Director of Billing

Director of Billing
Exempt, Full Time Position
Department: Billing

Since 1970, Community Health Services has existed to provide comprehensive health care services to the residents of Hartford and Windsor. We were made for the community, by the community, to offer a full spectrum of services to include medical, behavioral health care, dental care, a full-service pharmacy and more. Our goal is to offer our patients a medical home; a place where they can come for all of their needs; a place where the clinical staff know them by their first name. Our dedicated staff demonstrate the good we can do on a daily basis when we provide quality care with dignity to each and every individual. We want to help our patients get all of the health care they need - when they need it - so they may too live a healthier and happier life.

The Director of Billing will contribute to the effective and efficient operation of the revenue cycle by ensuring the health center receives timely and accurate reimbursement for services rendered. The incumbent will act as the subject matter expert on reimbursement-related activities of the organization and provide administrative direction and support for daily activities of the department.

The successful candidate will:

• Possess a Bachelor’s degree in Business Administration or a related field
• Have five (5) years supervising the billing/coding function in a multi-specialty setting
• Be a Certified Professional Coder
• Have deep familiarity with Medicare and Medicaid programs
• Have experience performing or overseeing the credentialing of providers with third party payers
• Be proficient in Microsoft Excel
• Have experience administering a fully-compliant collections program
• Establish, plan, and administer strategic planning, policies and goals for the billing department.
• With the Chief Financial Officer, manage relationships with third-party payers, including participating in the negotiation of contracts and prompt, and effective resolution of issues
• Track, analyze, and prepare reports regarding claims, billing, and collection data, including identifying trends and outliers, to maximize reimbursement opportunities and identify potential compliance issues; meet weekly, monthly and quarterly report deadlines
• Support the design and implementation of new clinical programs by advising the Chief Financial Officer on factors affecting reimbursement
• Coordinate the activities of governmental and independent auditors, ensuring timely responses to requests for information and appropriate follow up on all audit issues
• Ensure the timely reimbursement for provider services by overseeing the enrollment and re-credentialing of providers with third party payers
• Establish and continuously improve processes to ensure accuracy and completeness of outgoing claims for reimbursement
• Develop and administer policies to minimize denials of payment, write-offs, and other adjustments and to ensure collection of patient balances is conducted in accordance with applicable laws and regulations
• Maintain deep knowledge of billing guidelines as established by third-party payers, including governmental payers, and grant contracts
• Act as the organization subject matter expert for clinical departments on reimbursement matters and investigate questions or novel issues
• Perform all duties in accordance with CHS Core Values, Compliance Program, and other policies and proceduresParticipate in quality and process improvement efforts in the department and the organization as requested or as directed
• Complete training and professional development requirements in a timely manner

Some benefit programs available to eligible employees include:

• Community Health Services participates in the NHSC Loan Repayment Program
• Medical Insurance
• Dental Insurance
• Vision Insurance
• 401(k) Plan and up to 4% Employer Match
• Generous Paid Time Off
• 9 Paid Holidays
• Competitive Pay
• Employer Paid Life Insurance
• Employer Paid Short Term Disability
• Employer Paid Long Term Disability
• Employee Assistance Programs
• Worker's Compensation
• Various Leave Programs - Bereavement, Military, Maternity, and more

COVID-19 Vaccination Requirements:

CHS requires all new employees to be vaccinated against Covid-19 prior to starting employment with CHS unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.

Community Health Services is An Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status, age or any other federally protected class.

Job Type: Full-time

Pay: $76,700.00 - $115,200.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Work Location: In person

Salary : $76,700 - $115,200