What are the responsibilities and job description for the Director of Billing position at sstar?
Job Description:
About Us
We’re more than just quality treatment for substance use disorders. We’re a total health community. At SSTAR, our mission is healing the community, one person at a time. We will provide a personal level of healthcare and addiction treatment that addresses the mental, physical, and spiritual well-being of everyone we touch. SSTAR is a Federally Qualified Health Center (FQHC) which affords our employees eligibility to apply for one of our three Loan Repayment Programs, including the HRSA LRP.
The Director of Billing manages the policies, objectives, and initiatives of the organization's revenue cycle activities to achieve operational goals and cash flow targets. Implements processes and procedures to optimize the revenue cycle and ensure compliance. This is an on-site position.
Benefits
- 403B
- Dental insurance
- Disability insurance through Massachusetts PFML
- Employee discounts, cell phone, eyewear etc.
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Flexible Spending Account
- Opportunities to earn CEU's
- Voluntary Benefits including but not limited to, Disability, Life, Critical Illness, Accident and Disability Insurances
- Paid Long Term Disability
Duties & Responsibilities
- Establish and monitor systems for collection of claims data, processing claims and reporting functions related to fee for service billing.
- Recruits, trains, and supervises billing staff.
- Ensures that collections are maximized.
- Functions as liaison to the provider relations department of the payors.
- Represents SSTAR at statewide meetings affecting insurance claims.
- Serves as liaison to Practice Management application vendors around claims processing and financial reporting.
- Works with the SSTAR finance department to ensure accurate and relevant reporting.
- Collaborates with AVP of Finance around issues related to revenue reports and claims processing for annual audit.
- Manage Agency EIM/ESM Virtual Gateway.
- In conjunction with IT staff, manage PM Software maintenance and upgrades.
- Complete and maintain documentation as required by SSTAR and all applicable funding or regulatory agencies.
- Maintain compliance with all SSTAR policies and procedures.
- Ensure billing compliance with relevant MA and Rhode Island state regulations including Medicaid, with federal Medicare regulations as well as requirements of insurers.
- Participate in professional development activities and training necessary to maintain and enhance skills.
- Other duties as assigned.
Experience and Skills:
Education & Experience
- Bachelor's degree required, MA preferred.
- CPC preferred.
- 5 years providing oversight of billing functions in a healthcare environment.
- Proficiency in medical billing codes (CPT, ICD-10, HCPCS)
- Knowledge of practice management systems in use at SSTAR.
- Knowledge of Microsoft Excel and other Microsoft applications.
- Knowledge of third-party requirements, Medicare/Medicaid regulations, and electronic filing
- Thorough knowledge of medical and physician billing.
- Strong organizational skills and attention to detail
- Excellent communication, leadership, and critical thinking skills
