Job Detail

Job Summary The Billing Manager, under the supervision of the Director of Finance & Billing, will manage all aspects of the Billing Department including billing related tasks, processes, and procedures to ensure smooth financial operations for both internal and external (3rd party) teams. This includes, but is not limited to, claims processing, revenue monitoring, contracting and credentialing reviews, and quality improvement initiatives. This role is extremely process oriented, as the Billing Manager will oversee all Revenue Cycle Management (RCM) processes and ensure each is being performed effectively and efficiently. The Billing Manager will have a continuous improvement outlook, able to identify, plan, execute, and review necessary changes in various RCM processes or workflows to maximize revenue and positive patient billing outcomes. The Billing Manager will work cooperatively with other Managers, Supervisors, Administration, Medical Directors, and Owners to ensure timely billing, reporting, and patient account management. Essential Functions (not all inclusive)

• Execute good judgement and decision making while considering cash flow requirements, to ensure cash flow remains consistent and is not disrupted.
• Manage the Billing Department and oversee training, tasks, and overall performance, to ensure accurate and efficient RCM processes, therefore maximizing revenue.
• Develop and present continuous improvement opportunities to gain efficiencies, improve quality or revenue cycle outcomes.
• Oversee the Contracting & Credentialing (C&C) team to ensure items are followed up on accurately and in a timely manner.
• Create, develop, and manage Billing Department training structure and schedule for billing team staff regarding billing, other revenue cycle related tasks, and SOPs.
• Oversee knowledge share material is published and accurate for Billing Team and Front Office as it relates to billing.
• Assist with candidate recruiting, screenings, and interviews to provide final staffing recommendations to the Director of Finance & Billing.
• Organize, develop, implement, and maintain revenue cycle standard operating procedures (SOPs).
• Oversee all meetings and agendas related to the Billing Department, including C&C, to ensure action items and topics of conversation are in the best interest of AUC, also to confirm.
• pertinent contracts and/or agreements.
• Work with Billing Supervisor and Billing Specialists to address problems negatively impacting the revenue cycle, notify Director of Finance & Billing, and troubleshoot as needed.
• Maintain professional and technical knowledge by attending educational workshops, and other activities such as reviewing professional publications, establishing personal networks, participating in professional societies.
• Provide exceptional customer service skills and positive personality attributes.
• Manage claims review, denial review, and overall A/R analysis to ensure maximum.

Competencies

• Understand the complete operations, utilization, and processes/procedures of the Billing Department.
• Excellent understanding of how to effectively delegate and assign tasks to team members to ensure smooth RCM operations and efficient workflows on a daily basis.
• Innovative with the ability to manage change well.
• Capable of effectively troubleshooting complex issues.
• Exceptional problem-solving and critical thinking skills.
• Comfortable with conceptual thinking and the ability to create results-oriented systems.
• Demonstrates forward thinking and capable of planning several steps ahead.

Required Education and Experience

• A Bachelor’s degree in a business or related field such as finance or accounting, with relevant experience demonstrating progressive development of responsibilities; or equivalent, a minimum of ten+ years’ experience in direct medical billing (preferably urgent care).
• Medical Billing Certificate (preferred).