Home Healthcare Billing Manager

Job Details

Orange Park, FL

Description

Job Title/Position: Billing Manager

Reports To: Administrator and Senior Vice President of Home Health

Job Description Summary

Responsible for managing accurate, timely completion and submission of all the billing, collections, and accounts receivable functions of the organization. Responsible for the management of the billing and collections team.

Essential Job Functions/Responsibilities

• Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Ensures that billing and patient account record systems are maintained in accordance with generally accepted accounting principles and compliance with state, federal, and ACHC regulations.
• Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.
• Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate organization personnel.
• Monitors aged accounts receivables and resubmits bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for the Director of Finance.
• Gathers, collates, and reports key billing information to the SVP of Home Health.
• Collaborates with the Controller in successfully reconciling the billing system reports with the general ledger.
• Accurately enters patient billing data, including visit charges and supply charges, into the information system.
• Accurately processes and bills Medicare, Private Insurance, Private Payer, and patient claims in accordance with payer requirements and organization policy.
• Assists in the preparation of monthly billing and accounts receivable reports.
• Maintains accurate Medicare, Private Insurance, and Private Payer billing analysis reports.
• Maintains complete and accurate billing and accounts receivable records.
• Files all elements of patient records daily.
• Maintains an adequate supply of patient clinical record elements and a stock of pre-made clinical records available for clinicians.
• Processes new patient referral information into the computer system on a timely basis.
• Sends quarterly credit balance reports to the intermediary.
• Prepares Medicare, Private Insurance, Private Payer, and patient remittances for data entry.
• Alerts appropriate management team members regarding late or missing documents required for billing.
• Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting the billing manager of seriously overdue accounts.
• Maintains the confidentiality of patient and organization information at all times.
• Performs other specific projects relating to billing, data entry, and computer operations as required.
• Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
• Establishes and maintains positive working relationships with patients, family members, payers, and referral sources.
• Protects the confidentiality of patient and organization information through effective controls and direct supervision of billing operations.
• Recruits, selects, orients, and manages members of the billing and collections team.
  
  

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Qualifications

Position Qualifications

• Working knowledge of EMR (Kinnser/WellSky) or equivalent.
• SAGE 50 Peachtree Accounting or equivalent accounting software.
• At least three (3) years experience in health care billing and collections management preferably in home care operations. Billing information systems knowledge is required.
• Demonstrated ability to supervise and direct personnel.
• Knowledge of corporate business management, governmental regulations and ACHC standards.
• Demonstrates good communication, negotiation, and public relations skills.
• Demonstrated capability to accurately manage detailed information.
• Able to deal tactfully with patients, family members, referral sources, and payers.
• Associate’s degree in Accounting, Business Administration, or related field, Bachelor’s degree preferred.
• Demonstrates autonomy, organization, assertiveness, flexibility, and cooperation in performing job responsibilities.
  
  

Skills Required

• Ability to type 50 words per minute
• Word processing skills
• Personal computer skills
• Business machine knowledge
  
  

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