Summary:
As a vital member of the Soho Managing Company team, the Medical Billing Manager is entrusted with overseeing daily operations within the billing department and personnel to ensure maximum efficiency and cost-effectiveness. This role demands adept utilization of technology, meticulous organization, and a commitment to driving productivity. The ideal candidate is a results-oriented professional with exceptional problem-solving skills, capable of both immediate solutions and long-term improvements. The ideal candidate will have a strong background in medical billing processes, exceptional leadership skills, and a proven track record of managing a team.
Essential Duties and Responsibilities: Core duties and responsibilities include the following. Other duties may be assigned.
- Lead Operations: Supervise daily activities in the medical billing department, ensuring precision, productivity, optimizing processes and departmental efficiency, and adherence to regulatory standards and protocols.
- Team Management: Guide and mentor a team of medical billing professionals, offering direction, training, and assistance as required to enhance performance.
- Policy Development: Develop and execute strategies to optimize billing procedures, enhancing efficiency and revenue generation while maintaining compliance. Collaborate with management peers to establish priorities for quality improvement initiatives, enhancing revenue cycle outcomes.
- Data Analysis: Analyze billing data to pinpoint trends, anomalies, and areas for enhancement, driving continuous improvement efforts.
- Interdepartmental Coordination: Collaborate with finance and healthcare units to address billing discrepancies promptly, ensuring timely reimbursement.
- Regulatory Compliance: Stay updated on billing regulations and industry best practices, ensuring strict adherence to compliance standards.
- Reporting and Presentation: Prepare comprehensive reports and presentations on billing performance, trends, and forecasts for executive review.
- Revenue Cycle Management: Oversee revenue management processes, including timely filings, maximizing revenue, and resolving denied or rejected claims promptly. Develop, implement, and maintain standard operating procedures (SOPs) for the revenue cycle.
- Claim Resolution: Monitor monthly aging reports, follow up on outstanding claims, and rectify issues to expedite reimbursement.
- Auditing and Error Correction: Conduct regular audits of billing reports, address coding and billing errors, and troubleshoot issues in collaboration with the team.
- A/R Management: Monitor accounts receivable aging and payment reports, investigate trends, and take corrective action to resolve underpayments.
- Training and Development: Conduct training sessions for staff on billing processes, revenue cycle tasks, and SOPs, fostering continuous learning and improvement.
Supervisory Responsibilities: This role directly oversees employees in the Medical Billing Department, including training, work assignments, conflict resolution, performance management, and reporting as needed.
Competencies: Successful candidates should demonstrate the following competencies:
- Problem-Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions.
- Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments.
- Teamwork - Balances team and individual responsibilities; Contributes to building a positive team spirit; Supports everyone's efforts to succeed.
- Interpersonal Skills - Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control.
- Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions.
- Written Communication - Writes clearly and informatively; Able to read and interpret written information.
- Leadership - Exhibits confidence in self and others; Inspires and motivates others to perform well; Effectively influences actions and opinions of others; Accepts feedback from others; Gives appropriate recognition to others.
- Managing People - Includes staff in planning, decision-making, facilitating, and process improvement; Makes self-available to staff; Provides regular performance feedback; Solicits and applies customer feedback (internal and external); Fosters quality focus in others; Improves processes, products, and services.
- Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
- Business Acumen - Understands business implications of decisions; Aligns work with strategic goals.
- Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
- Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values.
- Strategic Thinking - Develops strategies to achieve organizational goals; Understands organization's strengths & weaknesses.
- Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in the decision-making process; Makes timely decisions.
- Motivation - Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles.
- Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks.
- Professionalism - Tactfully approaches others; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
- Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality.
- Quantity - Completes work in a timely manner.
- Attendance/Punctuality - Is consistently at work and on time.
- Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals.
- Innovation - Meets challenges with resourcefulness.
Qualifications: To excel in this role, candidates must meet the following qualifications:
- A Bachelor’s degree in business or related field or relevant experience with progressive development of responsibilities.
- Minimum of five years of medical billing or business office management experience; preferred experience as a department manager.
- Proficiency in the use of billing software applications, Google Suite applications, and MS Office applications.
- Experience working with all types of third-party payers. (HMO, PPO, Medicare/Medicaid, etc.) and understanding of billing requirements.
- Excellent communication and organizational skills.
- Demonstrates accountability, integrity, professionalism, openness, receptivity to change, creativity, and innovation.
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Job Type: Full-time
Pay: $64,000.00 - $80,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
- Weekends as needed
Education:
Experience:
- Medical billing: 5 years (Required)
- working with HMO, PPO, Medicare/Medicaid, etc: 3 years (Required)
Work Location: Remote