Medical Billing Operations Manager

2 weeks ago


Gardena, California, United States Guidehouse Full time

Job Summary:

Guidehouse is seeking a highly skilled Medical Billing Operations Manager to join our team. As a key member of our operations team, you will be responsible for overseeing the daily operations of billing and ensuring compliance with regulatory requirements.

Key Responsibilities:

  • Supervise and manage a team of billers and billing systems to ensure accuracy and efficiency of billing processes.
  • Work closely with Information Systems, Medical Records, Patient Access, and Ancillary Departments to ensure compliance with regulatory requirements.
  • Develop and implement processes to improve billing accuracy and reduce errors.
  • Provide training and support to staff to ensure they have the necessary skills and knowledge to perform their jobs effectively.
  • Monitor and analyze billing data to identify trends and areas for improvement.
  • Develop and implement strategies to improve billing revenue and reduce costs.
  • Collaborate with IT to ensure that all billing systems and software are functioning properly and efficiently.
  • Ensure that all employees understand and comply with State and Federal Rules and Regulations.
  • Develop and maintain relationships with payers and vendors to ensure smooth billing processes.
  • Provide regular reports to management on billing performance and identify areas for improvement.

Requirements:

  • University degree and minimum 5 years of prior relevant experience.
  • Understanding of Hospital Medicare processes.
  • Strong leadership and management skills.
  • Excellent communication and interpersonal skills.
  • Ability to analyze data and identify trends.
  • Strong problem-solving and analytical skills.
  • Ability to work in a fast-paced environment and prioritize multiple tasks.

Preferred Qualifications:

  • Billing experience with a healthcare provider or an outsourcing company.
  • Previous experience installing/utilizing Relay Health ePremis claims scrubber.
  • PC skills in a Windows environment.
  • Knowledge and utilization of desktop applications to include Word and Excel.
  • Previous staff supervisory experience.

About Guidehouse:

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.



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