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Cheyenne Regional Medical Center · 3 months ago

Billing Services Manager (Onsite, Patient Call Center)

Cheyenne, Wyoming, United States

Full-time

Onsite

Mid, Senior Level

2+ years exp

Cheyenne Regional Medical Center is the largest hospital in Wyoming, dedicated to providing quality healthcare and improving patient and employee experiences. They are seeking a Billing Services Manager to oversee the billing and collection processes, ensuring positive cash flow and compliance with regulatory requirements while leading a team to enhance operational efficiency.

Health CareHospitalMedical

Responsibilities

Manages the collection and adjudication process of billing revenues for the company by performing billing, collection and accounting activities necessary to ensure positive cash flow and to maintain the days of revenue accounts in receivables at or below the industry trends

Manages overall project development activities internally or when partnering with external vendors or consultants

Keeps management well informed by communicating status and potential problems of each area of responsibility

Analyzes data, prepare reports and make recommendations

Decreases patient complaints and increases patient satisfaction. Works across billing departments to ensure accurate and timely billing operations. Create and collaborate effective problem-solving techniques

Manages personnel actions including interviewing and selection of new staff, training and personnel evaluations. Improves departmental operations by developing personnel skills, analytical skills and technical knowledge

Works directly with organizational department/vendors to coordinate efforts in minimizing adjustments, communicating denials, and reconciliation of files

Ensures company compliance with current regulatory requirements. Keeps current with rules, guidelines, and regulations with CMS. Reviews, assesses and updates policies and standard work/procedures ensuring regulatory standards are maintained

Holds responsibility for evaluating all billing office contractual requirements in regards to regulatory requirements and company policies and procedures; and for providing transition support to new departments within Cheyenne Regional. Responsible for managing implementations and transitions of new departments, vendors, and/or clinics

Provides operational leadership and maintains a cost-efficient operation including timely and appropriate budget preparation, expense control and effective management in the allocation of resources

Adheres to established leadership competencies, service standards and reinforces excellence in those standards with subordinates

Promotes and participates in LEAN practices and strategies

Qualification

Healthcare billingBilling supervisionLean managementMedical terminologyInsurance lawsData analysisMulti-taskingBudget preparationEpic experienceBusiness codingCertificationsCommunication skillsProblem-solvingTeam leadership

Required

Bachelor's degree or higher in business or finance and two (2) or more years of billing and/or revenue generating supervision

OR, Associate's degree in business or finance and four (4) or more years of billing and/or revenue generating supervision

OR, High school diploma (or equivalent certification from an accredited program) and six (6) or more years of billing and/or revenue generating leadership and/or supervision

One (1) or more years of experience in provider billing and/or facility-hospital billing and/or call center operations

Excellent verbal, written and interpersonal communication skills

Ability to manage multiple competing priorities in a dynamic, demanding environment

Ability to complete goals and meet deadlines

Strong knowledge of Healthcare billing, lean daily management and day-to-day operations

Knowledge of medical terminology

Knowledge of medical insurance laws and guidelines, insurance policies, coverage types and payment policies

Ability to evaluate payor remits for accuracy in accordance with payor guidelines

Ability to audit and to create spreadsheets to analyze and present data