Description

General Purpose:

Responsible for the management of the billing, accounts receivable and collections team. Ensures accurate and timely activities in all functions. Ensures services rendered are paid for within ninety (90) days. Recommends, provides input and may develop policies, processes and resources to evaluate and improve the billing and accounts receivable collection effectiveness and efficiency for the branch(es).

Essential Functions:

• Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Accountable for the branch(es) accounts receivable balance, inclusive of billing and collections.
• Performs billing function for all patients and clients

• Ensures that billing and patient account records are maintained in accordance with generally accepted accounting principles and in compliance with state, and federal regulations.
• Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.
• Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate organization personnel.
• Monitors aged accounts receivable and resubmits bills to overdue accounts and prepares bad debt reports for the Billing Director.
• Organizes, analyzes and reports key billing information to the Billing Director.
• Collaborates with the Billing Director in successfully reconciling the billing system reports with the general ledger.
• Reconciles Medicare quarterly reports produced by the fiscal intermediary with the billing information system, and assists the Billing Director in the preparation of the annual Medicare cost report.
• Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
• Supervises and reconciles cash receipts and bank deposits according to policy.
• Establishes and maintains positive working relationships with patients, family members, payers and referral sources.
• Protects the confidentiality of patient and organization information through effective controls and direct supervision of billing operations.

• Recruits, selects, orients, and manages members of the billing and collections team.
• Completes other assignments as requested and assigned.
• May have access to personal health information (“PHI”) necessary to fulfill the above duties and responsibilities. Access to use and ability to disclose PHI is further defined by each organization/department.

Minimum Education & Experience Requirements:

• Associate's degree in Accounting, Business Administration or related field, equivalent years of experience and training.
• Preferred: Bachelor’s degree.
• At least three (3) years experience in health care billing and collections management preferably in home care, hospice, or physician billing operations. Billing information systems knowledge required.

Knowledge, Skills & Abilities Required:

• In depth knowledge of healthcare industry billing.
• Detail oriented with strong organization, analytical and problem solving skills.
• Proficient with software and systems.
• Excellent communication and interpersonal skills.
• Occasional same-day travel for meetings and conferences.

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