What are the responsibilities and job description for the Medical Billing and Compliance Manager position at Mountain Medical Supply?
Billing and Compliance Manager (Remote)
Company Overview:
Mountain Medical Supply (MMS) is a national durable medical equipment (DME) company dedicated to providing top-quality medical equipment and supplies to former U.S. Department of Energy workers (and their families) who became ill due to toxic and radiological exposures at covered Department of Energy facilities. Our mission is to help these individuals achieve the best possible quality of life through reliable, compassionate service.
We are seeking a dedicated and detail-oriented Billing and Compliance Manager to join our team. In this key leadership role, you will oversee our billing operations, ensure compliance with all relevant regulations, and support company-wide financial stability. This is a fully remote position offering generous benefits, including health and dental insurance, a matching 401(k) plan, and a substantial paid time off policy.
Responsibilities:
- Billing Operations:
- Oversee all aspects of the billing process to ensure timely and accurate submission of claims, payments, and reimbursements.
- Monitor workflow and resolve discrepancies promptly.
- Utilize Brightree software (or related platforms) to manage billing entries, verify patient data, and track claims.
- Compliance and Regulatory Oversight:
- Develop, implement, and maintain billing and compliance policies and procedures.
- Ensure adherence to federal, state, and local healthcare regulations and industry best practices (e.g., HIPAA, Medicare/Medicaid requirements).
- Conduct periodic audits and internal reviews to identify potential compliance risks and implement corrective action plans as needed.
- Team Leadership and Collaboration:
- Lead, mentor, and train billing team members, ensuring high performance and professional growth.
- Collaborate with cross-functional teams (Finance, Operations, Authorizations, etc.) to streamline processes and maintain clear communication on billing and compliance matters.
- Reporting and Analysis:
- Prepare and present regular reports on billing performance, reimbursement trends, and compliance metrics to senior management.
- Analyze data to identify areas for process improvement, increased efficiency, and cost savings.
- Stakeholder Relations:
- Serve as the primary point of contact for internal and external stakeholders regarding billing and compliance questions and issues.
- Work closely with third-party payers to facilitate smooth reimbursement processes.
Qualifications:
- Education & Experience:
- Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field (or equivalent experience).
- Minimum of 3-5 years of experience in medical billing and compliance management, preferably in a healthcare or DME setting.
- Technical Proficiency:
- Proficient in Brightree software (strongly preferred) or similar billing platforms.
- Solid understanding of medical billing codes (e.g., ICD-10, CPT), reimbursement processes, and insurance guidelines.
- Proficient in Microsoft Office Suite, particularly Excel.
- Regulatory Knowledge:
- Thorough knowledge of healthcare laws, regulations, and best practices (HIPAA, Medicare, Medicaid, etc.).
- Experience conducting internal compliance audits and implementing corrective plans.
- Skills:
- Strong leadership and team management abilities.
- Exceptional attention to detail, analytical thinking, and problem-solving skills.
- Excellent communication and interpersonal skills, with the ability to engage effectively at all organizational levels.
- Work Environment:
- Ability to work independently in a remote setting while effectively managing team collaboration and project deadlines.
- Organized, proactive, and able to identify and address potential issues swiftly.
Benefits and Perks:
- Health & Dental Insurance: Comprehensive benefits for employees, with the option to include family members.
- 401(k) with Matching: Grow your retirement savings with our employer match.
- Generous Paid Time Off: Enjoy a robust PTO policy for optimal work-life balance.
- Remote Work Environment: Work from home with a supportive and collaborative remote team.
If you’re passionate about helping others, enjoy being part of a supportive team, and want a role where you can truly make a difference, we’d love to hear from you. Apply today to join the Mountain Medical Supply family!
