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Senior Billing Manager in Carlsbad, CA at Acadia Healthcare

Date Posted: 3/14/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Carlsbad, CA
  • Experience:
    At least 5 year(s)
  • Date Posted:
    3/14/2019

Job Description

Overview

Senior Billing Manager

About Acadia's Comprehensive Treatment Centers:

Acadia’s Comprehensive Treatment Centers (CTC) provide medication assisted outpatient addiction recovery services for those impacted by the disease of opiate and chemical addiction. The coast-to-coast network Comprehensive Treatment Centers is the largest provider of outpatient substance abuse recovery and addiction treatment in the nation.

Position Summary:

Leads, trains and motivates a team of 4+ 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.

Responsibilities
  • Assist in implementing the day-to-day functions of the Billing department
  • Oversee and streamline billing and accounts receivable processes
  • Implement written policies and procedures that govern billing and accounts receivable functions
  • Plan and implement quality assurance for all processes
  • Special program/billing planning and implementation
  • Conduct routine staff meetings regarding billing planning and implementations
  • Assist in standardizing the methods in which work will be accomplished
  • Assist with the implementation of a new systems (if/when needed)
  • Assist in preparing financial and statistical reports as directed and ensure that the billing team has performed month end closing procedure within the established timeframe.
  • Trend open accounts receivable and work with staff to ensure accounts receivable is being worked.
  • Assist in preparing monthly financial statements to include preparing monthly balance sheets, income reports, etc as required/directed
  • Proven ability to perform strategic planning and priority setting for the Billing Team.
  • Work with the team to develop systems and processes to improve processes and procedures.
  • 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 Senior Billing Managers, Billing Managers and Director to ensure that all processes are consistent throughout the team.
  • Maintains current knowledge of coding guidelines through the use of CPT, HCPCS II and ICD-9/10 materials.
  • 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

  • Minimum of five years' experience working in medical billing, preferably in third party payments, including understanding of the industry payment processing protocol.
  • 3-5 years of Management/Supervisory experience, required.
  • BA/BS in Accounting/Finance or related discipline preferred In-depth knowledge of billing or accounting software
  • Knowledge of rules and regulations as relating to submission of Medicare and Insurance claims
  • Knowledge of CPT medical coding
  • Proven track record for improving process efficiencies and problem solving
  • Strong leadership skills with an ability to motivate direct reports