What are the responsibilities and job description for the Billing Manager - Healthcare position at Summit Healthcare Mgmt?
About the Job:
The Billing Manager will be responsible for efficiently managing and leading the Revenue Cycle Management (RCM) billing team. Using knowledge and expertise, the Manager will continually work to enhance the current billing process, provide continuous monitoring and active management of the billing edits, rejections, initial billing and rebills to ensure timely billing. The manager will also be responsible for communicating issues to various departments that have an impact on billing accuracy and timeliness.Roles and Responsibilities:
Supervises the day-to-day operations of the billing department by assigning tasks to team members, setting priorities, and monitoring progress to ensure that billing activities are completed efficiently and on time.
Establish and maintain billing policies and procedures to ensure consistency and compliance. Develop standardized templates, guidelines, and workflows that streamline billing processes, reduce errors, and improve efficiency.
Owns management of the RCM billing system including the creation maintenance and upkeep of the billing edits. Ensure continual integration between Medik and Waystar systems and suggest enhancements for improved workflows.
Ensure the accuracy of billing data. Review of claims for errors or discrepancies, conduct audits to identify potential issues and implement quality control measures to minimize billing errors and improve accuracy.
Supervises a team of highly engaged members through hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department goals and ensure effective and efficient department operation.
Responsible for communicating billing policies, updates, and changes within the department and facilities. Ensure that all applicable stat members are aware of billing procedures, compliance requirements, and any modifications to billing processes.
Effective collaboration with various departments within the organization such as UR, HIM, individual facility BOM’s Admissions, to provide communication on issues that are causing delay or rejection of claims or denial of payment.
Status updated with the latest industry trends, best practices, and technological advancements in billing. Actively seeks opportunities to enhance their knowledge and skills to assure billing metrics are industry leading.
Assists in the Provider Enrollment, Re-enrollment, and Credentialing process.
Other duties as assigned.
Education/Experience/Skill Requirements:
Associate degree required.
Five or more years of medical billing experience.
Three or more years of billing supervision/management experience in healthcare setting required.
Advanced knowledge of UB04 and HCFA1500 forms, CPT and ICD-10 coding.
Two years of experience in Provider Enrollment/Credentialing with Medicare, CAQH, and other major insurance carriers.
Working knowledge of Medicare/Medicaid guidelines preferred.
Advance Excel skill preferred.
Possesses excellent oral and written communication skills.
Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
