Billing Manager

Site: The Brigham and Womens Hospital Inc.

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The Billing Manager for the Division of Otolaryngology and Head and Neck Surgery (ORL) at Brigham and Womens Hospital is responsible for the daily billing activities of the Division. The billing manager optimizes the efficiency of our billing structures and ensures the timely filing of all referrals prior authorizations etc.
The Division of ORL is a diverse clinic with outpatient appointments clinic procedures and surgical cases. The division operates out of two hospital facilities and has clinic locations at BWH BWFH and MGB FXB.
The Billing Manager not only oversees the daily billing operations but also oversees and manages the billing coordinator in their daily operations. The billing manager also partakes in submitting referrals and authorization for visits in conjunction with the billing addition to managing the billing coordinator the billing manager is the education and trainer for the administrative staff to ensure that all schedulers and admins hold a level of knowledge related to billing and insurance companies.
The Billing Manager is ultimately responsible for creating a welcoming environment for all stakeholders both internal and external. This critical position also leads with a patient-first service approach while supporting staff developing discussions and continuously improving operations to the benefit of patients employees and clinical providers.
This is done in partnership with ORL leadership which includes the Division Chief and Sr. Administrative Director. The Billing Manager oversees the billing coordinator. The position reports directly to the Sr. Administrative Director.

Job Summary

Summary
The Billing Manager for the Division of Otolaryngology and Head and Neck Surgery (ORL) at Brigham and Womens Hospital is responsible for the daily billing activities of the Division. The billing manager optimizes the efficiency of our billing structures and ensures the timely filing of all referrals prior authorizations etc.
The Division of ORL is a diverse clinic with outpatient appointments clinic procedures and surgical cases. The division operates out of two hospital facilities and has clinic locations at BWH BWFH and MGB FXB.
The Billing Manager not only oversees the daily billing operations but also oversees and manages the billing coordinator in their daily operations. The billing manager also partakes in submitting referrals and authorization for visits in conjunction with the billing addition to managing the billing coordinator the billing manager is the education and trainer for the administrative staff to ensure that all schedulers and admins hold a level of knowledge related to billing and insurance companies.
The Billing Manager is ultimately responsible for creating a welcoming environment for all stakeholders both internal and external. This critical position also leads with a patient-first service approach while supporting staff developing discussions and continuously improving operations to the benefit of patients employees and clinical providers.
This is done in partnership with ORL leadership which includes the Division Chief and Sr. Administrative Director. The Billing Manager oversees the billing coordinator. The position reports directly to the Sr. Administrative Director.


Essential Functions
Manage and oversee the billing operations ensuring accuracy and timeliness of billing information.

Develop and implement billing policies and procedures to ensure compliance with regulatory requirements and company standards.

Manage billing team providing training and support to enhance their skills and performance

Collaborate with other departments to resolve billing-related issues and improve processes.

Prepare and analyze billing reports to identify trends and make recommendations for improvement.

Ensure all billing-related documentation is up-to-date and accurate.

Manage and prioritize projects assignments and workload for the billing team


Required for All Jobs
Performs other duties as assigned

Complies with all policies and standards

Overall Division Operations and Administration for Billing:
Oversees day-to-day operations including operational and tactical management of all staff within the billing group
Assists in creating resource tools for all billing and administrative staff in regards to referrals authorizations insurance coverage out of network plans etc.
Assigns weekly volume of referrals and authorizations to billing staff including themselves to proactively obtain prior authorizations
Creates strong systems of accountability for all team members
Fosters an open-door environment where feedback is always welcome
Monitors workflows for process improvement opportunities
Develops systems and processes that satisfy the operational needs and billing standards
Problem solves in real time for both patients and providers in regards to billing related concerns
Provides supportive troubleshooting to patient representatives and clinical service area administrative and clinical management on complex billing needs
Partners with leadership across all role groups on various new initiatives
Builds strong working relationship with vendors and internal stakeholders such as our BWH Central Authorization teams and insurance companies
Participates in departmental and organizational meetings and/or improvement committees
Learns basic functions of our administrative team to understand how they impact our billing operations
Human Resource Management:
Responsible for overall management of billing support staff. Responsible for meeting service and customer service standard.
Organizes and oversees work schedules and assignment of work to meet operation demands of the division. Develops and implements procedures to ensure efficient processing and allocation of work related to billing support.
Performs the necessary hiring orientation performance evaluations coaching and as needed termination of billing staff for the division.
Completes weekly payroll annual performance evaluations and ensure mandatory HR screenings and trainings are completed in a timely manner for the designated division staff.
Oversees any additional staff as needed.
Meets regularly with staff in group and individual settings to foster a positive work environment and continue to evaluate staff needs.
Financial:
Ensure monthly monitoring our billing KPIs (decrease write offs denials etc)


Does this position require Patient Care (indirect/direct) No

Education

Bachelors Degree Finance required or

Bachelors Degree Accounting required or

Bachelors Degree Related Field of Study required

Can this role accept experience in lieu of a degree Yes

Licenses and Credentials

Certified Professional Coder preferred

Experience

Experience in billing or related field 5-7 years required

Billing supervisory experience 2-3 years required

Knowledge Skills & Abilities

Strong knowledge of billing procedures processes regulations and related systems/tools.

Ability to analyze financial data and prepare related reports.

Ability to lead manage and prioritize multiple projects and tasks.

Ability to lead and motivate a team to achieve goals and objectives.

Strong decision-making and analytical skills.

Strong interpersonal and communication skills.

Excellent organizational and problem-solving skills.

Physical Requirements

Standing Occasionally (3-33%)
Walking Occasionally (3-33%)
Sitting Constantly (67-100%)
Lifting Occasionally (3-33%) 20lbs - 35lbs
Carrying Occasionally (3-33%) 20lbs - 35lbs
Pushing Rarely (Less than 2%)
Pulling Rarely (Less than 2%)
Climbing Rarely (Less than 2%)
Balancing Occasionally (3-33%)
Stooping Occasionally (3-33%)
Kneeling Rarely (Less than 2%)
Crouching Rarely (Less than 2%)
Crawling Rarely (Less than 2%)
Reaching Occasionally (3-33%)
Gross Manipulation (Handling) Constantly (67-100%)
Fine Manipulation (Fingering) Frequently (34-66%)
Feeling Constantly (67-100%)
Foot Use Rarely (Less than 2%)
Vision - Far Constantly (67-100%)
Vision - Near Constantly (67-100%)
Talking Constantly (67-100%)
Hearing Constantly (67-100%)

Onsite

75 Francis Street

40

Regular

Day (United States of America)

Pay Range

$97510.40 - $141804.00/Annual

Grade

8

At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

The Brigham and Womens Hospital Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

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