Job Description
Job Description
Manager of Billing and Payor Reimbursement
The Manager of Billing and Payor Reimbursement is responsible for managing the staff, facility billing and accounts receivable, as well as payor and vendor relationships. Critical responsibilities include ensuring accounts are properly billed, receivables are sitting correctly in the patient accounting system, and appropriate, optimal and timely reimbursement is received for all services provided. They are also responsible for leading claims and payor escalation calls and working closely with managed care leadership to provide feedback on payor behavior and escalations.
- Oversees the timely completion of essential business office functions including facility billing, insurance collections, accounts receivables management and management of payor relationships
- Ensures accurate and timely reimbursement from payors and monitors outstanding AR. Coordinates and monitors performance of AR vendors
- Provides expertise, establishes priorities and provides direction to supervisors and staff on strategy for handling inventory
- Monitors KPIs and reports on status, variance to goals, issues and trends affecting reimbursement to leadership
- Analyzes data, works escalation files and makes decisions on collectability of inventory to bring accounts to resolution.
- Leads claims calls with payors and responsible for maintaining AR trackers for all contracted payors
- Reviews aged and high balance accounts on a regular basis and provides direction and guidance to supervisors and staff on how to resolve difficult accounts
- Interviews job candidates and leads the orientation process for newly hired supervisors and other team members. Responsible for ensuring appropriate training and adherence to departmental policies and procedures.
- Stays informed on payor contracts, regulatory changes and other items impacting hospital revenue
This position is a hybrid role, onsite one day week
Required Background:
- Bachelor's Degree in a related field
- Minimum of five years of experience in billing, collections and denial processes. preferably in healthcare.
- Ability to manage diverse teams including third party vendors. Strong oral and written communication skills.
- Epic and facility billing, follow up and denial experience preferred.
Company DescriptionWe provide full-service Healthcare Recruitment solutions. We identify, attract, engage, and connect the best possible talent with quality healthcare professionals. We build teams, provide executive recruitment solutions and discover high-performance candidates on behalf of our client partners. Our strength lies in our proven recruitment strategies, leadership in the larger healthcare community (regional and national), and networking.
Company Description
We provide full-service Healthcare Recruitment solutions. We identify, attract, engage, and connect the best possible talent with quality healthcare professionals. We build teams, provide executive recruitment solutions and discover high-performance candidates on behalf of our client partners. Our strength lies in our proven recruitment strategies, leadership in the larger healthcare community (regional and national), and networking.