ExperCARE is the region’s most-loved, first-choice for on-demand healthcare! We are consistently recognized as “best of the best” because we hire the “BEST of the best!” Our team of is full of resourceful, compassionate healthcare professionals with GRIT! If you’re at the top of your field and love helping people, you’re in the right place!
Since customer service is at the core of everything we do, the most important attribute you can have is a great attitude. To stay on a career path with us, you must bring a great attitude, a sense of humor, and a smile to work daily and always interact with others in a positive way.
Directly Reports to: Executive Leadership
Job Title: Billing Manager
FLSA Status: Exempt
Summary: The Billing Manager will be responsible for all insurance and patient billing elements within our organization including: cash receipts, collections, and activities that ensure a seamless patient experience. Will be responsible for supervising and coordinating staff engaged in billing and associated tasks, policies, and procedures. The Billing Manager will report to the Executive Team and will manage and supervise all aspects of accounting related to AR. ExperCARE offers an immense opportunity for personal and professional growth.
Duties & Responsibilities:
- Develop, implement, and monitor billing operations, policies, and procedures to improve collections and consistently achieve or exceed RCM goals and meet organizational objectives.
- Directs and monitors the daily billing workflow to include quality assurance and productivity, to ensure utilization of time management.
- Delivers successful results with industry KPI and benchmark metrics and delivers daily key metrics and reporting to executive leadership
- Effectively communicates, keeping executive leadership keeping informed of the billing department status and performance.
- Design, implement and maintain processes for maintaining accurate billing data, billing rates and new customer contracts
- Monitors and evaluates current reimbursement/payment rules and ensures, legislative and regulatory changes impacting medical billing are anticipated and communicated to the company.
- Monitors practice management software and reviews charts for completeness. Generate charges and bills according to insurance payment guidelines. Confirms claim submissions and tracks to ensure timely payment.
- Works denials and resubmits claims where appropriate, as well as appeals during the process of working AR.
- Assists in determining appropriate use of codes for maximizing reimbursement of services.
- Utilizes new technology and new methodology to create a seamless transaction for our customers.
- Assists in continued training and retraining of team members when and if deemed necessary.
- Manages claims on hold report to ensure documentation is acquired timely to avoid denials for untimely filing.
- Collaborate with Operations team to implement process changes areas that enable billing process improvements including changes in the EMR system that impact the optimal coding and billing of claims.
- Meets with occupational medicine clients and insurance company representatives on a quarterly basis to discuss issues.
- Practices and adheres to all compliance rules and regulations.
- Assists accounting department in month end close.
- Attend educational workshops as needed or assigned.
- Upholds HIPAA regulations and other compliance training.
- Performs other duties, as assigned by management.
Knowledge, Skills, and Abilities
- Ability to deal effectively with employees, customers, and referral sources
- Proficient in the use of MS Office
- Ability to strategize and solve problems
- Telephone etiquette and relationship building skills
- Professionalism and discretion with sensitive information
- Organization and time management
- A See it. Own it. Solve it. Do it! Attitude
- Enthusiasm to collaborate with external advisors and a team approach and work successfully independently