Manager, Revenue Cycle

Job Description

Job Description

Busy specialty surgical practice with multiple specialties is seeking a Revenue Cycle Manager / Billing manager to lead our billing department. We believe our team members are by far the most important asset we have as a business. We owe our reputation as the best in our field to a staff that we believe derives a genuine sense of satisfaction while helping our patients.

This position requires a well-rounded knowledge of the medical billing process including pre-submission review, claim submission, posting, and accounts receivable management. Potential candidates should have a proven track record with a minimum of 3 years of successful medical billing experience. This person is responsible for leading and planning the billing operations for a 6-employee department. The candidate is the expert on all insurance carriers and all matters of billing and coding, is responsible for identifying changes in reimbursement, and changes in medical necessity requirements across all insurance carriers.

We offer a full benefits package including PTO, paid holidays, bonus, 401K with match, health and dental insurance coverage, voluntary vision, life insurance, among others.

Responsibilities :

• Oversee and streamline billing and collection processes; maintain proper billing procedures with a focus on increasing efficiency
• Posts daily payments
• Prepares claims for submission
• Prepares billing adjustments for rebilling
• Contact patients regarding insurance issues, copays, deductibles, etc.
• Manages status of accounts and balances to identify inconsistencies
• Ensures maximum reimbursement for services provided
• Provides systematic, accurate and comprehensive reporting to administration
• Performs provider credentialing including Commercial, HMO insurances, CAQH and NPI
• Ensures that all activities of the billing operations are compliant with Federal, State and payor regulations, guidelines and requirements
• Possess working knowledge of reimbursement requirements for all insurances
• Keeps up to date with carrier rule changes and billing procedures and distributes information to the practice
• Communicates with executive team on an ongoing basis

Qualifications and Skills :

Excellent written and verbal communication skills

Excellent analytical and problem-solving skills

Experience with Medicare, Medicaid managed care plans, and commercial Insurances

Knowledge of medical terminology, CPT, HPCS, and ICD 10

Ability to manage multiple projects simultaneously

Highly organized and attentive to detail

Professional demeanor

Team player

Solid understanding of HIPAA regulations

Certificate :

Certified Medical Biller, preferred

Professional Experience :

Medical Billing and Coding : 5 years, required

Managerial experience : 5 year, preferred

Education :

High school or equivalent

College degree in accounting / finance / business management preferred

Job Type : Full-time

Pay : $60,000.00 - $80,000.00 per year

Benefits :

401(k)

401(k) matching

Dental insurance

Employee assistance program

Employee discount

Flexible schedule

Flexible spending account

Health insurance

Life insurance

Paid time off

Retirement plan

Vision insurance

Work Location : In person