Billing Services Manager

Cheyenne Regional Medical Center•Cheyenne, WY

50d

About The Position

This position directs the collection of either physician, facility or patient billing accounts receivable. Provides administrative and technical direction to staff ensuring maximum cash flow and maintain low receivables for the individual department while maintaining lean methodologies. Why Work at Cheyenne Regional? 403(b) with 4% employer match ANCC Magnet Hospital 21 PTO days per year (increases with tenure) Education Assistance Program Employee Sponsored Wellness Program Employee Assistance Program Loan Forgiveness Eligible Here is What You Will Be Doing: Manages the collection and adjudication process of billing revenues for the company by performing billing, collection and accounting activities necessary to ensure positive cash flow and to maintain the days of revenue accounts in receivables at or below the industry trends. Manages overall project development activities internally or when partnering with external vendors or consultants. Keeps management well informed by communicating status and potential problems of each area of responsibility. Analyzes data, prepare reports and make recommendations. Decreases patient complaints and increases patient satisfaction. Works across billing departments to ensure accurate and timely billing operations. Create and collaborate effective problem-solving techniques. Manages personnel actions including interviewing and selection of new staff, training and personnel evaluations. Improves departmental operations by developing personnel skills, analytical skills and technical knowledge. Works directly with organizational department/vendors to coordinate efforts in minimizing adjustments, communicating denials, and reconciliation of files. Ensures company compliance with current regulatory requirements. Keeps current with rules, guidelines, and regulations with CMS. Reviews, assesses and updates policies and standard work/procedures ensuring regulatory standards are maintained. Holds responsibility for evaluating all billing office contractual requirements in regards to regulatory requirements and company policies and procedures; and for providing transition support to new departments within Cheyenne Regional. Responsible for managing implementations and transitions of new departments, vendors, and/or clinics. Provides operational leadership and maintains a cost-efficient operation including timely and appropriate budget preparation, expense control and effective management in the allocation of resources. Adheres to established leadership competencies, service standards and reinforces excellence in those standards with subordinates. Promotes and participates in LEAN practices and strategies.

Requirements

Bachelor’s degree or higher in business or finance and two (2) or more years of billing and/or revenue generating supervision • OR, Associate’s degree in business or finance and four (4) or more years of billing and/or revenue generating supervision • OR, High school diploma (or equivalent certification from an accredited program) and six (6) or more years of billing and/or revenue generating leadership and/or supervision
One (1) or more years of experience in provider billing and/or facility-hospital billing and/or call center operations
Excellent verbal, written and interpersonal communication skills
Ability to manage multiple competing priorities in a dynamic, demanding environment.
Ability to complete goals and meet deadlines
Strong knowledge of Healthcare billing, lean daily management and day-to-day operations
Knowledge of medical terminology
Knowledge of medical insurance laws and guidelines, insurance policies, coverage types and payment policies
Ability to evaluate payor remits for accuracy in accordance with payor guidelines
Ability to audit and to create spreadsheets to analyze and present data

Nice To Haves

Business coding experience
Certified Healthcare Financial Professional certification through (HFMA)
Additional billing, coding, or management certifications
Epic experience
Lean Management experience

Responsibilities

Manages the collection and adjudication process of billing revenues for the company by performing billing, collection and accounting activities necessary to ensure positive cash flow and to maintain the days of revenue accounts in receivables at or below the industry trends.
Manages overall project development activities internally or when partnering with external vendors or consultants.
Keeps management well informed by communicating status and potential problems of each area of responsibility.
Analyzes data, prepare reports and make recommendations.
Decreases patient complaints and increases patient satisfaction. Works across billing departments to ensure accurate and timely billing operations. Create and collaborate effective problem-solving techniques.
Manages personnel actions including interviewing and selection of new staff, training and personnel evaluations. Improves departmental operations by developing personnel skills, analytical skills and technical knowledge.
Works directly with organizational department/vendors to coordinate efforts in minimizing adjustments, communicating denials, and reconciliation of files.
Ensures company compliance with current regulatory requirements. Keeps current with rules, guidelines, and regulations with CMS. Reviews, assesses and updates policies and standard work/procedures ensuring regulatory standards are maintained.
Holds responsibility for evaluating all billing office contractual requirements in regards to regulatory requirements and company policies and procedures; and for providing transition support to new departments within Cheyenne Regional. Responsible for managing implementations and transitions of new departments, vendors, and/or clinics.
Provides operational leadership and maintains a cost-efficient operation including timely and appropriate budget preparation, expense control and effective management in the allocation of resources.
Adheres to established leadership competencies, service standards and reinforces excellence in those standards with subordinates.
Promotes and participates in LEAN practices and strategies.