medical Billing Manager is expected to make continuous improvements to workflows, trouble shoot problems and work with other members of the management team to propose solutions. Creating and monitoring productivity benchmarks to manage cash flows and the team’s performance is an expectation of this position. This position will develop and organize the medical billing processes and procedures in conjunction with other members of the revenue cycle team.
What you will be doing:
- Ensure the billing team’s work functions in line with the mission and goals of the Company. Review work of subordinates for accuracy, ensure timeliness of completion & reduce denials to ensure payments are received in full within the payer contract timeframes.
- Oversight of the billing cycle to ensure compliance with government contracts and Washington State Administrative Codes
- Manage medical denials and direct billing team’s work to solidify payment or approve write offs. Ability to teach denial management through example and set the precedence for best practices.
- Understand clinical language and work with Facility Administrators/Clinical Directors to ensure directive to teams is in line with operations.
- Oversee the collection of statistical data and other information to support decisions and identify issues to be resolved.
- Review clinical billing codes in relation to payor contracts, billing guides and other relevant sources (Service Encounter Reporting Instructions – SIRI guide).
- Collaborate with the Admission Team to help provide education regarding patient eligibility and all data input fields for processing.
- Work with the Utilization Team to help provide education regarding authorizations for accuracy to prevent billing denials.
- Partner with other teams, including but not limited to: Utilization, Electronic Health Records Team (EHR), Admissions, Finance & Clinical
- Respond to the directives of the supervisor and management staff in a professional and cooperative manner.
- Assure that all patient needs are met with dignity and respect
- Understand and compliant with federal confidentiality laws, HIPAA laws, 42 CFR, and protects client confidentiality/anonymity, and assures no information is shared without proper authorization.
Required Education & Experience
- 5 years of experience working in medical billing role
- Ability to pass all ABHS prescreening requirements, including but not limited to criminal background check & drug testing
Preferred Education & Experience
- 5 years of experience managing direct reports
- Certified Professional Biller & completion of billing program
- Preferred but not required: Certified Professional Coder
Another Source works with their clients, on a retained project basis. We are committed to building inclusive candidate pools as we partner with hiring teams. Veterans, women, people of color, LGBTQIA , and people with disabilities are encouraged to apply. As you read through the job posting and review the list of qualifications (required and/or preferred), please do not self-select out if you feel you do not meet every qualification. No one is 100% qualified. We encourage you to apply and share your story with us.
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Salary : $75,000 - $100,000
