What are the responsibilities and job description for the Manager of Billing and Payor Reimbursement position at Tal Healthcare?
Job Description
Our client, a leading healthcare organization committed to providing exceptional patient care and operational excellence, is hiring a Manager of Billing and Payor Reimbursement to lead their revenue cycle management team. This pivotal role involves overseeing facility billing operations and payor relationships to ensure accurate, timely reimbursement for services rendered. The manager will lead a team responsible for claims processing, accounts receivable management, and vendor coordination, all while maintaining compliance with regulatory standards. Success in this position requires strategic leadership, data-driven decision-making, and effective communication with payors and internal teams to optimize revenue flow.
Responsibilities
Our client, a leading healthcare organization committed to providing exceptional patient care and operational excellence, is hiring a Manager of Billing and Payor Reimbursement to lead their revenue cycle management team. This pivotal role involves overseeing facility billing operations and payor relationships to ensure accurate, timely reimbursement for services rendered. The manager will lead a team responsible for claims processing, accounts receivable management, and vendor coordination, all while maintaining compliance with regulatory standards. Success in this position requires strategic leadership, data-driven decision-making, and effective communication with payors and internal teams to optimize revenue flow.
Responsibilities
- Lead and manage the billing staff, ensuring efficient facility billing and collections.
- Oversee accounts receivable, monitor outstanding balances, and coordinate with AR vendors.
- Ensure accurate and prompt reimbursement from payors through effective claims management and escalation.
- Conduct claims calls with payors and maintain AR tracking systems.
- Analyze performance metrics, report on reimbursement trends, and identify areas for process improvement.
- Review aged and high-balance accounts regularly and guide staff in resolution strategies.
- Lead interviews for new hires, oversee staff onboarding and training, and ensure adherence to policies.
- Stay informed of payor contracts, regulatory changes, and industry best practices.
- Bachelor’s Degree in a related field.
- Minimum of five years in healthcare billing, collections, and denial management.
- Proven experience managing diverse teams, including third-party vendors.
- Strong oral and written communication skills.
- Proficiency in Epic and facility billing, follow-up, and denial management preferred.
- Competitive salary and comprehensive health benefits.
- Opportunities for professional development and career advancement.
- Collaborative work environment focused on innovation and excellence.
- Supportive leadership dedicated to your success.
Salary : $85,000 - $105,000
