Department: Billing
Immediate Supervisor Title: Associate Director of Revenue Cycle Management
Job Supervisory Responsibilities: General supervision over billing AR staff.
General Summary: An exempt, leadership position responsible for directing and coordinating the overall functions of the AR area of the billing department to ensure the successful follow up and collection of the organization accounts receivable.
Essential Job Responsibilities:
- Assist in developing improved processes and workflow to increase accuracy, effectiveness, and efficiency within the billing department to maximize the receipt of revenues relative to patient and insurance collections, claims submission, and coding.
- Develop training materials for AR operations.
- Serve as primary point of contact for resolving patient billing complaints.
- Review, work, and process unassigned claims. Follow up, as needed.
- Prepare and conduct daily and monthly status meetings for AR staff. Collaborate with Billing Specialist supervisor to improve Data Entry and Charge entry efficiency for claim submission.
- Provide guidance to the Accounts Receivable department and serve as the point of contact for escalated issues.
- Execute plans to avoid, reduce, and resolve denials and rejections.
- Identify payer trends and issues, communicate issues and proposed solutions to Associate Director of Revenue Cycle.
- Assist Associate Director of Revenue Cycle to provide month end stats of financial results to CFO (monthly collections, rejections, resubmissions, write-offs etc.).
- Gather AR Specialists daily productive report and input numbers into an Excel spreadsheet.
- Complete weekly Billing and AR Dashboard and send to billing management.
- Respond throughout the day to Billing Management emails.
- Ensure that medical records are stored securely and handled in compliance with HIPAA privacy.
- Responsible for performance management including, performance reviews, disciplinary actions, and monitoring employee goals.
- Responsible for certain aspects of recruiting such as reviewing applicants, interviewing, and hiring candidates.
- Review and approve employee timecards and PTO requests.
- Review and approve adjustment/write off requests.
- Review, process, and approve insurance and patient refund requests.
- Provide/coordinate the onboarding and training for new AR staff.
- Provide staff productivity analysis.
- Attend webinars and seminars as assigned.
- Other duties as assigned.
Education & Experience:
· High School Degree or equivalent; Associates degree preferred.
· Minimum of five years experience in a medical billing office; two years in a leadership/managerial role required.
· CPC preferred
· Beginner to intermediate Excel skills
· ECW and Epic preferred but not required
Performance Requirements:
Knowledge:
· Knowledge of medical billing office billing and collection procedures.
· Knowledge of third-party and government billing and reimbursement guidelines and regulations.
· Knowledge of medical terminology, CPT and ICD 10 codes, HCFA 1500 claim form.
· Sufficient knowledge of policies and procedures to accurately answer questions.
· Knowledge of HIPAA requirements
Skills:
· Skill in effective oral and written communication.
· Skill in developing, implementing, and administering work processes.
· Skills in planning, organizing, delegating, and supervising.
· Good organizational skills and keen attention to detail.
Abilities:
· Ability to work independently and observe deadlines.
· Ability to communicate efficiently and effectively with supervisors, staff, physicians, patients, and insurers.
· Ability to identify, evaluate, and solve problems. Make corrections as needed.
· Ability to conceptualize workflow, develop plans, and implement appropriate actions.
Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, scanners, telephone, calculators, etc.
Work Environment: Office environment is well lit with adequate heat and ventilation. Temperature can fluctuate throughout the year.
Mental/Physical Requirements: Requires sitting and standing associated with a normal office environment. Involves looking at a computer monitor for up to 8 hours per day. Occasional lifting of office supplies under 15 pounds.
Other Requirements:
ID Care Vaccination Policy:
- FLU Vaccine
- *All ID Care employees are required to be fully vaccinated. Effective 2/1/2024, Anyone who received the covid vaccination after September 11, 2023, meets requirements with 1 dose of covid vaccine. Anyone who received the covid vaccination prior to September 11, 2023, will require 2 doses of covid vaccine.
ID Care is an Equal Opportunity Employer who does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Experience level:
Schedule:
- Day shift
- Monday to Friday
Ability to Relocate:
- Hillsborough, NJ 08844: Relocate before starting work (Preferred)
Work Location: In person