Job description

Billing and Collections Manager

About Us

We are a sophisticated Billing Management Company that strongly believes in the best interest of their clients. Our mission is to ensure that every one of our clients have a proven low-cost RCM solution that provides maximized Insurance Reimbursements in the quickest attainable time possible. We will achieve this with the highest level of professionalism, ethics, and transparency.

Your Role

As a Billing and Collections Manager, you will be managing the billing and collections team, ensuring timely generation of claims and collections of outstanding accounts receivable dollars from the existing client base, and all other aspects of collections, resolving insurance billing problems and reducing accounts receivable delinquency.

Benefits

Being the best at what we do includes our team values of growth and respect. In addition to competitive pay, we offer quality health insurance, dental and vision, 401k matching, paid time off, and education tuition incentives. Our training process will ensure you have the tools and support to excel. We believe in being the best, and that means setting our team up for success.

Requirements

To be considered for the Billing and Collections Manager position, you will need:

• Minimum of 5 years experience in medical billing and coding
• Proficient in using RCM and related software
• Strong professional communication skills (written and verbal)
• Minimum 5 years of management experience within a hospital or medical billing company setting.
• Proven knowledge of Rev, CPT and ICD-10 CM coding (medical, mental health and substance abuse preferred)
• Integral knowledge of the A/R process.
• Proven managerial success in analyzing A/R reports.
• Proven successful management skills.
• Bachelors degree in business or related field a plus.

Responsibilities

• Maintains knowledge of the operational details of all positions in the Billing and Collections department, which includes but not limited to insurance claim submission, clearinghouse and payor claim rejections, payment posting, insurance claim denial management, and patient collections.
• Initiates modifications of all procedural paperwork related to accounts receivable-encounter forms, billing verifications, etc.
• Meets with Billing and Collections staff monthly to analyze A/R reports, days in receivable, and collection statistics.
• Performs weekly billing audits to ensure timely and accurate processing of charge and payment posting.
• Conducts detailed audit of Explanation of Benefits forms from commercial and managed care payors at least biweekly; prepares or presents results to Executive Management.
• Meets with Collections staff to discuss difficult claims and provide solutions.
• Meets with Billing and Collections staff monthly to discuss key issues, overall accounts receivable performance, and opportunities for improvement.
• Trains and oversees performance of Billing, Collections and Verification staff; assists with recruitment, discipline, and termination.
• Monitors overall workload in the department and distributes work accordingly; ensures all posts are filled in case of vacation and sick days.
• Maintains fee schedule as well as CPT, ICD-10 CM, adjustment, payment, and payor files in the computer system.
• Maintains and distributes payment contracted schedules as received from contracted carriers; inputs/updates schedule into computer system.
• Requests payment schedules from contract carriers as needed.
• Prepares fee/payment comparative report quarterly.
• Maintains carrier contract files and the Compliance Binder.
• Completes all credentialing applications and reapplications as requested.
• Seeks and recommends ways to use technology to improve operational efficiency.
• Maintains patient confidentiality by following the HIPAA Compliance Plan established by the practice.
• Attends all meetings as requested and performs any additional duties as requested by Executive Management.

Pay: $65,000-$70,000

Schedule: Full-time

Location: Delray Beach, FL

Apply Today!

Job Type: Full-time

Pay: $65,000.00 - $70,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Please briefly describe your level of proficiency in RCM softwares.
• Do you have experience with both commercial and managed care payers?
• Do you have specific experience in the mental health or substance abuse treatment revenue cycle?

Education:

• Bachelor's (Preferred)

Experience:

• medical billing and coding: 5 years (Preferred)
• management in a medical billing company: 3 years (Preferred)

Work Location: In person

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