What are the responsibilities and job description for the Billing Manager position at Bethany Children's Health Center?
Job Purpose:
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The Billing Manager serves as the operational leader and technical expert for inpatient LTAC and outpatient billing functions at the hospital. This position is responsible for ensuring accurate, compliant, and timely billing and cash application while actively working alongside the billing team to resolve complex claims issues, optimize reimbursement, and maintain integrity of financial reporting. This position also supports the Retail Pharmacy accounting function along with any additional duties assigned by the Senior Director of Finance or CFO. |
Qualifications:
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Education: |
Bachelor’s Degree in Accounting, Business or Finance |
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Experience: |
3 years of experience in billing and claims resolution 1 years of experience in management Charge Master experience required Meditech software knowledge preferred |
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License/Certification/Credential: |
N/A |
Essential Duties and Responsibilities:
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Duty |
Percent of Time |
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Inpatient LTAC & Outpatient Billing Oversight – Oversee daily billing operations for Inpatient LTAC and outpatient services. Ensure claims are submitted accurately and timely in compliance with federal, state, and payer regulations. Monitor payment posting to ensure receipts are accurately applied to patient accounts. Identify and resolve billing errors, denials, and underpayments. Analyze reimbursement trends and escalate systemic issues. |
20% |
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Claims Processing and Resolution– Assist with claim submission, payment posting, and denial management. Lead resolution of complex billing discrepancies and payer disputes. Monitor aging reports and drive reduction in AR days. Collaborate with clinical and other departments to correct billing issues. |
20% |
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Charge Master Management- Maintain and update Hospital Charge Master. Ensure coding accuracy and pricing alignment. Coordinate annual and periodic reviews for regulatory compliance. Work with compliance and finance leadership to ensure revenue integrity |
15% |
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Month-End Close & Reporting – Prepare and review end-of-month inpatient and outpatient billing activity. Ensure billing, cash posting, and AR balances are complete and accurate prior to close. Provide month-end reports and variance analysis to accounting. Support audit requests and documentation related to billing and AR. |
10% |
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Patient AR and & GL Reconciliation – Collaborate with Accounting on AR to GL reconciliation for Patient Revenue. Investigate and resolve reconciling items timely. Ensure financial statement accuracy to patient revenue. |
10% |
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Inpatient data and Claims Monitoring – Help monitor inpatient census, charge capture, and claim edits. Work with billing team to review claims for accuracy prior to submission. Identify trends in denials, write-offs, and reimbursement delays. |
10% |
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Recipient Trust Reconciliation – Oversee the tracking and reconciling of Recipient trust activity. Ensure accurate accounting and documentation of trust transactions. Coordinate with Accounting on reconciling discrepancies. |
5% |
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Process improvement – Recommend process improvements to optimize revenue cycle performance. |
5% |
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Other duties as assigned. |
5% |
This job description is not designed to cover or contain a comprehensive list of all activities, duties or responsibilities that may be required by an employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.
Supervisory Responsibility:
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Supervises the Billing Department as questions or circumstances arise. Including answering questions from staff, ensuring timely deliverables at month end and being the Billing Department liaison to the Hospital as reports and questions come up. Direct reports include Claim Resolution & Payment Specialist, Claims Resolution Specialist, and Medical Billing/Coding Specialist. |
Our work begins where we are all equal - at the heart.
Bethany Children’s Health Center (formerly The Children’s Center Rehabilitation Hospital) located in Bethany, Oklahoma is an innovative leader in the field of pediatric rehabilitation and 24-hour complex care. The ACHC accredited hospital offers inpatient and outpatient services for children (ages 0-21) and is the only inpatient pediatric rehabilitation facility in Oklahoma. Our CARF accredited multidisciplinary team works with patients and their families to maximize the patient’s physical and cognitive potential, and ensure the family has the training and resources needed for a smooth transition from hospital to home.
In order to maximize the potential of every child, we must maximize the potential of every employee. We are committed to providing staff with the physical, emotional, spiritual, financial and mental resources necessary to achieve their potential and meet our standards of excellence. BCHC offers competitive compensation, benefits, state-of-the-art equipment and wellness programs. Opportunities for professional growth include in-service training, leadership development, tuition reimbursement and scholarships.
**Due to the nature of our pediatric services, this organization’s positions are classified as safety-sensitive roles. Under the Oklahoma Medical Marijuana Use and Patient Protection Act (OMMA), a safety sensitive position is defined as any job that includes tasks or duties that the employer believes could affect the safety and health of the employee performing the task or others. This statute allows Bethany Children’s Health Center to refuse to hire an applicant or discharge an employee in a safety-sensitive position, who tests positive for marijuana even if the applicant or employee holds a valid Oklahoma medical marijuana license.