Billing Manager

Job Description

Job Description

Position Details:

• Exempt Salaried Position
• Full-time
• Weekly Schedule Monday through Friday – Hours 8 a.m. to 5 p.m.
• Salary commensurate with experience

Position Summary:

The role of the Billing Manager is to oversee all functions of the billing and coding processes and staff; maintain comprehensive knowledge of payer regulations, interpret updates and develop and implement any process changes related to updates; make hiring and development recommendations, maintain adequate staffing levels, and ensure that staff is properly trained in their roles; maintain appropriate payer/provider credentialing and maintenance. Negotiation with commercial insurers may be required.

Position Responsibilities:

• Maintain comprehensive working knowledge of governmental billing regulations including Medicare and Medicaid as they relate to both Physicians (Part B) and Hospice (Part A). Must maintain similar working knowledge for commercial carriers. Interprets updates and develops and implements any process changes related to those updates. Serves as a resource for clinical and administrative staff.
• Manages/supervises all billing and coding staff.
• Review applications, interview, and make recommendations related to the hiring of new staff.
• Ensure that staff is properly trained in their roles. Coordinates work schedules around vacations, sick leave, and busy billing times, etc.
• Responsible for delivering disciplinary actions.
• Monitor current departmental processes and develop and implement new processes as needed.
• Oversee the billing/reimbursement process to ensure timely and accurate billing. Monitor company write-offs and present to the Director of Finance for approval.
• Oversee and maintain electronic files for the billing department, accounts receivable modules, and electronic billing system.
• Maintain credentialing requirements for the company and providers with third party payers, including CAQH.
• Oversee the medical coding process to insure proper coding for patient treatment, diagnosis, billing, and reimbursement.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Position Qualifications:

Education and Experience

• Bachelor’s Degree in Accounting/Business Administration or equivalent work-related experience preferred.
• At least three years of healthcare related billing and collections experience preferably for a hospice, hospital, nursing home, or physician practice. Supervisory experience required.
• ICD-10/HCPCS/CPT coding certification required.

Skills and Knowledge

• Ability to focus attention to detail and accuracy.
• Ability to read, analyze, interpret, and implement changes to technical procedures, staffing, and governmental regulations.
• Excellent communication and organizational skills.
• Ability to identify problems and solve them using research, common sense, and numerical reasoning.
• EMR and medical billing software skills required as well as a working knowledge of Microsoft Office.

Benefits Summary:

• Medical, dental, and vision insurance
• Life and disability insurance
• 401(k) plan with employer match
• Paid time off
• Paid holidays
• Continuing education assistance

Hospice of Holland is a financially strong non-profit organization deeply committed to providing the best care for hospice patients and their family members.