Billing Manager - FQHC

Job Description

Job Description

Description :

Medusind is a leading provider of revenue cycle management solutions to medical, dental, behavioral health, anesthesia, pathology, emergency, surgery, radiology, and other specialties. In January 2023, Alpine Investors, a people-driven private equity firm, invested in Medusind to continue to advance its leadership position as one of the top revenue cycle management companies in the country.

The Billing Manager is responsible for the overall oversight of the supervisory staff while ensuring that the billing and collection department is meeting KPI deliverable for its clients. This means that they should have a solid knowledge about all the functions specific to RCM department including but limited to the ones that have direct impact on revenue optimization. The Ideal candidate for this role will have experience in Community Health Centers including but not limited to FQHC, RRHC, IHS and look-alikes. Key responsibilities include providing direct support to the supervisory staff, ability to problem solve complex challenges, mentoring and coaching staff, developing training tools as needed, supporting the month-end process, involvement in the financial reporting of KPIs, and implementing process improvements to scale the expansion of the department.

Key Responsibilities :

Operations :

• Oversee the operations of the billing department encompassing charge processing, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management, working to reduce outstanding balances and improve cash flow for clients.
• Serve as the practice expert and work closely with the supervisors to understand and develop strategies to improve overall RCM process.
• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulations, guidelines, and requirements.
• Spearhead payor projects, resolving complex billing issues, discrepancies, and claim denials.
• Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.

Leadership & Development :

Reporting and Analytics :

Continuous Improvement :

Requirements : Education :

Experience :

Communication & Collaboration :

Detail-Oriented :

Collaborative Problem Solving :

Technical skills :

Adaptability and flexibility :

Performance Management :