What are the responsibilities and job description for the Home Care Billing Manager Lead position at Home Care Powered by AUAF?
**Job Summary:**
We are seeking a highly skilled Medical Billing Manager to join our team at Home Care Powered by AUAF. As a key member of our organization, the Medical Billing Manager will be responsible for ensuring accurate, timely, and compliant billing and claims processing.
The ideal candidate will have a strong background in healthcare billing and collections, with experience working with managed care organizations, IDoA, and insurance companies. They will possess excellent leadership skills, with the ability to train and supervise a team of billing associates.
Main Responsibilities:
- Develop, maintain, and monitor all billing procedures
- Reconcile claims/accounts to complete resolution
- Prepare monthly billing reports for Director/Accountant
- Coordinate with Accounting on accounts receivable
- Monitor assigned accounts to ensure maximization of collection dollars
- Ensure client information is correct for insurance networks
- Supervise all billing staff to ensure accuracy, efficiency, and timeliness of claims
- Process monthly billing for IDoA through IDoA web portal (eCCPIS)
- Process monthly billing for managed care organizations through insurance company or other billing web portals
- Serve as liaison between IDoA, insurance companies, and AUAF regarding any billing issues
- Delegate responsibilities to employees while enforcing all policies, procedures, standards, specifications, guidelines, training programs, and cultural values
- Use and train employees to use IDoA and MCO web portals (PSS, TTP, and MCO specific sites)
- Resolve internal staff conflicts efficiently and to the mutual benefit of those involved
- Follow all IDoA and AUAF policies and procedures
Requirements:
- Bachelor's degree and a minimum of 3 years of healthcare-related experience in billing and collections
- Certified Coding Specialist (CCS) from accredited program recommended
- Knowledge with CMS 1500 Billing Forms, electronic billing, EOBs, claims
- Experience working with all types of insurance- Commercial, Medicare, Medicaid, etc.
- Knowledge of ICD-10 billing
- Ability to work in a group and independently with little supervision
- Strong knowledge of Microsoft Office: Excel, Word, Outlook
- Demonstrated understanding of the medical billing industry
- Speaks a second language
