TruBridge · 6 hours ago

Billing and Posting Resolution Advocate

United States

Full-time

Remote

Mid Level

3+ years exp

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Information Technology

Hiring Manager

Anna Golub

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Responsibilities

Possess complete understanding of the billing/collection process to resolve complex, outstanding claims

Ensures accounts are billed accurately and timely by providing proactive oversight and direction for billing and collections

Provides operational oversight for the Billing Coordinator, mentoring them in their responsibilities

Maintains current knowledge of hospital billing systems and government payer systems, including applicable federal/state laws and regulations, as well as all aspects of third-party reimbursement policies and practice

Demonstrates ability to manage, train and motivate employees, as well as a professional attitude in relating to executive management, professionals and third-party insurance carriers

Organizes and leads efforts to maximize operational efficiency and optimize reimbursement, as well as monitors denials and provides education and reporting to the areas regarding the effect of denials from their areas

Reviews all statistical reports to monitor trends, determine operational deficiencies and implement corrective action plans as necessary

Pro-active communication/escalation of potential claims/unbilled accounts/issues to the Director

Exhibits excellent leadership and self-direction, good judgement in handling difficult situations and good organizational, time management, interpersonal and conflict resolution skills

Assures that confidentiality of patient information is maintained without exception

Attends all required meetings and activities, maintaining a professional affiliation to stay abreast of current trends and changes in legislation and industry best practices

Liaise with facility management and operates as the lead point of contact

Maintain employee time and attendance and scheduling demands

Responsible for accuracy of customer invoices, and creating the invoices monthly

Understanding the contract terms and insuring we stay within those terms

Performs all functions from the Management Expectations List

Performs all other duties assigned

Qualification

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Medicaid billingMedicare claimsHospital billingECWRCMBilling claim formsInsurance regulationsProcedure codingDiagnosis codingAutomated insurance billingUBExcelMicrosoftNextCloudMS Teams