Director of Billing

2 weeks ago

Houston, United States Quartz Medical Billing and Coding, LLC Full time

**Primary Duties and Key Responsibility Areas**
- Oversees the operations of the department, day -to-day supervision, direction, and training to a team of direct reports.
- Partners with the President and Human Resources to ensure appropriate staffing levels and balance of workload for the team and participates in the hiring process.
- Supports and creates projects for Revenue Cycle initiatives.
- Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
- Must understand the entire accounts receivable process and serve as a resource of knowledge and guidance for the department.
- Drives standardization of accounts receivable processes including proper documentation, distribution and communication.
- Analyzes trends impacting charges, coding, and clean claims submission and take appropriate action to realign staff and revise policies and procedures.
- Reviews and analyzes accounts receivable reports, weekly and monthly financial reports.
- Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
- Understands and remains updated with current coding and billing regulations and compliance requirements.
- Audits current procedures to monitor and improve efficiency of coding, claims submission, and payment posting operations effects on the revenue cycle.
- Spearheads the development and implementation of operating policies and procedures.
- Plan and implement quality assurance for all processes.
- Personnel management in a remote environment.
- Personnel development; staff meetings. Supports a positive workplace culture to attract and retain revenue cycle talent. Continued staffing discussions and team building.
- Provides, oversees, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.
- Handles Revenue Cycle Operations escalation.
- Ensure adherence to HIPAA standards and all other privacy and compliance policies.
- May be required to generate ADHOC reports requested by clients.
- Client Liaison. Ongoing communication including monthly meetings with clients regarding revenue cycle.
- Performs other miscellaneous job-related duties as assigned.

**Qualifications include**:

- Bachelor’s Degree in Business or Healthcare Management; or 10+ years managing the revenue cycle of a healthcare organization (may be substituted with equivalent years of experience).
- Progressive experience in the health care industry; in a medical practice, health system, central billing office, or billing service; with a deep understanding of medical billing rules and regulations.
- Strong working knowledge of CPT and ICD10 codes, HIPAA, HCFA/UB-04 claims, medical terminology, insurance regulations, insurance benefits and appeal processes.
- Proven ability to perform strategic planning and priority setting for a billing department.
- Proven track record for improving process efficiencies and problem solving.
- Strong leadership skills with an ability to motivate direct reports.
- Detail oriented with excellent communication skills both written and verbal, and interpersonal skills.
- Intuitive, with excellent analytical and critical thinking skills. Strong research and auditing skills.
- Expert in Microsoft Office, including Outlook, Word, Excel and Power Point.
- Out of Network billing experience a plus.
- Emergency Services billing experience a plus.
- Experience working with healthcare systems: EPowerDoc, GoREV, Waystar, Availity and payer sites.
- Certificate in Coding is a plus.

Pay: $75,000.00 - $90,000.00 per year

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Work Location: In person

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