Manager, Billing & Collections

Enovis • USA, TX

84d

About The Position

As a key member of the Revenue Cycle Management, you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes. This role offers the opportunity to support meaningful work in a patient-centered organization dedicated to enhancing mobility and improving quality of life. As Manager of RCM Billing Operations in Lewisville, Texas, you will work closely with dedicated teams across Accounts Receivable, Cash Application, Audits, and Document Control to ensure accuracy and consistency in financial processes that support our mission.

Requirements

• Minimum of 6 years of Revenue Cycle Management experience required.
• Previous experience managing people required.
• Minimum of 3 years of experience managing an outsource billing/collections vendor required.
• Experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system required.
• Proficiency in processing/auditing claims for Medicare, Medicaid, and commercial plans required.
• Knowledge of CMS requirements regarding claims processing, specifically DMEPOS claim processing rules and regulations, required.

Responsibilities

• Achieves assigned targets for cash collections and unapplied cash reduction.
• Manages offshore vendor performance for end-to-end Revenue Cycle Management (RCM) services.
• Directs the operations of the billing, collections, and cash applications teams, including denial follow-up, aged accounts receivables, and cash posting activities.
• Plans and directs patient insurance documentation, billing and collections, and account reconciliation to ensure accurate billing and efficient account collection.
• Partners with RCM Leadership to coordinate and resolve difficulties within the department by implementing process changes and/or leading process improvement initiatives.
• Manages the review and resolution of payment variances and credit balance processes.
• Manages the number of electronic 835 payers and ensures they are set up to post electronically to the patient accounting system.
• Manages the number of payments processed by the bank and transferred via lockbox for posting.
• Ensures accurate denial follow-up and cash posting.
• Submits claims to proper insurance entities and follows up on any issues.
• Partners with Director to act as a liaison between the Finance Team, the RCM AR Team, the bank, and payment processing merchants regarding banking and accounting for the lockbox, payments, and refund checks.
• Compiles, reviews, and evaluates required documentation specific to government and commercial payors.
• Coordinates with various resources, contacts, and systems to obtain, verify and/or submit data.
• Ensures documents for submission are accurate, legal, and in compliance with the Company and regulatory standards.
• Reviews and verifies various transactions to ensure accuracy and compliance with Corporate and Legal requirements.
• Interacts with external contacts to coordinate activities related to internal and external audits.
• Manages inbound communications which may include medical or other types of charts/files, claims, faxes, emails, standard mail, or other related communications.
• Directs and monitors activities related to sorting, scanning, batching, and indexing documents into the imaging system.
• Coordinates scanner maintenance and handles return mail and outgoing correspondence.

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Spending and Savings Accounts
• 401(k) Plan
• Vacation, Sick Leave, and Holidays
• Income Protection Plans
• Discounted Insurance Rates
• Legal Services

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Merchant Wholesalers, Durable Goods
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees