Billing Advocate

TruBridge LLC; United States; Remote; USD 45,000 - 75,000; Full time

Job summary

An established industry player is seeking a Billing and Posting Resolution Advocate to enhance their revenue cycle operations. This role involves managing billing processes, ensuring compliance with regulations, and mentoring team members. You will be part of a dynamic remote team that values work-life balance and offers robust benefits, including generous time off and employer-paid insurance. Join us to make a significant impact in healthcare delivery, supporting providers in delivering the best care possible to their communities.

Benefits

401(k)

Generous time off

10 paid holidays annually

Employer-paid short term disability

Employer-paid life insurance

Qualifications

• 3 years previous hospital billing experience required.
• Must have HRG Helix experience and knowledge of insurance regulations.

Responsibilities

• Oversee claims production, billing, follow-up, and collections.
• Ensure accurate and timely billing by providing oversight.

Skills

Billing/Collection Process

HRG Helix Experience

Insurance Regulations Knowledge

Communication Skills

Critical Thinking Skills

Organizational Skills

Education

High School Graduate or GED

Associates or Bachelor’s Degree

Job description

The Billing and Posting Resolution Advocate is responsible for overseeing claims production, billing, follow-up, collections, and compliance with third party payer regulations. This position is responsible for daily oversight and management of process-based revenue cycle functions, including ongoing improvement to key revenue cycle indicators. These indicators include but are not limited to: A/R days, cash collection goals and posting, denials, underpayment and contract management activities related to patient account management. The Billing Manager should have comprehensive knowledge of revenue cycle operations. The position is responsible for personnel development and initiating disciplinary action according to policy.

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

• Possess complete understanding of the billing/collection process to resolve complex, outstanding claims.
• Ensures accounts are billed accurately and timely by providing proactive oversight and direction for billing and collections.
• Provides operational oversight for the Billing Coordinator, mentoring them in their responsibilities
• Maintains current knowledge of hospital billing systems and government payer systems, including applicable federal/state laws and regulations, as well as all aspects of third-party reimbursement policies and practices
• Demonstrates ability to manage, train and motivate employees, as well as a professional attitude in relating to executive management, professionals and third-party insurance carriers.
• Organizes and leads efforts to maximize operational efficiency and optimize reimbursement, as well as monitors denials and provides education and reporting to the areas regarding the effect of denials from their areas.
• Reviews all statistical reports to monitor trends, determine operational deficiencies and implement corrective action plans as necessary
• Pro-active communication/escalation of potential claims/unbilled accounts/issues to the Director
• Exhibits excellent leadership and self-direction, good judgement in handling difficult situations and good organizational, time management, interpersonal and conflict resolution skills.
• Assures that confidentiality of patient information is maintained without exception
• Attends all required meetings and activities, maintaining a professional affiliation to stay abreast of current trends and changes in legislation and industry best practices.
• Liaise with facility management and operates as the lead point of contact
• Maintain employee time and attendance and scheduling demands
• Responsible for accuracy of customer invoices, and creating the invoices monthly
• Understanding the contract terms and insuring we stay within those terms
• Performs all functions from the Management Expectations List
• Performs all other duties assigned

Education/Experience/Certification Requirements

• High school graduate or GED equivalent
• Must have HRG Helix experience
• 3 years previous hospital billing experience
• Working knowledge of insurance regulations, procedure and diagnosis coding and automated insurance billing
• Excellent communication (written and oral) and interpersonal skills
• Excellent critical thinking, organizational and time management skills with a strong attention to detail, accuracy and follow through
• Must be able to work through issues to resolution

Preferred Qualifications:

• Associates or Bachelor’s Degree
• 2 years Medicare hospital billing experience

Why join our team?

If you join us, you will receive:

• Work remotely with a work/life balance approach
• Robust benefits offering, including 401(k)
• Generous time off allotments
• 10 paid holidays annually
• Employer-paid short term disability and life insurance

You’ll help connect providers, patients and communities with innovative solutions that create real value by supporting both the financial and clinical side s of healthcare delivery . Y ou’ll be part of a remote team that’s encouraged to push boundaries and look at things differently. And you’ll contribute to supporting providers in deliver ing the best care possible for their communities.

Are you ready to help us clear the way for care? Explore opportunities with TruBridge .