Supervise Billing Team: Lead, train, and manage a team of billing specialists to ensure timely and accurate processing of medical claims, ensuring that all claims are billed in compliance with healthcare regulations.
Claims Management: Oversee the preparation, submission, and follow-up of insurance claims to ensure maximum reimbursement and to minimize denials. Review and resolve claim denials and rejections, working closely with insurance companies, payers, and the healthcare team to ensure proper resolution.
Revenue Cycle Oversight: Ensure the efficiency and accuracy of the entire revenue cycle process from patient registration to final payment, identifying areas for improvement in billing operations.
Compliance and Regulations: Ensure compliance with all relevant healthcare billing regulations, including HIPAA, Medicare, Medicaid, and insurance payer guidelines.
Reporting & Analysis: Prepare and present regular reports on billing performance, including metrics on claim volume, denials, reimbursement rates, and overall revenue cycle efficiency.
Collaborate Across Departments: Work with healthcare providers, the coding team, insurance companies, and other departments to resolve billing issues, discrepancies, and ensure timely payments.
Customer Service: Address patient billing inquiries and disputes, offering resolution in a professional and empathetic manner.
Audit Preparation: Assist with internal and external audits related to billing, ensuring that all billing documentation and processes are thorough and accurate.
Continuous Improvement: Continuously assess billing processes and systems, making recommendations for improvements to increase accuracy, reduce errors, and improve collections.
Education: Bachelor's degree in Healthcare Administration, Business Administration, or a related field. Certification in Medical Billing and Coding (such as CPC, CPB, or equivalent) preferred.
Experience: Minimum of 5 years of experience in medical billing within the healthcare sector. At least 2 years of experience in a supervisory or managerial role.
Skills: Strong knowledge of healthcare billing processes and insurance reimbursement, including government programs (Medicare, Medicaid) and private insurance. Excellent understanding of medical coding (ICD-10, CPT, HCPCS). Proficient in using billing software, electronic health records (EHR), and practice management systems. Strong organizational and leadership skills with the ability to manage and motivate a team. Excellent analytical skills to identify issues and implement solutions. Exceptional communication skills, both written and verbal. Ability to handle confidential and sensitive patient information with discretion.
* Le salaire de référence se base sur les salaires cibles des leaders du marché dans leurs secteurs correspondants. Il vise à servir de guide pour aider les membres Premium à évaluer les postes vacants et contribuer aux négociations salariales. Le salaire de référence n’est pas fourni directement par l’entreprise et peut pourrait être beaucoup plus élevé ou plus bas.