Billing Manager

Job Summary

The Billing Manager is a pivotal role responsible for overseeing the day-to-day operations of the billing department. This position ensures effective communication and coordination between various teams and facilities, manages the onboarding of new clients, and addresses any billing-related issues. The Billing Manager will oversee claim submissions, verify billing accuracy, and ensure efficient processing of all billing operations.

Responsibilities and Duties

Client and Team Communication:

● Attend the “Internal Kick-off” meetings to discuss team assignments and ensure clarity on roles and responsibilities.

● Communicate details of new accounts to the billing team to facilitate smooth transitions and accurate processing.

● Attend “External Kick-off” meetings if assigned facilities require direct involvement.

● Act as support to the primary POC Billing Team Lead.

● Coordinate with the Collections Manager to resolve any issues arising during claims processing.

● Address and resolve billing issues within the team, ensuring timely and accurate claim submissions.

● Collaborate with the UR/VOB team when clarification on billing details is required.

● Report any facility-related problems to the Executive Suite for further action.

Operational Management:

● Train and assist the Billing Team Leads when issues arise.

● Manage the workload distribution of the Billing Department

● Focus on Quality Control and monitor QC tracker.

● Upload billed reports to RCM and Zealie Zion after verification is complete.

Daily Monitoring and Reporting:

● Oversee facility audits as prompted.

● Attend department leadership meetings and take direction from Executives.

● Monitor the daily operations of the billing department to ensure smooth functioning and address any issues as they arise.

Required Experience, Education & Skills:

● Minimum of 5 years of experience in healthcare billing, with a proven track record of managing billing operations and teams.

● Experience with CMD and other billing software systems is preferred.

● High School Graduate or equivalent; additional certification in medical billing or coding is a plus.

● Excellent verbal and written communication skills, capable of effectively coordinating with internal teams and external stakeholders.

● Strong organizational skills with the ability to manage multiple tasks and priorities in a dynamic environment.

● Experience with healthcare billing software, particularly CMD, and electronic health record (EHR) systems.

● Ability to analyze billing data and resolve issues efficiently.

● Strong attention to detail to ensure accuracy in billing and claims processing.

Additional Preferred Experience:

● Experience in the Behavioral Healthcare industry, including familiarity with billing for substance use disorder treatment and mental health services.

● Previous experience in a remote work environment.