Billing Manager-Infusion Authorizations

White Plains Hospital•Center, TX
•Onsite

About The Position

The Billing Manager is responsible for ensuring that high-quality revenue cycle processes are in place and followed to maximize reimbursements in a timely and efficient manner. The role oversees billing, insurance verification, pre-certification, and front-end registration functions for the department, while helping ensure staff compliance with policies and procedures. The Billing Manager also contributes to administrative staff development and coordinates revenue cycle improvements with the professional services revenue cycle manager. The position is based in White Plains, New York, in the WPHPA Oncology & Hematology department, with a day work shift.

Requirements

  • High school education required.
  • Four to six years of experience required.
  • Knowledge of coding, EPIC software, and Microsoft Office.
  • Knowledge of CPT and ICD-10 billing codes.
  • Knowledge of EPIC Billing and Front End Registration software modules.
  • Knowledge of health insurance billing protocols and requirements.

Nice To Haves

  • Bachelor of Science degree preferred.

Responsibilities

  • Maximize fee reimbursement and collection through revenue cycle requirements and protocols for fee-for-service billing.
  • Maintain reimbursements within industry benchmarks for timeliness and optimization.
  • Resolve daily revenue cycle edits and issues that delay insurance payments and minimize claims denials.
  • Oversee pre-certification and insurance verification functions for the department.
  • Assist with interviewing, training, evaluating, and disciplining administrative staff, and promote teamwork and cooperation.
  • Oversee front-end registration to ensure appropriate information is collected for billing requirements and help ensure compliance with front-end policies and procedures.
  • Coordinate revenue cycle improvements and efficiencies with the professional services revenue cycle manager.
  • As part of the department management team, contribute to and oversee administrative staff compliance with policies and procedures.
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