Medical Billing Manager

Found in: beBee S US - 2 weeks ago

Honolulu, United States realjobshawaii Full time

About us

Project Vision Hawai‘i provides services (health screenings, vaccines, hearing and vision screening, diabetic retinopathy exams, vision exams, street medicine, as well as case management, CIS, housing, SNAP, and health insurance application assistance) in communities with significant access-to-care challenges related to income, lack of insurance, geographical location, or cultural conflict.

About the job

We are a rapidly growing non-profit seeking an experienced, qualified, and dedicated medical billing manager who knows how to navigate the Hawaiian health insurance "world" (including working with local, state, and federal government grants and contracts) to join our 'ohana. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, the ability to negotiate contracts, and sound judgment. As our medical billing specialist, your daily duties will include negotiating contracts with insurers, maintaining billing/coding in our EHR's RCM systems, appealing denied claims, and recording late payments.

Bonus if you are an individual who is knowledgeable in credentialing providers (MD/DO, DDS, APRN, MSW/LCXW, OT, and D.Ac/L.Ac)

To succeed in this role, you must possess in-depth knowledge of Hawaii's current payors, negotiating contracts, billing, coding, and medical insurance policies. The ideal candidate can forecast earnings, troubleshoot, be innovative and flexible, and is comfortable with building new systems. You must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job.

Core Functions/Duties include:

  • Coordinate and direct the activities of the billing operations to follow departmental protocol and comply with State, Federal, and payer requirements, guidelines, and regulations.
  • Design, execute, and ensure policies and procedures are adhered to, as well as fine-tuning effective billing/intake processes for improvement.
  • Plan and direct workload coding, patient insurance documentation, data processing, and billing and collection to achieve efficient account collection and accurate billing.
  • Negotiate, analyze, and prepare insurance contracts.
  • Analyze weekly and monthly financial reports, as well as accounts receivable reports for ED and board meetings.
  • Supervise, train, and mentor the medical billing team; allocate work hours and resolve issues.
  • Perform as a practice expert on all issues related to billing and intake processes.
  • Prepare to set up a payment system and track clients' AR productivity (charge, payments, collections, adjustments) on a daily, weekly, and/or monthly basis.
  • Oversee, evaluate, and monitor on-the-job performance of staff responsible for medical collections.
  • Support the company's objective of efficiently and effectively providing management with oversight of the revenue cycle process.
  • Over
  • Expert knowledge of ICD-9, ICD-10, and CPT codes
  • QC charts to ensure codes are assigned correctly and sequenced appropriately per government and insurance regulations.
  • Review patient charts and documents for verification and accuracy in EHR
  • Follow up and clarify any information that is not clear to other staff members.
  • Conduct duties in a professional and timely fashion

If experienced in credentialing:

  • Create policies and procedures for credentialing.
  • Gather, review, complete, and upload all required credentialing documentation and file accordingly
  • Review credentialing application for completeness, log, and request missing documentation
  • Perform background checks
  • Upload and track compliance items in the appropriate client portal
  • Maintain files for any upcoming expiring documents
  • Train staff members who can learn to do credentialing.

Education and Experience

  • Minimum requirement of an associate degree or higher
  • Minimum of 5 years of experience in medical billing management in Hawaii
  • Possess profound knowledge and understanding of rules and regulations affecting medical billing and insurance verification.
  • Deep knowledge and understanding of revenue cycle, collections, payment posting, medical billing, Medicare and Medicaid, Conduent, and third-party payers.
  • Knowledge and understanding of revenue cycles working with grants and contracts.
  • Thorough knowledge of CPT and ECD9 codes, UB04 claim forms, HCFA 1500, HIPAA, medical terminology, appeal processes, billing and insurance regulations, and insurance benefits.
  • Strong negotiation skills to effectively deal with customers and payers to secure payment.
  • Strong proficiency in the use of Word, Outlook, Excel, and other Microsoft Office tools.
  • Minimum 1 year of credentialing experience
  • Proficient in electronic health records
  • Excellent written and verbal communication skills
  • Computer skills necessary for data entry and reporting, including typing speed and accuracy
  • A strong understanding of medical billing contracts
  • Ability to maintain a high level of integrity and confidentiality
  • Strict attention to details
  • Work independently
  • Multitask

Job Type: Full-time

Salary: $28.00 - $35.00 per hour

Expected hours: 40 per week

Benefits:

 

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance

 

Schedule:

 

  • 8 hour shift
  • Day shift
  • Monday to Friday

 

Experience:

 

  • Medical billing management: 5 years (Required)

 

License/Certification:

 

  • Medical Coding Certification (Required)

 

Work Location: In person

 

  • Medical Billing Manager

    Found in: beBee jobs US - 1 week ago

    Honolulu, Hawaii, United States realjobshawaii Full time

    About usProject Vision Hawai'i provides services (health screenings, vaccines, hearing and vision screening, diabetic retinopathy exams, vision exams, street medicine, as well as case management, CIS, housing, SNAP, and health insurance application assistance) in communities with significant access-to-care challenges related to income, lack of insurance,...

  • Technical Trainer

    Found in: beBee S US - 2 weeks ago

    Honolulu, United States ALTRES Staffing Full time

    Technical Trainer (Medical Billing) (213647-14)Local software management services company with 35 years of doing business in Hawaii is seeking an experienced medical billing professional to join their team as a Technical Software Trainer. In this role you will train staff and new clients on software functions, while helping existing clients resolve any...

  • Medical Billing Accounts Receivable Specialtist

    1 week ago

    Honolulu, United States ISLAND HEALTHCARE SOLUTIONS LLC Full time

    Job DescriptionJob DescriptionIsland Healthcare Solutions is a comprehensive billing, coding and consulting service focused on hospital-based physician and outpatient medical practice facilities.We are seeking to fill a full time accounts receivable specialist position.  This position requires attention to detail, ability to problem solve and work...

  • Medical Billing Accounts Receivable Specialtist

    1 week ago

    Honolulu, United States ISLAND HEALTHCARE SOLUTIONS LLC Full time

    Job DescriptionJob DescriptionBenefits:Competitive salaryDental insuranceFlexible scheduleHealth insurancePaid time offVision insurance Island Healthcare Solutions is a comprehensive billing, coding and consulting service focused on hospital-based physician and outpatient medical practice facilities.We are seeking to fill a full time accounts receivable...

  • Accounts Receivable Specialist

    Found in: beBee S US - 2 weeks ago

    Honolulu, United States ALTRES Staffing Full time

    Accounts Receivable Specialist (Medical Billing) (213995-14)Are you a detail-oriented person and have previous accounts receivable experience? A local healthcare company is looking for someone to manage medical billing which includes processing denials for multiple clients/financial classes, running aging reports, handling periodic audits and ensuring all...

  • Billing Representative

    Found in: beBee S US - 2 weeks ago

    Honolulu, United States ALTRES Staffing Full time

    Billing Representative (212495-14)We're immediately seeking candidates with accounting experience for a full-time opening with a reputable health insurance company! This role will work under the Billing Manager and perform duties related to the billing, collection, and reconciliation of group and individual premiums. This role will also analyze, research,...

  • Billing Representative

    Found in: beBee jobs US - 1 week ago

    Honolulu, Hawaii, United States ALTRES Staffing Full time

    Billing Representative We're immediately seeking candidates with accounting experience for a full-time opening with a reputable health insurance companyThis role will work under the Billing Manager and perform duties related to the billing, collection, and reconciliation of group and individual premiums. This role will also analyze, research, and resolve...

  • Billing Insurance Admin

    Found in: beBee jobs US - 1 week ago

    Honolulu, Hawaii, United States ALTRES Staffing Full time

    Billing Insurance Admin (Temp A reputable company in the healthcare field is seeking a temporary Billing Insurance Admin to join their team and support the daily functions of the financial team.Qualified candidates will have 1 year of previous medical billing experience.Apply today for immediate considerationHoursFull-time, Monday to FridayLocationHonolulu,...

  • Billing Insurance Admin

    Found in: beBee S US - 2 weeks ago

    Honolulu, United States ALTRES Staffing Full time

    Billing Insurance Admin (Temp) (213497-14)A reputable company in the healthcare field is seeking a temporary Billing Insurance Admin to join their team and support the daily functions of the financial team. Qualified candidates will have 1 year of previous medical billing experience. Apply today for immediate consideration! Hours Full-time, Monday to...

  • Medical Billing Specialist

    6 hours ago

    Honolulu, United States Bristol Hospice Full time

    Do you have a heart for hospice? Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We believe all patients and families entrusted in our care deserve the highest level of compassion, respect, and quality of care. The Payor Verification Specialist...

  • Pharmacy Medical Biller

    4 hours ago

    Honolulu, United States Times Supermarket Full time

    [Medical Biller]Employment type: Temporary, Part-time Times Pharmacy is looking for medical billers or pharmacy technicians for vaccination clinic billing.We are looking to hire independent, organized, detail-oriented, and motivated individuals to help us process and submit vaccination clinic claims. Availability: • Monday through Friday - Most days start...

  • Medical Assistant to Psychiatrist

    1 week ago

    Honolulu, United States Valden Medical, LLC Full time

    Job DescriptionJob DescriptionMedical Assistant to Psychiatrist (Honolulu Downtown)Valden Medical928 Nuuanu Avenue, Lower Level Suite 2compensation: From $18/hour up depending upon experience, plus benefits.employment type: part-timejob title: Medical/Administrative AssistantPart-time, Mon -Thur, 28+ hrs/week, front desk and medical assist duties in...

  • Technical Trainer

    Found in: beBee jobs US - 2 weeks ago

    Honolulu, Hawaii, United States ALTRES Staffing Full time

    Technical Trainer (Medical Billing Local software management services company with 35 years of doing business in Hawaii is seeking an experienced medical billing professional to join their team as a Technical Software Trainer.In this role you will train staff and new clients on software functions, while helping existing clients resolve any software issues....

  • Accounts Receivable Specialist

    Found in: beBee jobs US - 3 weeks ago

    Honolulu, Hawaii, United States realjobshawaii Full time

    Accounts Receivable Specialist (Medical Billing Are you a detail-oriented person and have previous accounts receivable experience? A local healthcare company is looking for someone to manage medical billing which includes processing denials for multiple clients/financial classes, running aging reports, handling periodic audits and ensuring all claims are...

  • Logistics Coordinator

    7 days ago

    Honolulu, United States The Dewitt Companies Full time

    Royal Hawaiian Movers, Inc. has an immediate opening for a Logistics Coordinator to join our company in the Honolulu office. We are a dynamic company with over 30 years of experience and hundreds of employees with locations on all the major Hawaiian Islands with plenty of future growth opportunities. We are looking for career-minded individuals to join our...

  • Customer Service Professional- Inbound

    1 week ago

    Honolulu, United States EMS Management and Consultants Inc Full time

    Job Type Full-time Description Who is EMS|MC EMS|MC offers full-service revenue cycle management solutions and is the largest billing services provider focused exclusively on emergency medical services in the U.S. We offer services from software to hardware to billing services and everything in between. For over 25 years, our high-quality service, results...

  • Property Manager

    Found in: beBee jobs US - 6 days ago

    Honolulu, Hawaii, United States realjobshawaii Full time

    Property Manager PM)Immediately seeking an experienced Property Manager to oversee assigned commercial/residential properties. The Property Manager's goal will be to maximize asset value, customer satisfaction and revenue.The ideal candidate will have at least three years of related experience with at least one year in a supervisory role preferred.This role...

  • Property Manager

    Found in: beBee S US - 4 days ago

    Honolulu, United States realjobshawaii Full time

    Property Manager (213630-14 PM)Immediately seeking an experienced Property Manager to oversee assigned commercial/residential properties. The Property Manager's goal will be to maximize asset value, customer satisfaction and revenue. The ideal candidate will have at least three years of related experience with at least one year in a supervisory role...

  • BC/BE Nephrologist To Join The Kaiser Permanente Moanalua Medical Center in Honolulu

    Found in: beBee S US - 2 weeks ago

    Honolulu, United States Hawaii Permanente Medical Group, Inc. Full time

    The Hawaii Permanente Medical Group, Inc. is seeking a BC/BE Nephrologist to join the Kaiser Permanente Moanalua Medical Center in Honolulu. Position Highlights: Exceptional opportunity for a Nephrologist with solid clinical skills to practice in an innovative, collaborative, and fully integrated health system Outpatient and inpatient...

  • Accounting Manager

    Found in: beBee jobs US - 2 weeks ago

    Honolulu, Hawaii, United States ALTRES Staffing Full time

    Accounting Manager (CPA Successful public accounting firm is seeking to add an experienced full-time CPA to their team. This role will perform accounting duties as well as serve as a mentor and supervise the work of staff members to ensure quality control standards and deadlines are met.This firm offers excellent pay and benefits. We encourage qualified...