Billing Manager

Job Summary

We are looking for a full-time Billing Manager to join our team. We offer excellent benefits that include health, dental, vision, 401K, short and long term disability, life insurance and PTO. This position is to ensure that billing practices comply with organizational standards and regulatory requirements. Evaluating overdue or unpaid accounts and recommending steps to resolve delinquency. Ensuring the efficiency of billing operations. Coordinating with different departments. Managing and training Billing Coordinators. Posting claims in a timely and accurate manner.

Education

• Minimum of Associate’s Degree from an accredited college or university is required.

Experience

• Must have 3-5 years' experience in Behavioral Health directly related to Revenue Cycle Management, Office Management and Utilization

Knowledge and Training

• Extensive knowledge in financial practices for Behavioral Health
• Extensive knowledge of billing for Medicaid and private insurance is a must
• Must have ability to interact with staff and patients in a professional manner
• Must be a team player
• Must have the ability to coordinate and manage multiple tasks with attention to detail
• Must adhere to Confidentiality requirements as outlined in 42 CFR, Part 2
• Computer literate with experience in Windows environment
• Must be able to work independently with minimal supervision
• Must have the ability to prioritize work and work-related responsibilities
• Must have knowledge of the Principles and Practices for the Discipline of account billing and collections
• Must have the ability to provide performance management to assigned personnel
• Must have the ability to manage UR processes

Specific Areas of Responsibilities to Position

• Oversee and streamline billing and collections processes
• Monitor all revenue as relates to payments for patient services
• Oversee utilization procedures and processes. Evaluate for compliance with insurance, regulatory and licensing entities
• Advocate to insurance companies on patient's behalf
• Instigate and coordinate resolution of insurance denied claims, appeals and grievances
• Track all patient payments related to deductibles, co-pays and cash pays for services.
• Month end closing of the billing group information.
• Plan and implement quality assurance for all processes.
• Special program/billing planning and implementation.
• Personnel development; staff meetings
• Staffing discussions and planning / Interviews and team building. Assist admissions processes by evaluating insurance plans for solvency.
• Protect the privacy of all patient information in accordance with Lumiere Healing Center’s privacy policies, procedures and practices, as required by federal and state law, and in accordance with general principle of professionalism as a health care provider. Failure to comply with Lumiere Healing Center’s policies and procedures on patient privacy may result in disciplinary action up to and including termination of employment.
• May access protected health information (PHI) and other patent information only to the extent that is necessary to complete your job duties. The incumbent may only share such information with those who have need-to-know specific patient information you have in your possession to complete their job responsibilities related to treatment, payment or other Lumiere Healing Center’s operations.
• Expected to report, without the threat of retaliation, any concerns regarding Lumiere Healing Detox Center’s policies and procedures on patient privacy and any observed practices in violation of the policy to their supervisor
• Performs other duties as assigned
• Hire and manage assigned personnel
• Approve Bi-Weekly payroll hours of assigned personnel
• Timely performance reviews of all assigned personnel
• Develop department goals for each financial year
• Identify process improvements and follow-up for results
• Maintain department staffing to ensure timely billing and receipts.
• Continue to grow billing company by acquiring other program accounts.
• Bi-weekly insurance revenue report to CEO.
• Make process changes and recommendations to improve revenue and billing process.

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person