Job Description

Job Description

Job Description

Principal Duties and Responsibilities:

1. Complete monthly billing within five (5) business days for all entities and locations.
2. Manage 10+ member billing team performance including setting regular goals, setting productivity standards, carrying out performance evaluations and recommend necessary actions
3. Run weekly staff meetings
4. Supervise the billing operations
   1. Insurance eligibility and authorization
   2. Preparing claim for submission (including coding)
   3. Address and resolve coding-related billing issues by consulting with other departments (techs, nurses, clients) to clearly understand patient’s records
   4. Train, allocate work, and resolve problems among billing personnel
   5. Submit billing to insurance and facilities
   6. Posting payments
   7. Responsible party billing
   8. Rejections, denials, appeals, resubmissions
   9. Reimbursement management
   10. Identify opportunities for insurance credentialing
   11. Related to medical record request and CERTs
5. Work closely with All-Stat’s Finance Dept to project go-forward staffing needs
6. Conduct new employee interviews.
7. Spearhead cross-training of billing employees
8. Carry out analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing staff
9. Carry out audits of current procedures and processes, billing operations improvements and coordinate necessary actions
10. Ensure quality and appropriate trainings are provided to newly hired and existing billing staff through effect supervision and coordination of the training process, and by adhering to established company standard operating procedures
11. Collaborate with other departments (including Client Services and Operations) to get and analyze additional information about patients to be able to record and process billing effectively and spearhead opportunities for process improvements
12. Ensure the billing activities follow payer, State, and Federal requirements, regulations, and guidelines
13. Remain updated on billing and coding standards and regulations
14. Remain updated on HIPAA and all other health information management issues and regulations
15. Comply with medical billing and coding policies and guidelines
16. Report all department concerns and issues to the Director of Revenue for prompt necessary action.
17. Partner with Compliance Department over all billing activities including participating in internal and external audits.

Work Experience Requirements

1. Experience with radiology billing
2. Proven ability to perform strategic planning and priority setting for a billing department
3. Proven track record for improving process efficiencies and solving problems
4. Strong leadership skills with an ability to motivate 10+ direct reports
5. Detail oriented.
6. Excellent communication skills both written and verbal, and internal personal skills.
7. Excellent analytical and problem-solving skills.
8. Ability to manage multiple projects concurrently
9. In-office position, this is a non-remote role

Preferred

1. 1. Experience with Mobile Radiology billing
   2. Experience invoicing both Medicare part A and part B

Compensation: (Based on experience): Range from $65k - $75k
Benefits:

• Medical, Dental, 401k Benefits Package
• PTO
• Long-Term Disability and Life Insurance
• Overtime Opportunities

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