DME Billing Manager

Kestra Medical Technologies, Inc.; Kirkland (WA); On-site; USD 100,000 - 120,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

401K with Match

Job summary

Kestra Medical Technologies, Inc. is seeking a Billing Supervisor to oversee the day-to-day operations of the DME Billing team, ensuring timely and compliant submission of claims to federal, state, and commercial plans, and privately when no funding is available.

The role focuses on minimizing bad debt, improving cash flow, and acting as the escalated point of contact for issues through regular team meetings and 1:1s, while driving a culture of inclusion and engagement.

Qualifications

• Bachelor's degree or equivalent experience.
• 5 years of experience in the DME / HME billing environment.
• Minimum of 3 years management experience.
• Strong background in federal and state laws and requirements relating to Healthcare policy.
• Proficiency with Microsoft Office Word, Excel, and PowerPoint.

Responsibilities

• Manage team of Billing Associates as assigned, including scheduling work shifts to effectively cover Kestra’s business needs.
• Participate in team member hiring, training, coaching, and performance management.
• Partake in leadership meetings as needed.
• Assist in the development of training materials that will be shared across functions.
• Manage multiple aspects of the billing function including identification and resolution of issues preventing claim submission, decision-making surrounding when to adjust balances, and overall accountability to achieving expected financial targets.
• Ensure team members are entering critical data into the claim appropriately to obtain proper reimbursement from various funding sources through use of the Patient Management Billings System - Bonafide.
• Partner with the collections leaders surrounding issues causing denials to allow for improvement and overall faster claims processing.
• Develop strategic plans and programs for the Revenue Cycle process and ensure that goals and objectives are properly defined and clearly established.
• Ensure insurance billings are current within the established timeframe specified in the department policy.
• Communicate and collaborate with sales leaders to ensure issues impacting claim submission, including trends, are addressed and future issues do not repeat.

Skills

Billing expertise

Leadership

Regulatory compliance

Healthcare policy knowledge

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Office (Word, Excel, PowerPoint)

Job description

The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra’s solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect life.

This position is responsible for supervising the day-to-day operations for the DME Billing team by supporting the timely & compliant billing of customer orders to federal, state and commercial insurance plans, and privately when no funding is available. A primary focus in supervising the Billing function is ensuring timely and accurate claim submissions to insurance plans and focusing on minimizing bad debt and continuously improving cash flow. This position will be the escalated point of contact for any issues, so they must be a keen problem solver. As a team manager this position will be responsible for driving a culture of inclusion and engagement through regular team

meetings and 1:1s and team building activities.

ESSENTIAL DUTIES

• Manage team of Billing Associates as assigned, including scheduling work shifts to effectively cover Kestra’s business needs.
• Participate in team member hiring, training, coaching, and performance management.
• Partake in leadership meetings as needed.
• Assist in the development of training materials that will be shared across functions.
• Manage multiple aspects of the billing function including identification and resolution of issues preventing claim submission, decision-making surrounding when to adjust balances, and overall accountability to achieving expected financial targets.
• Ensure team members are entering critical data into the claim appropriately to obtain proper reimbursement from various funding sources through use of the Patient Management Billings System - Bonafide.
• Partner with the collections leaders surrounding issues causing denials to allow for improvement and overall faster claims processing.
• Develop strategic plans and programs for the Revenue Cycle process and ensure that goals and objectives are properly defined and clearly established.
• Ensure insurance billings are current within the established timeframe specified in the department policy.
• Communicate and collaborate with sales leaders to ensure issues impacting claim submission, including trends, are addressed and future issues do not repeat.
• Adhere to Pledge of Confidentiality
  • Information regarding a patient of this company shall not be released to any source outside of this company without the signed permission of the patient. Furthermore, information will only be released internally on a need-to-know basis. All Team Members will not discuss patient cases outside the office or with anyone not employed by this company unless they are directly involved with the patient’s case.

COMPETENCIES

• Passion: Contagious excitement about the company – sense of urgency. Commitment to continuous improvement.
• Integrity: Commitment, accountability, and dedication to the highest ethical standards.
• Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service.
• Action/Results: High energy, decisive planning, timely execution.
• Innovation: Generation of new ideas from original thinking.
• Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind.
• Emotional Intelligence: Recognizes, understands, manages one’s own emotions and is able to influence others. A critical skill for pressure situations.

QUALIFICATIONS

• Bachelor's degree or equivalent experience
• 5 years of experience in the DME / HME billing environment
• Minimum of 3 years management experience
• Strong background in federal and state laws and requirements relating to Healthcare policy
• Proficiency with Microsoft Office Word, Excel, and PowerPoint

Preferred

• 6 years of Manager or above leadership experience
• Experience with Bonafide
• Experience with Salesforce

SUPERVISORY RESPONSIBILITIES

• Directly manage billing team members including but not limited to conducting performance reviews, providing feedback, and helping to set professional development goals.

WORK ENVIRONMENT

• Indoor open office environment or past-paced remote environment
• Extended hours when needed/occasional weekend work
• Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug
• Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment

PHYSICAL DEMANDS

• Frequent repetitive motions that may include wrists, hands and/or fingers, such as keyboard and mouse usage
• Frequent stationary position, often standing or sitting for prolonged periods of time
• Frequent computer use
• Frequent phone and other business machine use
• Occasional lifting required, up to 20 pounds

TRAVEL

• Occasional travel, less than 10%

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the Team Member. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.

BENEFITS

Kestra offers a very competitive benefit package including Medical, Dental, 401K with Match, etc.

Pay equity is an important part of Kestra’s Culture. Our compensation ranges are guided by national and local salary surveys and take into consideration experience level and internal equity. Each role is benchmarked based on the job description provided If your qualifications and/or experience level are outside of the posted position, we encourage you to apply as we are growing fast and roles that are coming soon may not be posted.

Salary: Annualized at $100,000 - $120,000 plus bonus. Depending on experience.

Kestra Medical Technologies is an equal opportunity employer. Kestra Medical Technologies does not discriminate on the basis of race, color, religion, national origin, veteran status, age, sexual orientation, gender identity and/or expression, marital status, disability, physical or mental status or any other characteristic protected by law.

We are unable to sponsor or take over sponsorship of visas (any) at this time. Applicants must be eligible to work for any employer in the U.S.

Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment.

Kestra Medical Technologies, Inc does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.