Billing Manager Dart

JOB SUMMARY
This position is responsible for all revenue cycle management for the DART program ensuring timely,
accurate, and compliant reimbursement for services incurred by patients and clients.
RESPONSIBILITIES AND DUTIES
Primary Responsibilities:
• Oversee all revenue cycle processes including:
 Monitor and manage patient insurance eligibility, which includes assisting patients to
obtain/recertify insurance
 Monitor and manage provider credentials and report data to insurers
 Act as a liaison with managed care organizations for contracting, credentialing, and issue
resolution
 Obtain authorizations and referrals for services rendered when required.
 Configure the electronic health record system and excel billing tools to identify and code
clinical services for billing.
 Generate billing data
 Submit claims accurately and timely
 Manage accounts receivable and address claim denials and underpayments
 Collect payments from clients
 Reconcile payments between billing & claims and finance system.
• Maintain understanding of NYS OASAS (Office of Addiction Services & Support), Medicaid, and
insurance payer billing rules and regulations.
• Develops, maintains, and implements policies and procedures for revenue cycle management.
• Prepares billing and revenue reports and assists with month-end closing and audit reports.
• Ensures compliance with confidentiality, billing regulations, and organizational policies.
• Perform supervisor responsibilities by overseeing daily operations, recruiting, training, monitoring
performance and ensure workplace policies and standards are followed.
• Monitor and manage vendor performance.
Secondary Responsibilities:
• Must present a professional image in conduct, attitude, and attire.
• Satisfactory completion of mandatory trainings.
• Additional duties as assigned.