Medical Billing Manager

1 week ago


Las Vegas, United States LV Search Partners Full time

Requirements:

  • Bachelor’s degree in healthcare or Associate’s degree with 5 years of healthcare or revenue cycle experience, Masters in healthcare is preferred.
  • 4+ years of managerial experience in healthcare billing.
  • Physician office or insurance experience, multi-specialty setting preferred.
  • Certifications such as Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Physician Practice Manager (CPPM) or other equivalent certifications are major pluses.

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About the Role

The Medical Billing Manager will manage and provide supervisory oversight to the billing department while maintaining and improving billing efficiency and the revenue cycle.


Responsibilities

  • Exhibit a high level of professionalism toward all stakeholders, including the Board, employees, volunteers, patients and their families, and partners while creating and maintaining strong working relationships.
  • Support current patient needs and maximize potential with new patients and organizations for the future.
  • Understand, align with, and act in accordance with the organization’s vision and mission.
  • Oversee daily operations, delegate workload, and provide backup coverage to facilitate timely and accurate completion of tasks for Eligibility, Medical Billers, and Patient Financial Counselors.
  • Demonstrate proficiency in coding and billing hematology, oncology, orthopedic and rheumatology office visits, infusions, hospital charges, orthotics and orthopedic surgery services, radiology, physical therapy, and behavioral health services.
  • Complete eligibility verification for all payers including Commercial, Managed Care, and HMO policies.
  • Obtain required authorizations or referrals for office visits.
  • Monitor and remain compliant with federal, state and payer specific regulations within relevant specialties.
  • Oversee procedures and workflows to identify root cause for deficiencies, implement workflow improvements, system automations, corrective measures, or education to resolve and maintain billing accuracy while preventing future errors.
  • Collaborate with the Authorization & Referral Manager and the Patient Account Representative from Claims to identify payer denial trends or billing practices that impact patient balances.
  • Engage with and lead revenue cycle team meetings with the reporting manager and Authorization and Referral Manager to identify and resolve departmental issues.
  • Formulate and execute department strategic initiatives in conjunction with the leadership team.
  • Identify opportunities and implement initiatives to improve processes within the team and inter-departmentally.
  • Monitor assistance programs and ensure that they are offered to patients, families, and caregivers.
  • Oversee the hiring, onboarding, training, and ongoing success of team members.
  • Create and maintain SOPs for billing department tasks and duties while ensuring compliance.


Requirements

  • Have the desire to make changes for the better, pave the way, and do the research needed to identify new solutions.
  • Possess extensive knowledge in CPT and ICD-10 coding, and medical terminology.
  • Knowledge in commercial, managed care, HMO and other insurance plan benefits and coverage.
  • Ability to creatively integrate competing demands of a multi-specialty setting into a productive working environment.
  • Relate quickly and confidentially to patients and families, physicians, and internal teams.
  • Must comply with Infection Control Policy
  • Familiarity with AllScripts/Veradigm and/or Phreesia is a plus.


Benefits

  • Medical/Dental/Vision
  • 401k
  • PTO


Interview Process

Step 1: LVSP Prescreen

Step 2: Complete survey and assessment from client

Step 3: Video call with HR

Step 4: Onsite interview with VP and CFO

Step 5: Final Interview with the CEO

Step 6: Decision time



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