Billing Director

Job Description

Job Description

ABOUT THE ORGANIZATION :

Operation PAR, Inc. is a non-profit organization offering the full continuum of services for individuals with substance use and / or mental health diagnosis. PAR has been providing comprehensive behavioral health treatment in west Florida since 1970 through advocacy, education, clinical services, and research.

BENEFITS :

9 paid holidays per year

3 weeks of PTO per year (on top of holidays).  PTO increases to 4 weeks / year after 2 years of employment, and then to 5 weeks / year after 5 years of employment.

Medical / Dental / Vision / Life Insurance

401k matching

Tuition reimbursement

Continuing education, reimbursement for professional certifications, and qualified supervision.

JOB SUMMARY :

The Billing Director will manage the billing process for behavioral health services to include Medicare, Medicaid and Commercial Insurance. The Billing Director is responsible for leading and directing the billing team in processing claims, resolving billing issues, and optimizing cash flow. The Billing Director is also responsible for maintaining and updating the billing software system and procedures.

ESSENTIAL JOB FUNCTIONS :

• Oversee the day-to-day operations of the billing department to include insurance verification, claim submissions, payment posting, and accounts receivable follow-up.
• Perform as the practice expert and go-to person in the department for all processes relating to billing and collections.
• Ensure accurate and timely billing complies with payer, State and Federal requirements, regulations and guidelines.
• Oversee provider credentialing that meets payer requirements.
• Maintain good working relationships with healthcare providers and insurance companies to resolve billing issues timely.
• Provide effective supervision including training, managing workload and problem resolution to the billing team.
• Ensure appropriate training is provided to business office managers in the programs and that established company operating policies, procedures and protocols are followed.
• Maintain and update the billing software system such as the Charge Master and billing forms. This includes changes in services to be billed, changes in reimbursement rates, setting up new providers and program locations, etc.
• Complete the Month-End close from the billing software system in a timely manner.
• Develop and implement billing policies and procedures. Review and update internal P&Ps annually including the Sliding Fee Schedule in compliance with federal poverty limits.
• In collaboration with senior management, review insurance contracts, analyze accounts receivable reports and billing performance and develop strategies to improve collections and reduce billing issues.
• Stay up to date with current billing and coding regulations and guidelines.
• Remain updated on HIPAA and all other health information management issues and regulations.

(These essential job functions are not to be construed as a complete statement of all duties performed. Employees will be required to perform other job related marginal duties as required.)

EDUCATION AND EXPERIENCE :

(A comparable amount of training, education or experience may be substituted for the above minimum qualifications.)

KNOWLEDGE, SKILLS AND ABILITIES :

ESSENTIAL PHYSICAL SKILLS :

SPECIAL REQUIREMENTS :

Reasonable accommodations will be made for otherwise qualified individuals with a disability. Veterans encouraged to apply. Operation PAR Inc is a drug-free workplace that adheres to federal regulations as it pertains to marijuana use. EOE / ADA / VETERANS / DFWP