Billing Manager

Western Missouri Medical Center•Warrensburg, MO

7d•Onsite

About The Position

Under the direction of the Director of Patient Financial Services (PFS), the Billing Manager is a working manager who participates in the activities of the Billing Department. This role supervises a staff responsible for billing and collecting patient accounts and participates in activities at a more complex level as workload or other circumstances may require. The Billing Manager is accountable and responsible for the daily operations of all staff assigned to the department, supervising department operations to ensure accuracy and cost-effective performance in accordance with organizational goals. This position requires the ability to perform all job functions within the Billing department with efficiency and high quality. The primary goals are maximizing cash, minimizing denials, and preventing the aging of receivables beyond acceptable timeframes, while fostering an atmosphere that educates and develops staff members.

Requirements

High school diploma or equivalent.
Minimum of an Associate’s Degree in Accounting, Business Administration, or Healthcare Administration.
Minimum of 5 years of Acute & Ambulatory medical billing experience.
Previous management experience.
Advanced knowledge of UB-04, 1500, EOB interpretation, CPT and ICD 10 codes.
Intermediate Excel knowledge.
Understanding of Accounts Receivable KPIs.
Strong customer service and public contact experience.
Ability to meet targets and deadlines and maintain emotional balance and self-control.
Knowledge of various types of health insurance and other third-party reimbursement, health care billing practices, automated billing and accounting systems, collection laws and techniques on working with debtor’s ability to meet payment obligations.
Excellent communication skills, both verbal and written.
Ability to plan, schedule, assign, coordinate, and evaluate the work of subordinates; train staff, read, interpret and apply policies and procedures, analyze data, draw conclusions and make recommendations.
Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.

Nice To Haves

Meditech experience preferred.
Must have or obtain CRCR (Certified Revenue Cycle Representative) certification through HFMA within one year of employment.

Responsibilities

Provide leadership and oversight of billing representatives – Billing QA Specialist, Clearinghouse Specialist, Denial Specialist, Insurance Follow Up, Revenue Integrity Specialist and Cash Transaction analysts, including productivity, quality and account aging.
Develop policies and procedures related to Meditech, alongside the Director, PFS.
Monitor all personnel functions of the department, subject to established hospital and departmental personnel policies and in consultation with the Director of Patient Financial Services.
Maintain a thorough knowledge of payor rules, regulations, policies, and procedures as they impact the billing process.
Ensure accurate and timely claim submission, payment posting, follow-up, and resolution of outstanding accounts.
Work with other hospital departments to ensure that the hospital's A/R system is performing as needed.
Develop and maintain effective professional relationships with representatives of payor organizations to facilitate appeals of payor decisions, interpret regulation or policy, and gather information pertinent to current or proposed developments.
Help train, develop, motivate, and assist subordinates in reaching new levels of skills, knowledge, and attitude.
Promptly identify and communicate payer issues & denial trends, developing measurable action plans for resolution with the Director of Patient Financial Services.
Monitor staff schedules and adherence to time and attendance protocols.
Monitor and evaluate revenue cycle performance through KPI, Productivity, & Quality measures.
Attend meetings, training sessions, and conference calls, as well as team meetings, one-on-one meetings with Director, PFS to provide consistent performance feedback.
Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems with the Controller.
Maintain regular and predictable attendance.
Perform other essential duties as assigned.