Billing Manager

Location: Springfield, MA
Date Posted: 09-20-2017
PRIMARY RESPONSIBILITIES
• Supervises daily billing and collections activities to ensure maximum efficiency. Provides guidance and direction to staff, covering all aspects of billing and collection standards/procedures, ensures adherence to policies and procedures and initiates correspondence to Payers for reconsideration of claims.
• Supervises accounts receivable management functions, and maintains assigned portfolios at acceptable levels. Ensures that service/supplies are billed appropriately and reimbursements are pursued until full payment is received.
• Provides guidance, assistance, and communications with internal and external customers to avoid reimbursement issues.
• Develops and implements plans to ensure assigned accounts receivable balances are within stated objectives.
• Supervises the maintenance of the payer manuals, patient information updates, and various logs essential to patient clearance/billing processes.
• Ensures the accounts are billed within the established time frames and the customer service guidelines/guarantees are adhered to. Keeps abreast of billing regulations/requirements and changes to industry formats and communicates changes to all pertinent personnel.
• Approves account receivable transactions within specified limits and refers those above limits based on delegation of authority guidelines.
• Maintains contact with insurance companies and administrators of state and federal programs as a Company liaison and troubleshooter to resolve exceptional reimbursement problems.
• Performs all duties inherent in a supervisory role. Ensures staff training, evaluates staff performance and recommends hiring, terminations, promotions and salary actions.
• Participates in special projects and performs other duties as assigned.
CORE REQUIREMENTS
• Abides by and demonstrates the company Mission – Vision – Values through both behavior and job performance on a day-to-day basis.
• Convey a strong professional image, exhibit interest and positive attitude toward all assigned work.
• Adheres to and participates in Company’s mandatory HIPAA privacy program/practices and Business Ethics and Compliance programs/practices.
• Reviews and adheres to all company policies, procedures, and the Employee Handbook.
QUALIFICATIONS
Bachelor’s Degree preferred plus a minimum of three years health care related collection/billing experience including previous experience in a lead or supervisory role generally required. Strong knowledge of collection and accounts receivables procedures required. Effective communication and project management skills also required.
Griffin Staffing Network, LLC
1145 Main Street Suite 508
Springfield, MA 01103
Phone (413) 788-0751
http://www.griffinstaffingnetwork.com/
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