RCM Billing and Reimbursement Manager II, Grant Service Specialist III

RCM Billing And Reimbursement Manager IiThis is a non-civil service positionSalary range: $64,427.00 - $110,756.00 annuallyStarting pay: $64,427.00 annuallyJob summary: Under the supervision of the Director, Revenue Cycle Management. RCM Billing and Reimbursement Manager II is responsible for assigned programs within the Bureau of Maternal Child Health (MCH); in both a hands-on and leadership role for Baltimore City Health Department (BCHD). In the role of RCM Billing and Reimbursement Manager II, daily work activities include medical billing charge capture, patient enrollment demographics, patient eligibility and claims submission. Identifying workflow bottlenecks and solutions. Resolving claims rejections/denials, ensuring clean data and claims are entered into state systems and practice management portals. Be a subject matter expert in billing / reimbursement guidelines for the Bureau of MCH and Maryland Medicaid. RCM Billing and Reimbursement Manager II will reconcile all charges, patient enrollment data/ demographics, reimbursements, claims denials to prepare month end reports and maintain RCM dashboard. RCM Billing and Reimbursement Manager II will provide excellent customer service to our community partners, parents, and internal cross-functional teams.Essential functions: Must have verifiable 6 or more years hands on experience in:Working knowledge with medical claims clearinghouseCharge captureProcessing & submitting claims, and resolving claim denialsPatient communication - verifying patient insurance - data entryGenerating monthly reports / maintaining billing dashboard / Ad-hoc reportsRevenue cycle management integrityResolve A/R discrepancies - claim denials managementTimely filing guidelines - Medicaid, Medicare, third party billing guidelinesInterpreting EOBs, payer remits from various insurance payersWorking knowledge of CPT and ICD-10 code applicationMinimum qualifications: Education: Have a bachelor's degree from an accredited college or university. AND Experience: Have six (6) years of experience in medical billing and reimbursement in a physician office or group setting. Must have previous experience with physician billing system and previous experience with MS Office products (Word, Excel, Outlook). EPIC EMR/PM - REQUIRED OR Equivalency notes: Have an equivalent combination of education and experience. Ten (10) years medical billing and reimbursement/ revenue cycle management accepted in lieu of BA degree.Knowledge, skills, & abilities: Must be able to read, write, and speak the English language in an understandable manner. Must be able to work independently and possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to effectively communicate and deal tactfully with other personnel, visitors, patients, physicians, customers, and the general public. Must be flexible, have personal integrity, and the ability to function effectively as a team with other employees. Must be able to follow written and oral instructions.Additional information: Background check: Eligible candidates under final consideration for appointment to positions identified as positions of trust will be required to complete authorization for a criminal background check and/or fingerprint must be successfully completed. Probation: All persons, including current City employees, selected for this position must complete a mandatory six-month probation.Financial disclosure: This position is required to complete a financial disclosure pursuant to Sections 7-7, 7-8, and 7-9 of the City Ethics Law. The initial financial disclosure must be submitted within 30 days of hire.Baltimore City Government is an equal employment opportunity employer, and we are committed to a workplace that values diversity, equity, and inclusion. The City of Baltimore prohibits discrimination on the basis of race, color, religion, age, sex, ancestry, creed, national origin, disability status, genetics, marital status, military service, sexual orientation, gender identity/expression or any other characteristic protected by federal, state or local laws. Applicants requiring accommodations during the hiring process should contact the Department of Human Resources directly. Do not attach your request for accommodation to the application.