22 Medical Billing Manager Jobs in Cleveland, OH
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Community Assessment & Treatment Services is Hiring a Medical Billing Manager Near Cleveland, OH
- Identify, develop, and execute solutions to improve the efficiency and effectiveness of the Billing System.
- Train and supervise billing team members and monitor performance and attendance.
- Schedule and participate in periodic department meetings and in-service training.
- Collaborate with agency staff, including managers, to address billing-related issues and recommend process improvements.
- Develop and implement internal controls to ensure compliance with internal and external requirements.
- Coordinates billing teams’ schedules, and time-off, and approves timecards in the Paylocity system.
- Recommends & maintains policies and procedures designed to ensure client eligibility and funding streams.
- Manages all aspects of the Agency EDI system including client eligibility verification, claims submission, erroneous billing correction resubmission, and reporting.
- Verifies the clients’ records contain documentation of client eligibility to receive services.
- Recommends & maintains policies and procedures designed to ensure that direct client services are appropriately documented in the client record.
- Responsible for the oversight of timely and accurate archiving of client charts and electronic storage.
- Assists the Director of Administration with all applications to ensure contract compliance with MCOs, Medicaid, Medicare, and any future insurance.
- Assists Director of Administration with Medicaid & Medicare Revalidations
- Ensures employee licenses are up to date in Medicaid, Gosh, MCOs, and any future insurance systems.
- Oversees accurate and timely pre-billing review, billing, follow-up, and reconciliation posting.
- Analyzes and reconciles accounts receivable data and transactions promptly.
- Maintains & updates database of contracted insurance companies including
- relevant information for billing, admissions, and clinical staff.
- Provide support to the Director of Administration regarding failed activities and failed and denied claims.
- Recommends & maintains policy and procedures to ensure the timely submission of agency billing data.
- Closes the monthly bill period for all agency initiatives and submits monthly invoices and reports to the appropriate funder & Director of Administration.
- Assist with billing audits and internal reviews to ensure compliance.
- Responsible for the timely and accurate updating of Agency accounts receivable and the generation of Ad Hoc reports requested by the Director of Administration.
- Submits claims for processing, oversees claim denials and resolutions, and oversees the follow-up on outstanding claims to maximize reimbursement.
- Verify electronic receipt of claims within 24 hours of submission.
- Ensure the proper management of claims and take appropriate corrective action on discrepancies.
- Maintain accurate and organized billing and claims records.
- 3 years of proven Medicaid and Medicare billing and claim reconciliation experience.
- Understanding of healthcare billing regulations and compliance requirements.
- Advance knowledge of third-party claims and clearinghouse.
- Prior experience overseeing a team of billing professionals.
- Ability to work with little or no supervision; must be self-motivating and flexible.
- Computer proficiency using Microsoft Office 365, including Word, and advanced knowledge of Excel.
- Strong analytical and problem-solving skills.
- Ability to communicate and collaborate constructively with a variety of internal and external personnel
- Bachelor of Arts degree, or High School Diploma with 8 years of managing an EDI Billing System & Billing Department.
- 2 Medical Record Clerks, 1 Claims Reconciliation Specialist, and 3 Billing Specialists.
- 401(k)
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- 8 hour shift
- Day shift
- Monday to Friday
Job Summary
Full Time
Ambulatory Healthcare Services
$54k-71k (estimate)
02/02/2024
04/28/2024
communityassessment.org
CLEVELAND, OH
50 - 100
1990
ROXANNE WALLACE
$10M - $50M
Ambulatory Healthcare Services
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About Community Assessment & Treatment Services
CATS - An Overview CATS manages numerous programs targeted to a variety of specific populations. We offer multiple levels of care ranging from outpatient to residential services. At present CATS has two sites with the capacity to serve: 35 men in the residential Cognitve Changes/Therapeutic Community which provides four to six months of residential treatment. 46 men in the Men's Residential Treatment Program, which provides treatment from 30 to 90 days. 54 women in the Women's Residential Treatment Program, which provides treatment from 30 to 90 days. CATS has a total of 135 residential beds. ...The CATS Plus Program currently has a capacity to serve 18 men. The CATS' Outpatient Program serves up to 90 individuals a day, providing assessments, individual and group counseling, and case management services. To date, CATS has served over 30,000 individuals and their families. CATS experiences a 78% success rate, defined as individuals who enter treatment and complete their assigned level of care.
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The job skills required for Medical Billing Manager include Billing, Accounts Receivable, Microsoft Office, Problem Solving, Billing Systems, Initiative, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Billing Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Billing Manager. Select any job title you are interested in and start to search job requirements.
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