Billing Manager in Providence, RI at Acadia Healthcare

Date Posted: 2/10/2020

Job Snapshot

Job Description


Billing Manager

Position Summary:

Leads, trains and motivates a team of employees within the Central Business Office (CBO). This is a key role in the organization that is central to the success of the business office and company goals.

  • Direct oversight of CBO employees ranging from Billing Specialist to Team Lead offering direction, strategy, and coordination.
  • Manages and tracks the productivity of the billing team (charge entry, claim creation, claim processing, payment entry, denial resolution, and A/R follow-up) and to ensure that billing and collection activities are timely and accurate.
  • Assigns and allocates resources as required to ensure goals for aging and receivables are met.
  • Assists with Medical Billing Job Duties as needed which may include: Track, fix, re-bill and follow-up on unpaid claims; Contact insurance companies regarding denials; Verify Insurance; Send medical records for claims as well as insurance audit; Post charges; Work up accounts for refunds; Appeal claims if necessary; Assist patients with billing and account questions in a professional manner; Arrange payment plans according to company policy.
  • Ensure staff perform month end closing procedure within the established timeframe and assist as needed.
  • Directing work, resolving conflict and fostering a healthy team work environment.
  • Work in coordination with other Billing Managers and Director to ensure that all processes are consistent throughout the team.
  • Prepare reports and analysis to monitor for trends and implement processes for overall improvement within the team.
  • Supervises and resolves all issues relating to revenue cycle management, credentialing, patient access, policies, and procedures.
  • Maintains current knowledge of coding guidelines through the use of CPT, HCPCS II and ICD-9/10 materials.
  • Maintains payer plans based on contractual agreements and regulatory guidelines
  • Responsibilities include interviewing and selecting candidates that align with company culture and values.
  • Operates in a liaison capacity with the field operations and outside vendors, partners et al
  • Handles external inquiries such as audits, surveys etc.
  • Responsible for and maintains standards of company policies and procedures to ensure compliance and standardization at office level.
  • All other duties as assigned.

Job Requirements

  • 3 recent years of experience in healthcare medical billing, required.
  • 2 years of Management/Supervisory experience, required.
  • Proven track record for improving process efficiencies and problem solving
  • Strong leadership skills with an ability to motivate direct reports
  • Ability to multi-task and manage multiple assignments concurrently