CORP H&W/SR MEDICAL BILLING MANAGER

Kroger • Cincinnati, OH

107d

About The Position

Responsible for leading, directing, managing, and evaluating all activities related to the revenue cycle to ensure complete and accurate claims processing to allow for prompt, appropriate payment from patients and third-party payers, specifically as it relates to clinical, nutrition, and pharmacy medical billing. Accountable for staying up to date on government policies and industry standards as it relates to reimbursement to ensure that company conforms to applicable guidelines and regulations. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.

Requirements

• Minimum Vocational or Technical Degree and/or Bachelor's Degree.
• 5+ years experience in a leadership role in revenue cycle management for a healthcare provider organization.
• 5+ years of experience and thorough knowledge of CMS rules and regulations.
• Demonstrated ability to maintain confidentiality and protect sensitive information.
• Ability to effectively interact professionally with senior leaders.
• Strong written and verbal communication skills.
• Strong computer skills including Word, PowerPoint, Excel, Outlook, and Teams.
• Ability to manage multiple priorities and effectively achieve desired outcomes.
• Excellent analytical, critical thinking, organizational and time management skills with attention to detail, accuracy, and follow-through.

Nice To Haves

• Master's Degree.
• Project management experience.
• 3+ years of experience redlining documents and billing third-party medical claims.
• 2+ years of analytical experience.

Responsibilities

• Lead, direct, manage, and evaluate all activities related to the revenue cycle.
• Ensure complete and accurate claims processing for prompt payment from patients and third-party payers.
• Stay up to date on government policies and industry standards related to reimbursement.
• Demonstrate core values of respect, honesty, integrity, diversity, inclusion, and safety.
• Analyze, communicate on, and resolve operational issues within claims processing.
• Develop strategic plans and programs for working with key business stakeholders impacting the revenue cycle.
• Improve overall performance in cash collections, days in accounts receivable, and net collection rates.
• Direct and review process improvement and training materials for accounts receivable staff.
• Investigate escalated patient complaints and compliance issues related to billing.
• Collaborate with HR on planning, attraction, selection, retention, and development of the team.

What This Job Offers

• Career Level: Senior
• Industry: Food and Beverage Retailers
• Education Level: Bachelor's degree