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Billing Operations Manager

2 months ago

Michigan, United States The Wellness Institute of Michigan Full time

Immediate Opening: Billing Operations Manager

About the Company:

The Wellness Institute of Michigan has been a leading provider in mental health services for over 14 years. Our organization is owned by practitioners and is dedicated to addressing mental health challenges and addictions across all demographics, from children to seniors. Our strength lies in our dedicated team of therapists and administrative professionals who foster a supportive and encouraging workplace. We prioritize the professional development of our staff and maintain a positive and healthy work environment. Our services are offered at multiple locations, with a primary office in Okemos, and we also provide telehealth options. The atmosphere in our offices is professional, serene, and welcoming for both clients and employees.

Position Overview:

The Wellness Institute of Michigan is looking for a Billing Operations Manager responsible for overseeing all billing and collection activities within the practice. This role includes supervising a billing assistant and collaborating closely with both administrative and leadership teams. The position necessitates the establishment of professional relationships with therapists and the President/CEO to ensure that billing processes are executed accurately and efficiently, contributing to the financial stability of the organization. This is a leadership role that reports directly to the President/CEO.

Essential Qualifications:

  • Comprehensive understanding of insurance claims and payment processes.
  • Proficient in computer applications, including billing software, reporting tools, and Microsoft Office Suite.
  • Strong written and verbal communication skills.
  • Solid mathematical and accounting abilities.
  • Proven supervisory skills with the capability to train and guide team members.
  • Exceptional customer service aptitude.
  • High organizational skills with the ability to manage multiple tasks while maintaining attention to detail.
  • Effective problem-solving capabilities.
  • Current knowledge of mental health coding, compliance, and billing standards.
  • Able to integrate well with the Wellness Institute of Michigan team.

Key Responsibilities:

  • Maintain confidentiality and adhere to HIPAA guidelines, ICD-10, and DSM V standards.
  • Supervise daily cash postings, check processing, and electronic fund transfers from insurance providers and patients.
  • Ensure daily claims processing is accurate and free of errors.
  • Utilize insurance websites to verify patient eligibility and benefits, and train staff in these processes.
  • Develop, update, and implement billing policies and procedures to ensure consistency across the organization.
  • Oversee the processing of 835 files and manage claim denials or payment issues with insurance companies.
  • Assist therapists in troubleshooting claim creation issues and resolving missing encounters.
  • Balance daily deposits and manage the distribution of patient statements.
  • Address patient billing inquiries through various communication channels.
  • Generate regular reports to monitor account aging, refunds, denials, and collections.
  • Facilitate payment plans for patients when necessary.
  • Train and mentor the billing assistant to uphold the standards of the Wellness Institute of Michigan.
  • Prepare and submit financial reports to the organization's accountants.
  • Regularly meet with the President/CEO to discuss the financial status of the practice.
  • Participate in weekly leadership meetings with key organizational leaders.

Additional Responsibilities:

  • Manage employee health, vision, and dental benefits, maintaining participation records.
  • Coordinate with the employee benefits agency.
  • Assist with payroll processes as needed.
  • Support miscellaneous financial projects as required.

Working Conditions:

  • Prolonged periods of sitting and/or standing.
  • Frequent typing and communication.

What We Offer:

  • Health insurance coverage.
  • Vision and dental insurance.
  • 401k plan with matching contributions.
  • Paid time off and sick leave.
  • Competitive salary.
  • A friendly and safe working environment.

We appreciate your interest in the Wellness Institute of Michigan and look forward to connecting with qualified candidates.