Billing Manager

Bakersfield, CA - USA

Yearly Salary: $ 95 - 105

Posted on: 18 hours ago

Vacancies: 1 Vacancy

Job Summary

JOB SUMMARY

The Billing Manager uses strong analytical skills industry expertise and sound decision-making to identify process improvements reduce denials and support organizational goals. The role requires the ability to lead teams innovate workflow enhancements and champion a culture of accuracy accountability and customer centered service. The core responsibility of the Billing Manager is to ensure all claims are accurate and submitted or mailed in a timely manner. Manage denials and appeals processes. The Billing Manager will oversee the Pre billers Coders and Collectors providing leadership guidance and motivation to ensure optimal billing performance. Will use creativity critical thinking and industry experience to succeed in this role.

ESSENTIAL JOB FUNCTIONS

Provides leadership oversight and strategic direction for the Prebilling Coding and Collections/Collector teams ensuring productivity accuracy and compliance with organizational and regulatory requirements.

Establishes daily weekly and monthly performance goals for Prebilling Coding and Collections and evaluates team performance to promote accountability and development.

Reviews aging reports and collaborates with the Collections team to ensure timely followup escalation and recovery of outstanding balances.

Monitors trends across Prebilling Coding and Collections identifying training needs and recommending workflow improvements.

Ensures all claims are submitted accurately and efficiently; oversees resolution of rejected or denied claims and ensures documentation best practices.

Ensures all payerrequested documentation is provided accurately and promptly; reinforces clean claim on first submission expectations.

Maintains current knowledge of payer requirements billing regulations and compliance changes; ensures staff training reflects updates.

Prepares and provides weekly operational and performance reporting to the CEO including payer trends workflow issues and department metrics.

Recommends updates to guidelines workflows billing system functionality productivity tools and team training opportunities.

Ensures compassionate and professional communication when interacting with patients external partners and internal staff.

Performs other jobrelated duties as assigned.

ADDITIONAL DUTIES

The Billing Manager may be assigned one or more additional duties. These duties include but are not limited to the following:

Provides timely notifications to leadership regarding updates issues or discrepancies within the billing department.

Supports the Collections function by reviewing escalated issues identifying systemic problems and partnering on solutions to improve reimbursement outcomes.

Attends all mandatory meetings.

Demonstrates professionalism and respect in all interactions with staff leadership patients and external clients.

Attends appropriate Continuing Education Classes as required.

Reports system or operational issues promptly and assists in investigations as needed.

Perform other job-related duties as assigned.

QUALIFICATIONS

To perform this job successfully an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge skills and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The individual in this position must possess the following qualifications:

Excellent interpersonal and communication skills; able to work effectively across departments and with external partners

Must have computer competency including proficiency with Microsoft Suite and proficient understanding of medical billing systems.

Strong organizational skills attention to detail and ability to manage multiple priorities.

Ability to consistently deliver outstanding customer service to all internal and external customers.

Highly dependable with the ability to consistently meet internal deadlines.

Flexible and adaptable to rapidly changing priorities or payer updates.

Five or more years of medical billing experience including at least three years in a supervisory or management capacity.

Must have the ability to work independently as well as in groups. Ability to maintain a professional manner and appearance at all times.

TRAINING & EDUCATION

The individual in this position must possess the following education requirements:

High school diploma or general education degree (GED) required; bachelors degree preferred.

Completed Medical Billing or Medical Assisting certificate program preferred.

*Salary $95000 - $105000

Required Experience:

Manager

JOB SUMMARYThe Billing Manager uses strong analytical skills industry expertise and sound decision-making to identify process improvements reduce denials and support organizational goals. The role requires the ability to lead teams innovate workflow enhancements and champion a culture of accuracy ac...