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Accelerated Urgent Care · 9 hours ago

Billing Manager

Greater Bakersfield Area

Full-time

Onsite

Senior Level, Lead/Staff

$68K/yr - $80K/yr

10+ years exp

Accelerated Urgent Care is seeking a Billing Manager to oversee all aspects of the Billing Department, ensuring smooth financial operations and effective billing processes. The role involves managing a team of Billing Specialists, implementing continuous improvement initiatives, and maximizing revenue through efficient billing practices.

Emergency MedicineHealth CareMedicalPrimary and Urgent Care

Responsibilities

Lead, mentor, and manage a team of Billing Specialists, fostering a culture of accountability and continuous improvement

Execute good judgement and decision making while considering cash flow requirements, to ensure cash flow remains consistent and is not disrupted

Manage the Billing Department and oversee training, tasks, and overall performance, to ensure accurate and efficient billing processes, therefore maximizing revenue

Develop and present continuous improvement opportunities to gain efficiencies, improve quality or revenue cycle outcomes

Create, develop, and manage Billing Department training structure and schedule for billing team staff regarding billing, other revenue cycle related tasks, and SOPs

Oversee knowledge share material is published and accurate for Billing Team

Under the RCM Manager’s guidance, track, review, and follow up on team attendance. Initiate concerns and recommend disciplinary actions as needed

Assist with candidate recruiting, screenings, and interviews to provide final staffing recommendations to the RCM manager and Director of Finance and Billing

Organize, develop, implement, and maintain revenue cycle standard operating procedures (SOPs)

Research and maintain current and new regulatory, compliance, and best practices for all insurance types including Medicare and Medi-cal (Medicaid)

Identify, research, and resolve system issues through direct contact with payors and software vendors

Work closely with the Practice Management and EMR system to identify and resolve systemic issues

Manage overall revenue management including satisfying timely filing requirements, clean claims submission, maximizing billing revenue and collections, and resolution of denied/rejected claims

Under the direction of the RCM Manager, identify and delegate tasks or special projects as they arise to minimize disruptions in revenue and the overall workings of the Billing Department

Monitor A/R aging and payment reports monthly to identify trends and underpayments with various insurances; investigate causes and takes appropriate steps toward prompt resolution using professional judgement to maximize overall collections

Under the direction of the RCM Manager follow up on audit findings and implement necessary changes to ensure coding and billing errors are kept to a minimum

Generate and analyze weekly reports to track KPIs, metrics, identify trends and support strategic decision making under the direction of the RCM manager and Director of Finance & Billing

Work with the billing team to address problems negatively impacting the revenue cycle, KPIs, and metric, under the direction of the RCM Manager and Director of Finance & Billing

Provide exceptional customer service skills and positive personality attributes

Manage claims review, denial review, and overall A/R analysis to ensure maximum productivity

Provide technical expertise to the Billing Team to ensure accurate billing

Perform special projects and other duties as requested

Comply with departmental policies and procedures

Responsible for showing up to work on time and being available to all team members during work hours

Work well with all staff members including Management, Administration, Providers, and Front Office team

Provide personal commitment and ownership to enhance knowledge, skills, and abilities in healthcare billing and collecting

Maintain patient confidentiality and information security, adheres to all HIPAA regulations and requirements

Follow and adhere to CDC requirements for healthcare facilities

As an exempt employee, you will be required to work as long as it takes to perform your job. You are not eligible for overtime compensation

Qualification

Medical BillingRevenue Cycle ManagementClaims ProcessingHealthcare AdministrationTeam ManagementCustomer ServiceContinuous ImprovementTechnical ExpertiseProblem SolvingCommunication Skills

Required

A bachelor's degree in healthcare administration or related field such as business, finance, or accounting, with relevant experience demonstrating progressive development of responsibilities: or equivalent, a minimum or ten+ years' experience in direct medical billing (preferably urgent care)