Manager of Billing & Collections (9194)

Medical Necessities Columbia, TN
Rapidly growing company is seeking an innovative professional to serve as Manager of Billing & Collections. Responsible for all operational processes and teams, including: Billing Two Team, Patient A/R Team, Cash Applications team.

JOB DUTIES AND RESPONSIBILITIES may include but are not limited to any and/or all of the following:

* Ability to adequately accommodate needs if vacancies arise in direct report positions.

* Perform administrative acitivities associated with the effective management of all locations.

* Responsible for employee performance and evaluation of all direct reports and all employees within reporting structure.

* Responsible for accurate and timely processing of payroll timecards for all employees within reporting structure.

* Conduct management and departmental meetings on a routine basis or as instructed by supervisor.

* Ability to proactively identify issues and iniate processes or protocols to help avoid undesired situations throughout all areas of accountability.

* Responsible to conduct timely and detailed follow up to any concerns/situations/tasks as deemed appropriate or as instructed by supervisor.

* Develop and maintain working knowledge of current products and services offered by the Company, and all applicable governmental regulations.

* Assist with quality improvement program to meet Company and accreditation standards, including monthly education inservices for new products, as well as continuing education on existing products and procedures for yourself and your teams.

* Working knowledge of reimbursement requirements for Medicare Manual and Local Coverage Determinations (LCD's) for PAP equipment/supplies to ensure correct documentation is obtained to receive full reimbursement amounts from insurance provider.

* Firm grasp of all billing and collections processes and policies in order to provide supervision to and oversight of all functions within these departments,

* Management for all billing, collection, customer service, denial management, auditing, pricing tables, charge master, patient account management, cash posting, negotiations and related activities.

* Plan, develop and administer policy and operating procedures for billing and collecting revenue, including collection and analysis of billing related data.

* Analyze, evaluate and improve processes to meet or exceed industry standard benchmark performance such as days in accounts receivable, cash collections as a percentage of revenue, cost to collect, and other indicators.

* Interpret and implement complex rules and regulations governing insurance and third party payments involving Medicare, Medicaid, Blue Cross, commercial carriers and all other payers.

* Identify and implement professional and specialty billing opportunities to maximize reimbursement while complying with Federal and state regulations.

* Prepare and present reports and data regarding accounts receivable, cash forecasting, projections of receivables and cash collections, and process improvement initiatives.

* Ensure that all documentation in our Patient software - Brightree, Apacheta, and other applicable software systems is done accurately and timely.

* Assist key staff members to prepare, implement, achieve, maintain and utilize annual budgets for your department.

* Manage costs of labor, including schedules, overtime, and labor allocation per given budgets.

* Collaborate with Executive staff and others to establish new programs to maximize cash collections.

* Collaborate with the Clinical Director on any and all clinical issues that are impacted by operational processes or departments.

* Collaborate with Human Resources to insure open positions are filled timely and with qualified individuals.

* Collaborate with IT department to assess and improve efficiencies within this department.

* Perform other related duties and participate in special projects as assigned.

* Be available for 24 hour emergency call for this department.

Qualifications

Minimum Requirements:

* Effective verbal and written communication skills.

* Bachelor's degree with a minimum of five years managerial experience as a Director, Assistant Director or Manager in medical billing and collections.

* Experience with Durable Medical Equipment and/or Respiratory Equipment is preferred.

* Experience in Healthcare Billing preferred

* Experience with Excel and report writing required.

* Demonstrated ability to manage accounts receivable.

* Demonstrated ability to supervise staff responsible for various aspects of the revenue cycle including registration, charge entry, coding, billing, follow-up, and collections.

* Current knowledge of reimbursement regulations and compliance issues of insurance payers.

* Knowledge of and experience with systems in the management of accounts receivable.

* Demonstrated ability to effectively work with diverse groups of people which include physicians, clinicians, office managers, administrators, insurance payers, and employees.

* Excellent verbal and written communication skills, communicating thoughts and ideas effectively

* Strong problem-solving skills initiative and resourcefulness in problem identification and problem solving.

* Ability to lead people, set goals and coach staff in the achievement of goals.

* Proficient in applicable Microsoft Office Suite and possesses computer skills that allow for mastery of billing, documentation, and softwares.

* Must carry personal liability car insurance with a minimum limit of $100,000.

Employer will provide competitive wage with potential for quarterly bonus.

Benefits offered include: paid holidays, PTO, group health insurance as well as retirement plan.

MNS is an Equal Opportunity Employer.

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