Healthcare Billing Operations Manager

7 days ago

Toledo, Ohio, United States Care Seniors Full time

Billing Supervisor Job Description

 

We are seeking a highly organized and detail-oriented Billing Supervisor to join our team at Care Seniors, LLC. The successful candidate will be responsible for overseeing the billing operations of the company, ensuring accuracy and efficiency in all billing processes.

 

Responsibilities

  • Manage a team of billing specialists, providing guidance and support as needed
  • Establish and implement standard and customized invoice and claim formats based on contract guidelines
  • Monitor, evaluate, and review billing procedures as related to regulatory compliance
  • Develop and implement billing policies and procedures to improve efficiency and accuracy
  • Collaborate with other departments, such as finance, to resolve billing issues and ensure timely payment
  • Oversee the preparation of weekly invoices for clinical services rendered and process electronic transmission of these invoices
  • Accountable for accounts receivable, collections, cash postings, and other miscellaneous billing
  • Billing health care claims to all insurance types, tracking and posting payments, following up on overdue accounts, and providing end-of-month financial information on a timely basis
  • Billing all insurances within timely filing guidelines, as well as following up on all claim rejections in a timely manner to ensure proper payment
  • Follow up activity on all denied or partially paid claims, including research and resolution
  • Research and resolve all billing problems, including rebilling delinquent accounts when payments received vary from open accounts receivable balance
  • Maintaining accurate documentation of claim appeals process
  • Manages billing reports to assure that all billing is captured accurately and timely
  • Manages credit and collection activities on past due accounts
  • Completes billing performance audits as well as chart audits
  • Keeps C.E.O. and G.M. apprised of problems, concerns, and delays within the billing department on a timely basis
  • Stay up-to-date with industry trends and best practices in billing and revenue management
  • Assures Claims Integrity for the agency

 

Qualifications

  • Minimum of a bachelor's degree in business or accounting
  • Minimum of one (1) year of home health experience in billing, including CMS regulations and HCBS requirements, or billing management, or three (3) years' experience in accounting or medical billing with at least two (2) years' supervisory responsibilities
  • Strong knowledge of billing principles, procedures, and systems
  • Demonstrates the ability to accurately manage detailed information
  • Proficient in using billing software and Microsoft Office Suite (Excel, Word)
  • Understands basic medical terminology
  • Excellent analytical and problem-solving skills
  • Ability to effectively communicate with internal teams and external clients
  • Leadership skills with the ability to motivate and develop a team
  • Works well under pressure

 

About Care Seniors

 

"Restoring healthy lives one block at a time."
 

We have always pivoted our services and programs to better serve our clients. Care Seniors, LLC is dedicated to rendering superb quality service to its clients, restoring their health. Through the years, we have grown from a small home care facility to one that now encompasses four counties. Our presence in Lucas, Ottawa, Wood, Fulton, and Henry counties is a testament that more and more clients have trusted us with our wide range of services.

 

"Care Seniors, LLC believes that the growth in our business is not solely just the work of us. It is due in part of the satisfied clients that we have worked together with. It is through the word of mouth that we have grown our business. It was our clients in the past that have helped us market our brand—the brand which is now known across the four counties and still continues to grow."

 

With the growing number of clients that are coming to us for help, we are even more challenged to improve our services. We see the growing number of new clients as a proof of the trust that our previous clients have on us, as they influence others to seek for better home health services from us. We will continue to grow, and we will continue to polish the sterling name we have etched in our client's hearts.

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