What are the responsibilities and job description for the Billing Office Lead position at Touro University New York?
Overview
The Billing Office Lead is a key role in ensuring the financial and operational success of a dental clinic. This position combines expertise in credentialing and accounts receivable management to support the clinic’s revenue cycle while maintaining compliance with dental industry standards.
Responsibilities
- Credentialing Duties:
- Manage provider credentialing and re-credentialing processes with various insurance carriers.
- Ensure all provider documentation is accurate, complete, and submitted timely to avoid service disruptions.
- Maintain a credentialing database to track the status of applications and re-credentialing deadlines.
- Serve as a liaison between the clinic, providers, and insurance companies to resolve credentialing issues.
- Regularly review and update provider profiles in practice management systems to ensure accuracy.
- Accounts Receivable Oversight:
- Monitor and manage patient accounts to ensure timely payment collection and follow-up on overdue balances.
- Collaborate with external revenue cycle management (RCM) to address insurance claim denials and discrepancies.
- Generate and analyze AR aging reports to identify trends and develop strategies for reducing outstanding balances.
- Communicate with patients to arrange payment plans as needed
- Maintain accurate records of all AR activities and ensure compliance with clinic policies.
- Administrative and RCM Support:
- Work closely with clinic staff and external revenue cycle management (RCM) partners to streamline workflows.
- Assist in gathering and verifying necessary documentation for insurance claims and credentialing applications.
- Monitor key performance indicators (KPIs) related to credentialing and AR processes.
- Participate in regular meetings to provide updates on AR performance, credentialing progress, and any operational challenges.
- Identify and implement innovative solutions to improve the efficiency and accuracy of credentialing and AR processes.
Qualifications
Education/Experience
- High School Diploma/GED Eqvlnt.
- Previous experience in credentialing, AR, or a related field in healthcare or dental practices.
- Understanding of dental billing, insurance processes, and accounts receivable management.
- Bilingual Spanish preferred
- Proficiency in dental practice management software.
Knowledge/ Skills/ Abilities
- Strong organizational and time-management abilities.
- Excellent communication and interpersonal skills.
- High level of accuracy and attention to detail.
- Ability to handle multiple tasks and prioritize responsibilities effectively.
Physical Demands
- Extensive time sitting and standing.
- Able to lift up to 5 lbs.
- This position requires compliance with Touro's Vaccine Mandate policy
Maximum Salary
USD $80,000.00/Yr.Minimum Salary
USD $64,000.00/Yr.Salary : $64,000 - $80,000
