Medical Billing Manager
Medical Billing Manager
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Job Description
Every person deserves compassion dignity and the safety of a place to call home.
Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing nonprofit organization dedicated towards disrupting the cycle of homelessness by providing targeted interdisciplinary services in our recuperative care centers emergency shelters housing services and childrens and family programs. IF currently has 13 facilities with 22 microcommunities scattered across Orange County Los Angeles County and the Inland Empire.
Job Description
The Medical Billing Manager is responsible for providing leadership to the billing department to ensure the accuracy of claims submission and collections. The Medical Billing Manager job description entails ensuring policies and procedures are adhered to as well as fine tuning effective billing processes for improvement. In addition the Medical Billing Manager serves as a liaison between the claim specialists and the Associate Medical Billing Director to ensure department needs are met.
The pay rate for this role is $32$34 per hour.
The schedule for this role is a hybrid schedule with Monday/Wednesday in office and Tuesday/Thursday/Friday WFH. 8:00am 4:30pm.
Responsibilities
CalAIM Billing and Follow up:
Perform as a practice expert at the department on all issues relating to billing processes
Assist in training new staff members as need
Carry out performance evaluation of personnel and recommend necessary actions in collaboration with Associate Director of Medical Billing
Ensure the billing department carries out all its activities in accordance with its overall protocol and that they complied with payer State and Federal requirements regulations and guidelines
Review and following up on monthly billing sheets post completion to highlight and share with corresponding departments for corrections
Monitor aging and facilitate escalations as needed with health plan providers
Coordinate time away requests of team members to ensure the daily functions of the department is not negatively affected
Post ERAs/ EOBs submit claims and mail outs followup on denials rejections and pending insurance claims
Collaborate with other departments to obtain and review client and servicerelated information
Assist with audits reconciliations reports as needed by the Associate Director of Medical Billing VP of Finance CFO COO and CEO
Review claim submission and ensure all health plan guidelines and requirements are met
Review and training claims department team on any contract updates and/or amendment as needed
Give report of all concerns and issues at the department to the Associate Director of Medical Billing for prompt action
Responsibilities subject to change upon company needs
Communicate with tact and professionalism
Be able to meet targets and work under pressure with a high volume of claims
Maintain knowledge of industry standard CMS guidelines for Billing
Must be motivated to work independently as well as in a group setting.
Minimum Qualifications/Preferred Experience:
High School Diploma or equivalent.
23 years relevant experience.
Basic computer skills including the ability to send and receive emails and summarize data in spreadsheets.
Prior experience work in Electronic Billing Platforms and EHR systems
Prior experience working with claims and communication with health networks
Prior supervisory experience
Experience in Medical Billing and Primary Care Billing
Proficiency in Microsoft (Mail Docs Sheets Calendar).
Associates degree or higher
Medical Billing Certificate
- Calaim Billing Experience
Benefits
- Medical Insurance funded up to 91 by Illumination Foundation (Kaiser and Blue Shield) depending on the plan
- Dental and Vision Insurance
- Life AD&D and LTD Insurance funded 100 by Illumination Foundation
- Employee Assistance Program
- Professional Development Reimbursement
- 401K with Company Matching
- 10 days holiday PTO/year
- Paid vacation and sick days
- Potential eligibility for the Public Service Loan Forgiveness Program (PSFL) for federally qualified loans
Required Experience:
Senior IC
Employment Type
Full-Time
