RRC Billing Manager

Signature HealthCARE, LLC•Jeffersontown, KY

About The Position

The RRC Billing Manager oversees the daily functions of the Revenue Resource Billing Team. The role works closely with the team to support efficient, timely collections and provides detailed feedback about accounts receivable to the Business Services Director and VP of Business Services. It also manages billing operations across Medicare, Medicaid, managed care, workers’ compensation, commercial insurance, telehealth billing, and other billing areas, while supporting cash flow, compliance, reporting, training, and coordination between facilities and RRC.

Requirements

Bachelor’s or associate’s degree in Business or Healthcare Administration, or equivalent work-related experience.
At least five years of related experience in long-term care and/or hospital billing.
Two to three years of management or supervisory experience required; experience managing more than ten employees preferred.
Knowledge and understanding of billing practices in the healthcare and long-term care industries.
Comprehension of Medicare, Medicaid, managed care, workers’ compensation, commercial insurance, and/or other billing areas.
Must be current with industry regulations and compliance issues.
Ability to read, analyze, and interpret financial reports.
Effective verbal and written English communication skills.
Intermediate to advanced skills in Microsoft Word, Excel, PowerPoint, and Outlook, and in internet and intranet navigation.
Highest level of professionalism and ability to maintain confidentiality.
Ability to communicate at all levels of the organization and work well within a team environment in support of company objectives.
Customer-service orientation and ability to work well under pressure.
Strong attention to detail and accuracy, excellent organizational skills, and ability to prioritize, coordinate, and manage multiple projects while maintaining quality and productivity.
Strong analytical and problem-solving skills.
Ability to work with minimal supervision, take initiative, and make independent decisions.
Ability to handle new tasks without written procedures.
Approachable, flexible, and adaptable to change.
Ability to function independently and work effectively with stakeholders and vendors, with flexibility and personal integrity.

Nice To Haves

Management or supervisory experience with more than ten employees.

Responsibilities

Identify and participate in process improvement initiatives that improve the customer experience, enhance workflow, or improve the work environment.
Manage department staff, including hiring, training and development, coaching and counseling, and termination as necessary.
Ensure employment practices are administered fairly and in accordance with applicable federal, state, and local laws.
Manage billing processes and comply with requirements for Medicare, managed care, workers’ compensation, commercial insurance, telehealth billing, and other billing areas.
Identify and report trends within payor categories that may provide insight into payment challenges.
Ensure proper cash flow management, including compliance with Medicare and Medicaid regulations.
Serve as a liaison between facilities and RRC regarding billing and collection issues.
Review and authorize account write-offs and refunds according to policy and procedure.
Provide and coordinate ongoing training for RRC stakeholders.
Prepare and submit reports as required and directed by the RRC Director, CFO, company, and governmental agencies.
Ensure completion of Medicare Quarterly Credit Balance Reports.
Monitor billing exceptions and ensure billing is completed on time, including validation of submission and acceptance.
Monitor aging reports and complete monthly accounts receivable reviews.
Monitor open billing items and ensure their resolution.
Complete one-on-one meetings with stakeholders.
Conduct monthly team meetings.
Ensure remote access is obtained for new stakeholders and when new facilities are onboarded.
Complete and ensure training is provided to all new stakeholders.
Perform other special projects and duties as assigned.