Manager, Billing

AcclaraRemote, United States


Description

Job Title: Manager, Billing

Company: Tegria Revenue Cycle Management (Tegria RCM)

Department: Billing

Leader: Director, Revenue Cycle Services

FLSA Status: Salaried/Exempt

Work Location: Remote within U.S.

Travel: No travel required

Compensation: $48,000 - $83,000

Overview

The Billing Manager is responsible for planning, organizing, and influencing department activities while overseeing the day-to-day operations to ensure accuracy in, chart coding and billing processes. Monitor budget and utilize operational resources, participate in billing, collection process improvement to maximize reimbursement.

 

Responsibilities include:

 

  • Ensures accounts are billed accurately and timely by providing proactive oversight and direction for billing and collections
  • Maintains current knowledge of hospital billing systems and government payer systems, including applicable federal/state laws and regulations, as well as all aspects of third-party reimbursement policies and practices
  • Reviews all statistical reports to monitor trends, determine operational deficiencies and implement corrective action plans as necessary
  • Understanding the contract terms and insuring we stay within those terms
  • Participates in the development and implementation of operating policies and procedures.
  • Audits current procedures to monitor and improve the efficiency of billing and collections operations. Reviews and interprets operational data to assess the need for procedural revisions and enhancements
  • Monitors and manages the billing staff regularly for work accuracy including charge retrieval, claims submissions, payment posting, and accounts receivable follow-up. Tracks trends and reports them to management
  • Understands and remains updated with current coding and billing regulations and compliance requirements. Analyzes trends impacting carrier changes, charges, coding, collection, and accounts receivable and takes appropriate action and/or distributes the information
  • Performs maintenance adjustments and completes all tasks necessary to close the month timely and accurately. Finalizes and completes month end closing process
  • Providing leadership to ensure a highly sustainably engaged workforce is in place, with ongoing review of productivity and staffing needs
  • Ensure talent is identified, hired, and trained and that the new hire and onboarding process is completed in a way that fosters success and a positive employee experience
  • Other duties as assigned                                                                                   

Qualifications

  • Bachelor’s degree or equivalent education and experience
  • 5 years’ experience in revenue cycle/healthcare Billing
  • 3 years’ experience in a leadership role
  • Demonstrated strong knowledge of commercial and/or regulatory claims billing including relevant Federal, State, and local laws and regulations and requirements
  • Strong knowledge of third-party reimbursement, government reimbursement regulations, third party and patient billing, managed care agreements, account follow-up, account resolution, and cash applications.
  • Proven extensive knowledge of EDI billing systems and third-party payor billing process management
  • Proven history of proactively identifying, resolving, and escalating issues that impact business outcomes
  • Possess complete understanding of the billing/collection process to resolve complex, outstanding claims
  • Excellent critical thinking, organizational and time management skills with a strong attention to detail, accuracy and follow through
  • Demonstrated strong and persuasive verbal, written and interpersonal communication skills
  • Proven track record showing good decision-making skills based upon a mixture of analysis, experience, and judgment
  • Proven ability to work collaboratively in a team environment in a positive and professional manner
  • Demonstrated knowledge and understanding of:
    • HIPAA, CMS, EMTALA and JC rules and regulations.
    • The healthcare/medical revenue cycle.
    • Payor requirements and remittance advises.
    • Insurance remittance advice and EOB’s.
    • Cash Management.
    • Reimbursement, contracting and general ledger.
    • Government payment regulation and incentive programs

 

 

Physical Requirements:

The physical demands described 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.  Listed below are the physical requirements required while performing the duties of this job.

  • The employee is regularly required to: stand; sit; talk; hear; use hands and fingers to operate a computer and telephone keyboard; and reach, stoop and/or kneel to install computer equipment
  • The employee must have the specific vision ability to complete close vision requirements due to computer work
  • The employee is required to be able to complete light to moderate lifting

 

Our Commitment to Diversity, Equity, and Inclusion:

We welcome and respect the variety of experiences, viewpoints, and cultural backgrounds that everyone brings to our workplace. Tegria RCM makes every effort to promote a workplace where leaders model inclusive behaviors and individuals feel respected, valued, and empowered.  Together, we promote and sustain an inclusive workplace where people feel a sense of belonging