Behavioral Health Billing Manager: Revenue & Compliance

Consolidated Human Resources - CHR; Hackensack (NJ); Presencial; USD 90 000 - 120 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

401(k) retirement plan

Health insurance

Resumo da oferta

Consolidated Human Resources - CHR in New Jersey seeks a Billing Manager to oversee billing and revenue cycle management for behavioral health and healthcare services. You will lead the billing team, coordinate with clinical, administrative, finance, credentialing, and compliance departments, and ensure compliant, timely processing from verification to collections.

The role emphasizes overseeing A/R, denial management, and payments while maintaining payer requirements and HIPAA compliance.

Qualificações

• Advanced MD experience is required.
• A Bachelor's degree in Finance, Business, Accounting or related field is required.
• Willingness to travel to multiple facilities.
• Minimum of 5 years of healthcare billing experience.
• Supervisory or management experience is required.
• Knowledge of healthcare billing compliance and HIPAA requirements.
• Strong analytical, organizational, and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities and meet deadlines.
• Proficiency with electronic health records and billing systems.
• Experience with Medicaid, Medicare, commercial insurance, and managed care organizations preferred.

Responsabilidades

• Oversee the organization’s day-to-day billing and revenue cycle operations.
• Ensure claims are submitted accurately and within required timeframes.
• Monitor the billing process from charge entry through payment and account resolution.
• Oversee accounts receivable and follow up on outstanding balances.
• Monitor claim denials and identify recurring issues affecting reimbursement.
• Establish procedures to improve claim accuracy and reduce billing errors.
• Ensure patient accounts and insurance information are accurately maintained.
• Review payment postings and adjustments for accuracy.
• Coordinate with staff to resolve billing discrepancies and payment issues.
• Maintain knowledge of commercial insurance and government payer requirements.
• Monitor payer contracts and reimbursement requirements.
• Assist with credentialing and enrollment processes when needed.
• Communicate with insurance representatives regarding claims and reimbursement issues.
• Ensure billing practices remain consistent with payer requirements.
• Maintain appropriate billing policies and procedures.
• Monitor billing activities for potential compliance concerns.
• Support accurate documentation and recordkeeping related to billing and reimbursement.
• Maintain confidentiality of protected health information.
• Work with leadership to address identified compliance issues.
• Stay informed about changes to healthcare billing requirements and reimbursement regulations.
• Supervise and provide direction to billing department employees.
• Establish departmental goals and performance expectations.
• Train and develop billing staff on procedures and payer requirements.
• Conduct regular performance reviews and provide coaching.
• Develop efficient workflows and assign responsibilities.

Conhecimentos

Analytical skills

Organizational skills

Problem-solving

Written and verbal communication

Formação académica

MD degree

Bachelor's degree in Finance/Business/Accounting

Ferramentas

Electronic health records (EHR)

Billing systems

Descrição da oferta de emprego

Consolidated Human Resources - CHR in New Jersey seeks a Billing Manager to oversee billing and revenue cycle management for behavioral health and healthcare services. You will lead the billing team, coordinate with clinical, administrative, finance, credentialing, and compliance departments, and ensure compliant, timely processing from verification to collections.

The role emphasizes overseeing A/R, denial management, and payments while maintaining payer requirements and HIPAA compliance.