What are the responsibilities and job description for the Billing Analyst Manager position at Reliable Respiratory?
About Reliable Respiratory
At Reliable Respiratory, we provide the highest quality Durable Medical Equipment, along with professional, understanding, and attentive service. We care about our customers, work closely with the medical community, and have highly skilled staff ready to assist customers in receiving the best diabetes and airway management care possible.
Job Purpose
The Billing Analyst Manager is responsible for preparing, monitoring and analyzing Billing related information and communicating trends and findings to management. Responsibilities include reporting on, analyzing and communicating data to leadership team and peer managers in relevant departments.
- Complete weekly and monthly analysis of accounts receivable. This should include but not be limited to write offs, credit adjustments, adjust allowable, recoupments, balance transfers and refunds transactions.
- Perform root cause analysis on all adjustments.
- Strategize interdepartmental communication and create action plans to reduce # of adjustments and denials.
- Implement and execute a process surrounding unapplied payments.
- Understand and review all billing workflows. Partner with billing leadership on future enhancements and projects.
- Report on denial reasons and assess whether it is a preventable denial to communicate to department managers or if they need to be escalated to the payer.
- Review allowable adjustments and periodically compare to fee schedules to ensure pricing is accurate in Brightree system.
- Review and track accounts receivable to ensure all payers are in line with acceptable DSO
- Review Brightree Patient Collections invoice to ensure charges match up with expected billings.
- Oversee and assist with implementation of departmental projects and quality improvement. (I.E. Work with department heads to coordinate new programs to assure revenue cycle flow is maximized and uninterrupted.)
- Evaluate and provide recommendations to management as needed for the development of program related initiatives, including conducting needs assessment, operational analyses and systems and/or overseeing process development.
- Review activity worklists. Identify outliers and make suggestions for process improvement.
- Create and/or update written material and documentation related to procedures and programs. May determine content of what needs to be included. (I.E. insurance guidelines and processes and procedures).
- Review, analyze and report on payer audits and recommend ideas for optimization to leadership.
- Manage the payer audit process including, but not limited to audit tracking, responses, appeals and overall success rate. Communicate findings to management.
Basic Qualifications
- 21 years of age or older
- Must be eligible to work in the United States and not require work authorization from us now or in the future
- Bachelors Degree required
- 5 years experience in customer service is required
- 3 years in management or supervisory position is required
Required Skills
- Demonstrated leadership skills
- Effective and professional verbal and written communication abilities
- Professional computer experience (especially Microsoft Office Suite)
- Ability to investigate problems and make decisions
- Knowledge of performance evaluation metrics
- Strong analytical skills
Competencies
- Computer skills
- Interpersonal skills
- Product expertise
- Communication skills
- Results driven
- Conflict management
- Customer service
- Organizational skills
Work Environment & Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is regularly required to communicate and convey information with the appropriate parties. The job requires assuming a stationary position for long periods of time
- This role routinely uses standard office equipment such as computers, phones, and printers/scanners
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
- This job operates in a professional office environment
- The noise level in the work environment is usually moderate to loud
Direct Reports – Billing Audit Specialist
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
