Veterans in Healthcare · 2 months ago
Billing & Audit Director - Patient Accounting - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles, CA
Full-time
Onsite
Lead/Staff, Director/Executive
$110K/yr - $182K/yr
5+ years expVeterans in Healthcare is seeking a Billing & Audit Director to lead the department and direct reimbursement strategies to maximize billing efficiency. The role involves overseeing billing processes, collaborating with clinical teams, and ensuring compliance with regulations while driving operational excellence through strategic planning and team leadership.
Health CareMilitary
Responsibilities
Oversee and streamline billing processes, develop and implement policies and procedures to improve efficiency and revenue outcomes, ensuring compliance with all state, federal, and payer guidelines
Provide analyses of billing processes to identify areas for improvement and implement necessary changes
Collaborate with providers, clinical teams, and the EMR team to ensure accurate coding, documentation, and revenue optimization
Propose, research, and manage the development, implementation and assessment of long and short term operating goals and objectives. Operationalize, implement and monitor assigned strategic initiatives. Drive execution of the assigned strategic plan components
Responsible for daily management of billing, system holds and billing personnel to effectively ensure claims are accurately being billed to all payers
Manages and review edits, bridges along with charge master impacts to ensure claims are flowing defect-free to the payers
Direct oversight of billing functions and software vendors to improve workflows, processes and controls for billing enhancements and efficiency
Collaborate and communicate with department leaders on charge issues that generate rework and rebills. Work to eliminate rebills throughout the organization
Performs other duties as assigned
Qualification
Required
High School or equivalent
Bachelor's Degree Healthcare Administration, Health Information Management, Business, or a related field
Additional 2 years of experience required in lieu of min education
5-7 years minimum hospital acute care billing management experience
Excellent knowledge of CPT-4, ICD-9/ ICD-10 and Uniform Billing Standards
Excellent knowledge of all Medicare Billing regulations and requirements
Excellent contract knowledge required
Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
Company
Veterans in Healthcare
Veterans in Healthcare is a comprehensive source of career information and opportunities for military personnel transitioning.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase