Manager, Billing - CPA

Norton Healthcare; Louisville (KY); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a skilled Billing Manager to oversee operations in their medical billing department. This role involves managing daily activities, ensuring efficient performance, and leading a team to meet organizational goals. The ideal candidate will have a strong background in medical billing, excellent leadership skills, and the ability to analyze and improve billing processes. Join a team dedicated to enhancing financial operations and delivering exceptional service in a dynamic healthcare environment.

Qualifications

• 3 years of medical office billing with a Bachelor's degree or 7 years without.
• Strong leadership and performance management skills required.

Responsibilities

• Manage daily billing department operations and employee performance.
• Coordinate work efforts to ensure smooth daily operations and successful account resolution.

Skills

Medical Billing

Leadership

Performance Evaluation

Data Analysis

Education

Bachelor's Degree in a related field

Master's Degree

Tools

Epic

Telcor

Job description

Responsibilities

This position provides daily management of billing department operations for coding, data entry, billing, collections, electronic billing for pathology and clinical service line. Assist with analysis and tracking of payment denials/payment variance and assists with development of recovery procedures and workflows for all positions. This also includes management of employee performance in order to meet the goals and objectives of CPA/Norton Healthcare. Monitor, communicate and educate changes for CMS, LCD, NCD and medical necessity.

Key Accountabilities:

• Demonstrates leadership by organizing work team and continually assesses team to improve work performance. Establishes achievable and quantitative performance standards for staff and applies these standards in evaluating employee performance in order to achieve system goals, which include but are not limited to ; Billing WIP, A/R Days, Cash Collection, Bad Debt preparation and recovery monitoring. Provide administration of all billing tools, websites, and employee access to websites. Clearinghouse review and monitoring of claim denials, rejections and exceptions for workload efficiencies.
• Plans, organizes, prioritizes and coordinates the daily work efforts for all departmental staff to ensure smooth daily operations. Ensures all accounts are worked to ultimate successful resolution with all efforts being documented in the appropriate manner with approved customer service processes and procedures specific to each financial class/unit. Ensures that these assignments are completed efficiently through proper communication.
• Escalates problems/trends/suggestions/provides feedback to Directors for educational opportunities throughout the CPA Lab, reduce denials, reduce re-work, and improve cash flow trends. Attend payer meetings/denial meetings and quarterly compliance meetings to communicate issues to the system.
• Screens and selects qualified staff while maintaining adequate department staffing levels. Manages performance for all staff including conducting performance evaluations providing appropriate training and administering corrective action as necessary. Consults with Director prior to implementing discipline with employees.

Qualifications

Required:

• With Bachelor's degree: three years medical office billing
• Without Bachelor's degree: seven years medical billing

Desired:

• Master Degree
• Epic Experience
• Telcor Experience