About The Position

The Manager of Billing Operations Accounts Receivable is responsible for providing leadership in the development and improvement of accounting policy and procedures and internal control environment. Responsible for management, reporting, accounting & analysis, internal controls and policies & procedures related to all aspects of revenue and accounts. This involves close collaboration with, and business counsel to representatives throughout the organization. Manage, coach, and inspire a team of associates to provide solid and well thought out external and internal management information. Assess and review of financial controls and documentation.

Requirements

  • Associate's degree accounting, finance, healthcare administration, or a related field OR equivalent combination of education and experience.
  • 3+ years of experience of Medical Billing.
  • 5 + years of experience in a related industry.
  • Expert in Business-to-Business (B2B) communications.
  • Advance knowledge of Medicare, Medicaid and commercial insurance guidelines, and medical billing processes.
  • Proficient in insurance processing, guidelines and general policies related to all payers.
  • Proficient in clinical documentation review to align with insurance authorization requirements.
  • Maintains compliance with HIPPA and other healthcare regulations.
  • Advanced knowledge of CPT, ICD-10.
  • Maintains patient confidentiality and complies with HIPAA regulations.
  • Demonstrates solid time management skills, organization, and a strong attention to detail.
  • Demonstrated leadership and interpersonal skills.
  • Willingness to lead by example.
  • A good understanding of techniques for identifying, documenting, and testing of controls.
  • Demonstrated commitment, self-motivation, and drive.
  • Ability to work with minimal guidance; Proactive, motivated self-starter.
  • Flexibility and proven ability to handle and manage frequent changes effectively and efficiently.
  • Strong knowledge of Microsoft Office Suite, specifically Access, Word, Excel, Outlook, Accounting Software, and general working knowledge of Internet for business use.

Nice To Haves

  • Bachelor's degree accounting, finance, healthcare administration, or a related field OR equivalent combination of education and experience.
  • 5 + years' experience in a medical billing management position, with experience in AR.
  • Demonstrated career growth in previous healthcare administration, or a related field.
  • Strong training/development background.
  • Must possess professionalism, superior organizational skills, communications skills that allow the ability to educate and influence, an unrelenting passion for persistent follow up, and a drive towards problem resolution.

Responsibilities

  • Meets all deliverables and goals set by department.
  • Meets all regulatory agency requirements as they pertain to job function.
  • Manages day-to-day activities of multiple teams of Health Information department, including management of in-bound customer correspondence, customer phone calls, and patient case discrepancy management.
  • Ensures the needs of clients, patients, field staff, and laboratory are appropriately addressed by prioritizing work of multiple as needed.
  • Works cross functionally with other department leaders to improve workflows and enhance customer satisfaction.
  • Represents the Health Information department in cross functional teams to ensure larger company projects include Health Information input.
  • Ensures service quality by monitoring team member performance, identifying performance issues and implementing corrective action as necessary.
  • Hires and trains team members.
  • Develops training programs.
  • Investigates and resolves escalated and complex client issues and problems, identifying areas of customer satisfaction and dissatisfaction.
  • Monitors employee's performance and productivity.
  • Utilizes processes and available tools to analyze trends, maintain and enhance performance, and report statistics.
  • Provides regular feedback to all Health Information team members on their performance; identifies areas of improvement.
  • Manages performance accountabilities for individual team members.
  • Collaborates with management as it relates to team member challenges dealing with performance and behavior.
  • Ensures adequate support coverage by managing adherence to work schedules fully utilizing daily management reports/tools.
  • Provides on-going training and development of team members through effective coaching, motivating and proactive career development.
  • Mentors, coaches, and addresses developmental opportunities and disciplinary issues on the team.
  • Implements corrective action and further development plans as necessary.
  • Uses motivational techniques to assist team members in maintaining and exceeding standards.
  • Conducts audits on work and determines additional training and counseling that may be required due to the results of the audit; including, providing recommendations, guidance, and implementing solutions to improve results.
  • Actively supports and engages Health Information team members in the quality process.
  • Assesses training needs as identified, shares results in a timely manner, and provides training and coaching to drive continuous improvement.
  • Supports new technologies as a tool for driving increased efficiencies and stronger results.
  • Conducts regular team meetings.
  • Attends applicable department/management meetings.
  • Keeps team informed of new processes and general updates.
  • Manages correspondence, escalated issues and requirements/regulations.
  • Works collaboratively to problem solve and participate cross functionally with other teams as necessary.
  • Maintains a high level of confidentiality to protect the concerns of the company, management and employees.
  • Provides strong, consistent leadership and direction to the team, translates company and department vision into measurable goals and objectives for the team, and helps team members understand how they contribute to Caris's success.
  • Serves as a role model for staff, maintaining a professional, positive work environment that promotes a high-performance environment.
  • Takes ownership for personal growth and career development of self.
  • Focused on continuing to expand leadership skills, experience, and capability.

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What This Job Offers

Job Type

Full-time

Career Level

Manager

Industry

Professional, Scientific, and Technical Services

Education Level

Associate degree

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