What are the responsibilities and job description for the Billing & Revenue Cycle Manager position at Know Boundaries ABA?
About the Position :
As the Billing & Revenue Cycle Manager you will report directly to the owners of the company as well as other leadership & department heads. We need a team oriented individual with experience streamlining processes and modifying them as we grow. You will be asked to assist in developing billing department processes and procedures including Revenue Cycle Management, daily billing, credentialing, contract negotiation, AR & AP account reconciliation.
- Ensure strict HIPAA-compliant confidentiality with all client-related data
- Contribute to the growth and development of the company
- Cross train on all jobs within the billing department (including authorizations and credentialing)
- Aid in doing benefit checks, authorizations, and credentialing when needed
- Ongoing / prompt communication with the clinical staff, administration, and families
- Assist with, review & interpret payor contracts
- Provide assistance with rate negotiations
- Oversee Revenue Cycle Management and develop related processes
- Evaluate, troubleshoot, and follow-up on customer concerns
- Review customer account reports and follow up to ensure any concerns are notated pro-actively
- Assist billing manager in identifying specific payor billing rules as needed and update / maintain internal payor database
- Review client billing documentation to ensure claims are submitted based on payor requirements
- Create claims and patient statements
- Submit claims electronically for primary and secondary payers
- Collecting for services using Central Reach billing software
- Follow up on rejections, denials, and any outstanding claims
- Submit corrected claims in a timely manner
- Post payments when necessary
- File appeals to insurance
- Stay informed about Payor and Industry Billing rules
- Train, direct, develop and evaluate new staff
- Develop and perform quality assurance audits to ensure timelines for billing are being met
- Measure and monitor key metrics related to work performance
- Assist with audits from the insurance companies
- Foster a positive work environment for colleagues
- Help develop processes for related billing department tasks and procedures (i.e. BOT development, RCM, patient invoicing, etc.)
- Complete other tasks assigned when appropriate
Requirements
At least 5 years of experience with RCM and billing
Experience supervising & managing a team
Strong communication skills
Experience within the ABA field
Experience with Central Reach