40 applicants

Company

Equip · 1 day ago

Billing Manager

Remote - USA

Full-time

Remote

Mid, Senior Level

$86K/yr - $105K/yr

5+ years exp

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Responsibilities

Communicate with the billing team and key stakeholders on changes in reimbursement and expectation of changes in insurance guidelines

Establish payor performance communications to share in payor meetings; discerns when and how to escalate payer issues

Collaborate with Senior Leadership on development of strong departmental objectives and key results; accountability for team performance specific to OKRs

Track and report on key performance indicators regarding claims billing, reimbursement, and denials

Guide billing team to maintain strict adherence to write-off policies, Sliding Fee Discount, and other accounts receivable policies

Actively manage, develop, and monitor a highly engaged billing team

Oversee all aspects of billing activity and initiate appropriate corrective measures as needed

Communicate performance data and associated actions plans to Senior Leadership

Provide subject matter expertise regarding billing processes, policies, and procedures to individuals at a cross-functional level

Direct the process of identifying, developing, and communicating systems, policies and procedures related to A/R, billing, and collectionsIdentify areas of revenue loss related to billing and claims management

Create processes and procedures to ensure RCM function is ready to scale for exponential growth

Oversee utilization, claims, remittance processing, and collection practices

Create and analyze data on denial management, appeals, and payment postingIntroduce best practices and optimize work processes to address payor, regulatory, financial, and operational changes as well as emerging industry trends

Perform other duties as assigned

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Revenue Cycle ManagementClaims BillingData AnalysisThird Party ReimbursementExcelManagement Experience

Required

Bachelor’s degree in related field; experience considered in lieu of degree

5+ years of experience in a management role in claims billing or revenue cycle

Familiarity with third party reimbursement methodologies

Extensive knowledge of third party payer reimbursement systems, rules and regulations relating to A/R

Strong data analysis skills with Excel knowledge

Strong communicator with a high level of confidentiality

Ability and willingness to pivot to other potential tasks

Enthusiastic, strong team player a must

Benefits

Flex PTO policy (3-5 weeks) + 11 paid company holidays.

Competitive Medical, Dental, Vision, Life, and AD&D insurance, in addition to Maven, a company paid reproductive and family care benefit for all employees, and an Employee Assistance Program (EAP), a company paid resource for mental health, legal services, financial support, and more.