Billing Manager

Hcr Home Care; City of Rochester (NY); On-site; USD 65,000 - 80,000; Full time

Job summary

Hcr Home Care in Rochester, NY is seeking a Billing Manager to lead the Billing Team within the Finance Department. The role concentrates on improving reporting and billing processes, aligning with the Insurance Team to maximize reimbursement opportunities.

You will supervise billing staff, ensure timely, accurate billing for Medicare/Medicaid payers, and generate aging reports for management. This role requires strong communication and problem-solving skills and a proactive, independent work

Qualifications

• Bachelor Degree in Business is required.
• Five+ years of medical billing experience.
• Supervisory experience in healthcare billing preferred.
• Knowledge of CPT, ICD-9, ICD-10, HCPCS codes and reimbursement.
• Experience preparing reports for staff and management.

Responsibilities

• Direct billing staff in procedures for billing and collections for payers including Medicare and Medicaid.
• Coach staff with annual evaluations, attendance, and performance.
• Address customer questions regarding service charges professionally.
• Ensure error-free billing within payer timeframes.
• Assess billing issues and improve cross-department procedures.
• Collaborate with managers and senior leadership to improve reporting and software capabilities.
• Provide regular aging receivables reports to management.
• Improve reporting efficiency and data quality.

Skills

Billing leadership

Healthcare billing

CPT/ICD coding knowledge

Interpersonal communication

Problem solving

Supervisory experience

Reporting & analytics

Staff coaching

Education

Bachelor Degree in Business

Associate Degree in Business

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Management Rochester, NY, US

4 days ago Requisition ID: 3160

Salary Range: $65,000.00 To $80,000.00 Annually

Role and Responsibilities

The Billing Manager position is a member of the Billing Team which reports up through the Finance Department. The Billing Manager is considered a critical point-of-contact for the Billing Team and assists the manager in making improvements to reporting and billing processes, including cross-training functionality with the Insurance Team.

Essential Functions

• Direct billing staff in the proper procedures for billing and collections for a variety of payers, including but not limited to Medicare and Medicaid.
• Responsible for performance management of staff including but not limited to job coaching, annual performance evaluations, attendance, etc.
• Handle/direct customer questions and concerns regarding service charges in a highly professional manner.
• Ensure error free billing is completed within specified time frames as required by respective payers.
• Assess billing problems and issues with respect to both internal and cross-departmental procedures.
• Works closely with managers and staff across the organization including senior leadership team members to assess problems and recommend efficiencies and improvements relating to the integration of billing requirements and computer software capabilities necessary to increase reimbursement opportunities.
• Provide regular reports to management and senior leadership concerning patient and insurance aged receivables.
• Work to improve reporting efficiencies and the quality of data distributed.
• Works closely with Quality and Operations Managers to eradicate bad debt and educational opportunities to increase reimbursement opportunities.
• Immediately address and correct problems related to non-billable services, involving senior management when necessary.
• Maintain ongoing training for professional staff, either regularly or as needed, with respect to services covered by payers and what protocols must be followed to ensure proper authorizations for projected visits.
• Other duties as assigned.

This job description reflects management’s assignment of essential functions; and nothing in this herein restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Education Requirements

• Bachelor Degree in Business (Required)
• 3+ years in health care and supervisory experience
• or Associate Degree in Business with 5 years health care and supervisory experience

Qualifications and Requirements

• Minimum of five years of medical billing experience required.
• Prior supervisory experience in a healthcare billing environment preferred.
• Role model ability to maintain and protect confidentiality.
• Knowledge of CPT, ICD-9, ICD-10, HCPCS Coding and Insurance reimbursement codes, payment structures to include fee-for-service and prospective payment systems.
• Experience in preparing reports for staff and management.
• Experience with a high-level of interaction and demonstrated professionalism with clinicians, management, insurance companies, and staff.
• Adept in applying remittance payments and adjustments.
• Knowledge of New York State Medicaid and/or Medicare.
• Strong problem-solving/trouble-shooting skills.
• Consistent, strong interpersonal and communication skills while interacting with customers, co-workers, clinicians, staff, insurance company representatives, and management.
• Consistent demonstration of positive, compassionate, and welcoming behavior.
• High-level of independence with little to no supervision.

The Billing Manager is primarily in an office setting and may be exposed to outdoor conditions.

The working conditions are classified as sedentary work:

• Sedentary work - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Physical Requirements

The following is a description of the physical requirements on a daily basis for the Billing Manager. While performing the duties of the job the employee is regularly expected to:

• Stand
• Sit
• Hear
• Walk
• Talk
• Stoop or kneel
• Repetitive motion

This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed as assigned.