Manager Hospital Billing & CollectionsChildren's National Hospital • Silver Spring, MD, United States
Manager Hospital Billing & Collections
Children's National Hospital • Silver Spring, MD, United States
8 days ago
Job type
- Full-time
Job descriptionExcellent oral and written communication Excellent computer skills, preferably with Access and Excel Strong analytical skills Well versed in all aspects of the revenue cycle Analytical problem solver Focused on compliance, key performance indicators and efficiency Strong ability to quickly assess current procedures and develop and implement resolutions Demonstrate employer of choice values such as fostering collaboration, team spirit and providing a positive motivating environment Manage human resource activities of assigned team members, including selection and termination, training and development, evaluation and scheduling Develop staff qualifications and performance criteria; update Director on staff performance and progress toward criteria; participate in employee development criteria and selection Update staff with relevant information from Hospital and CNMA via written communication or staff meetings Represent staff interests in committees Coordinate work flow of staff, considering workload, priorities and available resources; promote an environment to support and recognize team and individual contribution Document policies and procedures; communicate development and change to staff; contribute to ongoing review of policies and procedures Lead or co-lead denial work groups; manage reports, data and root cause issue & resolution report; ensure progressive action to reduce denials & underpayments Coordinate projects related to payer performance and work with Managed Care and others to address issues Identify potential billing compliance issues, assess risk and research resolutions; work closely with Compliance Department to prioritize and correct; represent Business Operations concerns at meetings with other departments Work with Federal, State, and local authorities in reviewing regulatory issues that affect submission and adjudication of bills Support decision making process with operational data and information Implement strategic plan through management of day to day operations of department / service area; troubleshoot operational issues / barriers; collaborate with Director on significant operational issues Take an active role in reviewing Accounts Receivable to identify problems and resolve issues; monitor patient information data entry for quality assurance; follow up on performance issues with management Monitor accounts daily to maximize reimbursement opportunities; develop tools to assist staff in efficiency and effectiveness Audit managed care contract compliance and payer performance regarding reimbursement; report findings and implement corrective action Manage recoveries of underpayments / appeals using internal and external resources; provide documentation and reports Review & report denial trends and identify internal and external causes; initiate process improvement initiatives Manage bad debt process to ensure compliant, timely repayment; manage all vendor placements and related processes Develop and maintain communication with third party payers; stay updated on managed care contractual requirements and payer policies related to denials and reimbursement Manage facility billing team; ensure timely, accurate and compliant billing of accounts receivable; manage and report all prebilling functions including DNFB for IP & OP; ensure timely reconciliation of authorizations Oversee daily import / export processes with STAR and TSH acknowledgement reports; monitor payer report assignments and correction / rebilling of denied claims Monitor changes in daily failed volume and payer mix relative to staff assignments Research Federal, CPT, ICD-9, HIPAA and local billing standards for 837 and UB92 Communicate requirements to interested departments and apply billing standards to Hospital Claims Processing Collaborate with Managed Care Department to resolve payer-related billing issues
Join to apply for the Manager Hospital Billing & Collections role at Children's National Hospital
Overview
Base pay range : $77,646.40 / yr - $129,396.80 / yr
Manages all aspects of hospital billing and DNFB. Responsible for ensuring compliance with regulatory bodies as well as payer-specific requirements. Understands hospital reimbursement methodologies and evaluates any billing changes against expected reimbursement. Ensures goals are achieved by maintaining fluent processing for timely claim submission. Identifies, monitors and reports issues as they arise and implements appropriate resolutions. Identifies and coordinates performance improvement initiatives with internal teams and payers to reduce denials and underpayments. Works with all levels of staff, management and payers to improve revenue cycle performance.
Well versed in all aspects of the revenue cycle and the impact to billing. Collaborates with the professional billing manager to understand the impact of system updates and process changes on their team. Demonstrates analytical problem solving, attention to detail, and a focus on compliance, key performance indicators and efficiency. Fosters a positive, collaborative work environment and participates in planning, implementation, management and evaluation of service / department activities in accordance with accepted national standards and hospital policies.
Minimum Education
Bachelor's Degree (Required)
Minimum Work Experience
- 3 years Related and progressive experience (Required) And
- 2 years Management experience in a healthcare or related field (Required)
Required Skills / Knowledge
Functional Accountabilities
Staff Supervision
Operations Management
Accounts Receivable Management
Billing and Prebilling Management
Organizational Accountabilities
Includes teamwork / communication, performance improvement / problem-solving, cost management / financial responsibility, and safety.
Locations
Primary Location : Maryland-Silver Spring; Work Location : Tech Hill
Job Details
Job Function : Health Care Provider; Industries : Hospitals and Health Care; Position Status : Regular; Shift : Day; Work Schedule : 8-5pm
Job Posting : Sep 4, 2025, 9 : 56 : 09 PM
Full-Time Salary Range : 77646.4
#J-18808-Ljbffr
Create a job alert for this search
Collection Manager • Silver Spring, MD, United States
Related jobs)
Under direct supervision, assumes responsibility for all aspects of staffing, organization and prioritization of work, auditing, production and quality tracking, and communication to the assigned t...Show more
Get started on an exciting career at Element!.Element employees make a difference in the lives of others every day.We are re-defining the fleet management industry to be people first, then business...Show more)
Monocacy Surgery Center is hiring a full time RN Clinical Manager.The RN Clinical Manager directs, coordinates and controls the multi-disciplinary activities for patients undergoing surgical interv...Show more
MedStar Health is looking for a Physical Therapist to join our team at.The ideal candidate will be a licensed physical therapist with professional competency as a general practitioner in physical t...Show more
Credit and Collections Manager.Working with a very stable company in the area looking to hire Credit & Collections Manager.
The team has excellent tenure, the benefits are great, and there's room to...Show more About the Organization & Opportunity : .Our client is well-known within the food & beverage industry.Highly established organization that was founded in the 1990's.
Current employees praise the work-l...Show more 
Not eligible for visa sponsorship.Starting at $60k, commensurate with education and experience.The Student Accounts Office provides professional, efficient, and effective payment, deposit, and rece...Show more
QuickMD is a leading telemedicine provider, delivering high-quality virtual care across 44 states.Since our founding in 2019, we have helped more than 100,000 patients access essential medical trea...Show more
Join our team and grow with us both professionally and personally!.Next day pay : Work today, get paid tomorrow with our PayActiv benefit!.
We strongly believe in providing our team members with grea...Show more
Title : Patient Accounting Solution Advisor.Client is seeking a Patient Accounting Solution Advisor to support the Department of Veterans Affairs (VA) Electronic Health Record Modernization (EHRM) p...Show more
Join the Nalley Consulting team as a Collection Requirements Manager at DIA HQ.Collection Requirements Manager (CRM) LCAT : Senior Location : DIA HQ Bolling Required clearance : TS / SCI with CI p...Show more
Government of the District of Columbia.Office of the Chief Financial Officer (OCFO).The Office of the Chief Financial Officer (OCFO) whose mission is to enhance the fiscal and financial stability, ...Show more
This Jobot Job is hosted by : Jerry Sipocz.Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.
Salary : $125,000 - $200,000 per year.Our client is a specialize...Show more)
Under direct supervision, performs all billing and collection functions on account balances within assigned financial classes.
Ensures timely submission of all claims and timely follow up.Perform el...Show more
Datavant is a data platform company and the world's leader in health data exchange.Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format....Show more
Responsible for providing an independent perspective in underwriting and managing complex Wholesale Banking loans and relationships up to the bank's legal lending limit.
Partners with Relationship M...Show more
Under direct supervision, assumes responsibility for all aspects of staffing, organization and prioritization of work, auditing, production and quality tracking, and communication to the assigned t...Show more This position requires a basic understanding of loan products and foundational loan industry experience.The Loan Operations Associate I supports our customers' loan servicing needs and contributes ...Show more
Physician Billing Manager - Coding
Greater Baltimore Medical Center (GBMC) • Baltimore, MD, United States
Full-time
Last updated: 3 days ago • Promoted
Client Billing & Collections Specialist
Element Fleet Corporation • Baltimore, MD, United States
Full-time
Last updated: 1 day ago • Promoted
RN Clinical Manager
Monocacy Surgery Center (11305) • FREDERICK, Maryland, United States
Full-time
Last updated: 30+ days ago • Promoted
Physical Therapist PT - Pelvic Health
MedStar Health • Lothian, MD, US
Temporary
Last updated: 12 hours ago • Promoted • New!
Credit and Collections Manager
CFS • Baltimore, MD, US
Full-time
Last updated: 5 hours ago • Promoted • New!
Collections Specialist
CFS • Greater Landover, MD, US
Full-time
Last updated: 24 days ago • Promoted
Collections Manager
George Mason University • Fairfax, VA, United States
Full-time
Last updated: 30+ days ago • Promoted
Telemedicine Physician
QuickMD • Cheltenham, MD, US
Full-time
Last updated: 30+ days ago • Promoted
Home Services Manager (RN)
Acts Retirement-Life Communities • Sykesville, MD, United States
Full-time
Last updated: 30+ days ago • Promoted
Patient Accounting Solution Advisor
Axelon Services Corporation • Arnold, MD, US
Full-time
Last updated: 21 days ago • Promoted
Collection Requirements Manager - Sr
Nalley Consulting • Washington, DC, US
Full-time
Quick Apply
Last updated: 30+ days ago
Collections Representative
Office of The Chief Financial Officer • Alexandria, VA, United States
Full-time
Last updated: 30+ days ago • Promoted
Tax Manager ( Hybrid )
Jobot • Mount Airy, MD, US
Full-time
Last updated: 30+ days ago • Promoted
Billing Specialist I
Greater Baltimore Medical Center (GBMC) • Cockeysville, MD, United States
Full-time
Last updated: 1 day ago • Promoted
Billing & Collections Specialist
Datavant • Washington, DC, United States
Full-time
Last updated: 1 day ago • Promoted
C&I Credit Portfolio Manager IV - Annapolis or Columbia, Maryland
Atlantic Union Bank • Columbia, MD, United States
Full-time
Last updated: 3 days ago • Promoted
Physician Billing Manager - Coding
GILCHRIST • Baltimore, MD, US
Full-time
Last updated: 9 hours ago • Promoted • New!
Loan Operations Associate I (Collateral Management) (Hybrid / Columbia, MD)
Atlantic Union Bank • Columbia, MD, United States
Full-time
Last updated: 1 hour ago • Promoted • New!