Billing Manager

MID-FAIRFIELD CHILD GUIDANCE CENTER INC•Norwalk, CT

4d•Onsite

About The Position

Mid-Fairfield Child Guidance Center, a private non-profit outpatient mental health clinic, is seeking a Billing Manager. The individual will be responsible for overseeing and optimizing the financial performance of our revenue cycle processes. The primary focus is maximizing revenue collection, minimizing payment denials, improving operational efficiency, and ensuring compliance with applicable regulations. This is a role that requires strong analytical, strategic, and communication skills. To be successful this individual will need to drive process improvement both internally within the department but also with key organizational stakeholders across the agency. Responsibilities include managing workflow, assisting with hiring talented staff, continuous process improvement, and management reporting.

Requirements

Thorough understanding of the end-to-end RCM process including patient financial services (PFS) processes and standards.
Strong technological abilities and competence with Microsoft Office, Google suite and electronic health records (Carelogic experience is a plus)
Up-to-date knowledge of healthcare billing regulations, compliance requirements, and industry trends, including a solid understanding of Medicaid and private payer reimbursement processes.
Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public.
Ability to read, analyze and interpret financial reports, contracts, and other legal documents.
Outstanding ability to work independently to achieve results with minimal help in carrying out assigned tasks.
Ability to coach and mentor new and existing staff as necessary to promote their personal and professional growth.
Ability to set and maintain priorities when dealing with multiple demands and interruptions.
Strong analytical and problem-solving skills
3-5 years of proven increased responsibility including supervisory experience
Bachelor’s degree or relevant experience in healthcare field
Excellent customer service skills and ability to escalate potentially tense patient encounters.

Nice To Haves

Coding experience preferred
Carelogic experience is a plus

Responsibilities

Oversee the end-to-end billing process, ensuring accuracy and timeliness in the submission of claims to funding sources.
Implement and maintain efficient billing systems and procedures.
Manage a team of Billing specialists who are responsible for verifying eligibility, claims integrity, following up with payers to ensure timely claim processing
Manage the revenue cycle, including invoicing, collections, and reconciliation.
Monitor accounts receivable and work to minimize billing discrepancies.
Stay updated on regulatory requirements related to billing in the non-profit sector.
Ensure compliance with funding source guidelines and reporting requirements.
Work collaboratively with internal departments, including finance, and program directors to gather necessary billing information and resolve discrepancies.
Provide training to staff involved in the billing process to ensure understanding of billing procedures and compliance requirements.
Stay informed about industry best practices and share knowledge with the team.
Implement quality assurance measures to ensure accurate and compliant billing practices.
Conduct regular audits to identify and address any billing errors or issues.
Generate regular reports on billing performance, revenue collections, and other relevant metrics.
Analyze data to identify trends and areas for improvement.
Address inquiries related to billing from clients, funding sources, and other stakeholders.
Provide excellent customer service and maintain positive relationships with funding agencies/revenue resources.
Other duties as assigned