Senior Manager, Hospital Billing

Emory•Atlanta, GA

6d•Hybrid

About The Position

Emory Healthcare is seeking a Senior Manager of Hospital Billing to oversee the entire hospital billing operation. This role ensures accurate and timely submission of patient claims, manages a team of billing specialists, resolves complex billing issues, maintains compliance with healthcare regulations, and implements strategies to optimize revenue cycle management and maximize revenue collection for the hospital. This is a hybrid position, splitting time between remote work and in-office work.

Requirements

Minimum of 7 years of related experience
Minimum of 3 years of supervisory or management experience
Bachelors Degree in healthcare or a related field
Deep understanding of medical billing codes (ICD-10, CPT) and healthcare billing regulations
Extensive experience in hospital billing operations, including revenue cycle management
Strong leadership and supervisory skills to manage a billing team
Excellent analytical and problem-solving abilities to identify and resolve billing issues
Proficiency in electronic health records (EHR) systems and billing software
Strong communication and interpersonal skills to collaborate with various stakeholders

Responsibilities

Manage a team of billing specialists, including assigning tasks, performance evaluations, coaching, and staff development.
Monitor team productivity and identify areas for improvement to streamline billing processes.
Oversee all aspects of the hospital billing cycle, including patient registration, charge capture, coding, claim submission, accounts receivable follow-up, and payment posting.
Ensure accurate and timely billing by reviewing coding and charge entry for compliance with medical billing guidelines.
Monitor and address billing denials, appeals, and outstanding accounts receivable.
Stay updated on current healthcare billing regulations, including ICD-10, CPT codes, and payer policies.
Implement procedures to ensure compliance with HIPAA, Medicare, and other relevant regulations.
Conduct regular audits to identify and address potential billing compliance issues.
Analyze billing data to identify trends and opportunities for revenue improvement.
Develop and implement strategies to increase collection rates and reduce outstanding accounts receivable.
Collaborate with other departments like patient registration and clinical staff to improve data accuracy and streamline billing processes.
Generate comprehensive billing reports to track key performance indicators (KPIs) like denial rates, days sales outstanding (DSO), and revenue cycle metrics.
Analyze financial data to identify areas for cost reduction and revenue enhancement.
Build and maintain relationships with insurance payers to address billing issues and negotiate reimbursement rates.
Monitor and resolve billing disputes with payers.
Additional Duties as Assigned