SNF Billing Manager

Assembly Health

About The Position

This position is for an SNF Billing Manager at Assembly Health. The role involves leading, mentoring, and managing a team of billing specialists and coordinators, overseeing day-to-day billing operations to ensure timely and accurate claim submissions, and providing training and development. The manager will set performance goals, monitor progress, and ensure key metrics like days in AR and collection rates are met. They will serve as the primary point of contact for a portfolio of SNF customers and an offshore portfolio, managing vendor relationships, SOPs, staffing, and project management to optimize A/R processes. The role also includes monitoring billing performance, developing customized strategies to optimize processes, reduce denials, and maximize collections, and collaborating with clients to resolve discrepancies. The manager will oversee claim submissions, ensure timely follow-up on unpaid claims, manage denials, and coordinate with insurance providers. They will implement best practices, work with executive leadership on policies, ensure compliance with state and federal regulations (HIPAA, Medicare, Medicaid), stay updated on industry changes, conduct regular audits, and prepare reports on billing performance. Building and maintaining strong client relationships, providing regular communication, and proactively resolving issues are also key aspects of the role.

Requirements

Bachelor’s degree in business administration, finance, healthcare administration, or a related field.
5+ years of experience in medical billing experience with specific experience in skilled nursing or long-term care settings.
Three plus years of experience leading or managing billing teams.
Extensive knowledge of Medicare, Medicaid, and third-party insurance billing processes and regulations.
Strong understanding of SNF-specific billing requirements and revenue cycle management.
Experience managing offshore A/R vendors including Project Management, SOPs, Staffing operations, processes implementation, etc.
Excellent leadership and team management skills.
Strong analytical skills, with the ability to identify trends and develop solutions to improve billing performance.
Proficiency with billing software systems and electronic health records (EHR).
Strong communication skills, with the ability to interact effectively with clients and internal teams.
Demonstrated ability to adapt to evolving industry trends and regulations and implement necessary changes to maintain compliance.
Ability to function well in a fast-paced and at times stressful environment.

Responsibilities

Lead, mentor, and manage a team of billing specialists and coordinators responsible for the billing performance of assigned facilities.
Oversee day-to-day billing operations, ensuring the team submits claims in a timely and accurate manner.
Provide training, development, and performance feedback to the billing team to ensure adherence to best practices and regulatory compliance.
Set performance goals for the team, monitor progress, and ensure key metrics such as days in accounts receivable (AR) and collection rates are met.
Serve as the primary point of contact for a portfolio of SNF customers, ensuring their billing needs are met and addressing any concerns or issues related to billing or revenue cycle management.
Serve as primary point of contact for our offshore portfolio, including vendor management, SOPs, staffing needs, and general project management to optimize our offshore A/R processes.
Monitor the billing performance of each SNF in the portfolio, identifying trends, potential issues, and opportunities for improvement.
Develop customized strategies for each client to optimize billing processes, reduce claims denials, and maximize collections.
Collaborate with clients to ensure they understand their billing performance, and work with them to resolve any discrepancies or challenges.
Oversee the submission of claims for the SNF portfolio, ensuring accuracy and compliance with Medicare, Medicaid, and other payer requirements.
Ensure timely follow-up on unpaid claims, manage denials, and coordinate with insurance providers to resolve disputes.
Implement best practices in billing operations, continually seeking opportunities to improve the efficiency and effectiveness of billing processes for customers.
Work closely with executive leadership to develop and refine policies and procedures related to billing and revenue cycle management.
Ensure that all billing activities are compliant with state and federal regulations, including HIPAA, Medicare, Medicaid, and other third-party payer rules.
Stay updated with changes in reimbursement models, billing regulations, and industry best practices.
Conduct regular audits of the billing processes for the SNF portfolio to ensure accuracy and compliance.
Prepare and present reports on billing performance, revenue collection, and other key financial metrics to senior management and SNF customers.
Build and maintain strong relationships with clients, acting as a trusted advisor on billing and revenue cycle matters.
Provide regular communication with customers regarding billing issues, financial performance, and resolution of any disputes.
Work to proactively resolve issues before they escalate, providing clients with clear communication on their billing status.
Other tasks and projects as needed and assigned.

Benefits

Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
Ongoing training and development programs
An environment that values transparency
Virtual and in-person events to connect with your team.
Competitive Benefit Packages available
Paid Holidays
Paid Time Off to enjoy your time away from the office.
medical
dental
vision
401(k)