Manager, Medical Billing & Claims

HCT Healthcare Transformation; Tuba City (AZ); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Housing provided

Airfare provided

Rental car provided

Job summary

HCT Healthcare Transformation seeks an experienced Manager of Medical Billing & Claims for a 70+ bed hospital in AZ. You will oversee medical, pharmacy and dental billing across multiple service lines, ensuring timely submission of claims and optimized reimbursements.

The role requires 3+ years of supervisory experience and a strong background in ICD-10 and CPT/HCPCS coding. Housing, airfare, and rental car are provided during assignment.

Qualifications

• Education: Associate degree in Business Administration or related business field (Finance, Accounting, Administration, etc.), or an equivalent of 18 months of experience managing billing and claims at a hospital system.
• Experience: Minimum three-years of successful supervisory or management experience.
• Minimum five-year experience as a medical billing technician in a tribal or non-profit healthcare patient accounting setting.
• Demonstrated knowledge of ICD-10, and CPT/HCPCS coding/billing.
• Certifications: Obtain a Certification as a Revenue Cycle Representative through the HFMA within one year from date of hire.

Responsibilities

• Manage and lead the medical, pharmacy and dental billing of third-party payers across outpatient, inpatient, ancillary, ambulatory surgery and professional services.
• Maximize reimbursement and minimize denied payments.
• Delegate and assist the Director of Revenue Cycle.

Skills

ICD-10 knowledge

CPT/HCPCS coding/billing

Education

Associate degree in Business Administration or related field

Job description

HCT seeks an experienced professional to serve as the Manager, Medical Billing & Claims at 70+ bed hospital in AZ.

Responsibilities include but are not limited to:

• Manage and lead the medical, pharmacy and dental billing of third-party payers applicable to outpatient, inpatient, ancillary, ambulatory surgery and professional services. Incumbent is responsible for management, providing technical direction and submission of properly executed claims in a timely manner to third party payers, responsible parties, and resubmission of corrected claims.
• Maximize reimbursement and minimize denied payments.
• Delegation and assistance to the Director of Revenue Cycle.

Requirements:

• Education: Associate degree in Business Administration or related business field (Finance, Accounting, Administration, etc.), or an equivalent of 18 months of experience managing billing and claims at a hospital system.
• Experience: Minimum three-years of successful supervisory or management experience.
• Minimum five-year experience as a medical billing technician in a tribal or non-profit healthcare patient accounting setting.
• Demonstrated knowledge of ICD-10, and CPT/HCPCS coding/billing
• Certifications: Obtain a Certification as a Revenue Cycle Representative through the Healthcare Financial Management Association (HFMA) one year from date of hire.

Expenses covered while on assignment include housing, airfare, and rental car.

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