Current jobs related to Healthcare Billing Operations Manager - Gardena, California - Guidehouse

  • Billing and Compliance Coordinator

    1 month ago

    Gardena, California, United States WSS Foot Locker Full time

    Billing and Compliance AdministratorAt WSS / Foot Locker, we are seeking a highly skilled Billing and Compliance Administrator to join our team. As a key support in IT expense management, general operations, and audit excellence, you will play a critical role in ensuring the accuracy and efficiency of our financial processes.Key Responsibilities:Billing:...

  • Medical Billing Specialist

    1 week ago

    Gardena, California, United States LHH Recruitment Solutions Full time

    About the Role:As a key member of our team, you will be responsible for ensuring timely and accurate submission of Mental Health Department billing claims into the LAC-DMH Integrated Behavioral Health Information System (IBHIS).You will monitor, correct, and resubmit denied or pending billing claims within 72 hours of the original submission date, providing...

  • Logistics Operations Manager

    4 days ago

    Gardena, California, United States CEVA Logistics Full time

    Job SummaryCEVA Logistics is seeking a skilled Logistics Operations Manager to oversee transportation and customs processes, providing customer service for shipment, receipt, and documentation of imported/exported products in accordance with federal and foreign regulations.Key ResponsibilitiesDevelop and provide excellent customer service to internal and...

  • Field Operations Manager

    2 weeks ago

    Gardena, California, United States Optum Full time

    Opportunities with EpisourcePart of the Optum family of businesses, Episource is a premier provider of risk adjustment services, software, and solutions that's fueling innovation in the healthcare industry.Start a rewarding career where your work will empower health plans and medical groups with comprehensive end-to-end solutions designed to navigate...

  • Healthcare Laundry Service Team Lead

    4 days ago

    Gardena, California, United States ImageFIRST Healthcare Laundry Specialists Full time

    OverviewImageFIRST Healthcare Laundry Specialists is a leading provider of linen rental and laundry services to the healthcare market. As a Service Director, you will play a critical role in leading our team to deliver exceptional service and support to our clients. With a strong focus on customer satisfaction and profitable growth, you will be responsible...

  • Administrative Operations Manager

    3 days ago

    Gardena, California, United States Zero Labs Automotive Full time

    At Zero Labs Automotive, we are seeking a highly organized and detail-oriented Office Manager to oversee the day-to-day operations of our office. As an integral part of our team, you will be responsible for managing administrative tasks, coordinating office activities, and providing support to various departments. The ideal candidate is a self-starter with...

  • Healthcare Laundry Service Team Lead

    4 days ago

    Gardena, California, United States ImageFIRST Healthcare Laundry Specialists Full time

    Job Title: Service DirectorImageFIRST Healthcare Laundry Specialists is seeking a highly skilled Service Director to lead our healthcare laundry service team in Los Angeles, CA.Responsibilities:Manage a team of 22 Service Associates and 2 District ManagersStaffing and hiring, training and development, customer service management, and profitable growth within...

  • Warehouse Operations Specialist

    2 weeks ago

    Gardena, California, United States Total Safety U.S., Inc. Full time

    Job SummaryTotal Safety U.S., Inc. is seeking a highly organized and detail-oriented Warehouse Operations Specialist to join their safety-conscious team. As a key member of the warehouse team, you will be responsible for processing customer orders, receiving and stocking inventory, and ensuring timely and accurate order fulfillment.Key...

  • Landscape Operations Manager

    1 week ago

    Gardena, California, United States Monarch Landscape Companies Defunct Full time

    Job SummaryWe are seeking a highly skilled and experienced Landscape Operations Manager to join our team at Monarch Landscape Companies. As a key member of our operations team, you will be responsible for managing daily operations of sites within an assigned territory to ensure delivery of high-quality service to clients.Key ResponsibilitiesServe as client...

  • Landscape Operations Manager

    2 weeks ago

    Gardena, California, United States Monarch Landscape Companies Defunct Full time

    Job SummaryWe are seeking a highly skilled and experienced Landscape Operations Manager to join our team at Monarch Landscape Companies. As a key member of our operations team, you will be responsible for managing daily operations of sites within an assigned territory to ensure delivery of high-quality service to clients.Key ResponsibilitiesServe as client...

  • Warehouse Operations Manager

    2 weeks ago

    Gardena, California, United States Aerotek Full time

    Job Title: Warehouse Operations ManagerAbout the Role:The Warehouse Operations Manager is responsible for overseeing the day-to-day operations of the warehouse, ensuring that all shipments are processed efficiently and effectively. This includes managing the receiving, storing, and dispatching of goods and products, as well as maintaining high service...

  • Healthcare Sales Executive

    2 weeks ago

    Gardena, California, United States ImageFIRST Healthcare Laundry Specialists Full time

    Job Summary:We are seeking a highly motivated and experienced Healthcare Sales Executive to join our team at ImageFIRST Healthcare Laundry Specialists. As a key member of our sales team, you will be responsible for managing key relationships with our clients, achieving quarterly targeted new business growth goals, and verifying invoice...

  • Auction Operations Manager

    1 month ago

    Gardena, California, United States Julien's Auctions Full time

    {"title": "General Manager - Auction Operations", "description": "Job SummaryJulien's Auctions is seeking a highly skilled General Manager - Auction Operations to lead our business to maximum productivity and efficiency. As a key member of our management team, you will be responsible for overseeing business operations, supporting business transformation...

  • Restaurant Operations Manager

    1 week ago

    Gardena, California, United States Denco Family Inc Full time

    Job Title: Restaurant Operations ManagerWe are seeking a highly skilled Restaurant Operations Manager to join our team at Denco Family Inc. in Gardena, CA. As a Restaurant Operations Manager, you will be responsible for overseeing the daily operations of our restaurant, ensuring that all aspects of the business are running smoothly and efficiently.Key...

  • Medical Equipment Service Representative

    5 days ago

    Gardena, California, United States Rotech Healthcare Full time

    About RotechRotech Healthcare Inc. is a national leader in providing high-quality medical products, services, and outstanding customer care through hundreds of locations across 45 states.We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home.Job...

  • Facilities Operations Manager

    2 weeks ago

    Gardena, California, United States Motivo Engineering Full time

    Job OverviewMotivo Engineering is seeking a highly organized and detail-oriented Facilities Manager to join our dynamic team. As a key member of our operations team, you will be responsible for ensuring the day-to-day upkeep and operational efficiency of our facility.Key ResponsibilitiesFacility Maintenance: Oversee the maintenance and repair of facility...

  • Department Operations Manager

    1 week ago

    Gardena, California, United States Marukai Corp. Full time

    The Department Operations Manager is responsible for supporting the Department Leader in all aspects of the department's operations, including maximizing sales and profits, optimizing staffing, working with headquarters, merchandise management, cleanliness of the work area and shop floor, and inventory efficiency.Key Responsibilities:Support the Department...

  • Facilities Operations Manager

    1 month ago

    Gardena, California, United States Motivo Engineering Full time

    Job SummaryMotivo Engineering is seeking a highly organized and detail-oriented Facilities Manager to oversee the day-to-day operations of our facility. The ideal candidate will have a proven track record in facilities management and be able to maintain a safe and efficient work environment.Key ResponsibilitiesFacility Upkeep: Ensure the cleanliness,...

  • Facilities Operations Manager

    3 weeks ago

    Gardena, California, United States Motivo Engineering LLC Full time

    Facilities Manager Job DescriptionAt Motivo Engineering LLC, we're dedicated to driving innovation in the tech industry with a dynamic and collaborative team. Located in Gardena, CA, we pride ourselves on our cutting-edge solutions and our vibrant work environment. We're seeking a proactive and detail-oriented Facilities Manager to join our team and ensure...

  • Medical Equipment Customer Service Specialist

    3 weeks ago

    Gardena, California, United States Rotech Healthcare Full time

    About Rotech HealthcareRotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions, and home medical equipment. Our mission is to empower patients to manage their health and treatment at home by providing high-quality medical products, services, and outstanding customer care...

Healthcare Billing Operations Manager

2 months ago

Gardena, California, United States Guidehouse Full time

Job Family:
Business Operations

Travel Required:
Up to 10%

Clearance Required:
None

Role Overview:

The Billing Operations Manager oversees the daily functions of the billing department, collaborating closely with Information Systems, Medical Records, Patient Access, and various Ancillary Departments to ensure adherence to compliance standards and the accuracy of all billing activities.

This role involves supervising billing personnel, managing billing systems, and refining billing processes.

The Billing Operations Manager reports directly to an Operations Manager or Director and may undertake additional related responsibilities as assigned.


Leadership and Development:


Supervise multiple client billing operations and systems across various markets within the United States. Ensure that all team members are well-informed about State and Federal Rules and Regulations.

Create an environment that encourages employees to share improvement ideas.

Whenever feasible, solicit employee feedback on policies and procedures that impact their work.

Facilitate attendance at seminars that enhance productivity and knowledge.
Ensure that employees have the necessary tools to meet established goals.
Recruit and develop staff as departmental needs evolve.

Billing Management:
Collaborate with all departments to guarantee the accuracy of CPT4, HCPCS, and Revenue Codes.
Provide updates, notices, and coverage changes from Medicare and other payers that affect billing and reimbursement.

Review billing processes and systems to maintain the most effective methods for achieving departmental and facility objectives.

Implement changes in techniques and processes as needed.
Work with IT to ensure that all UB/837/HCFA1500 modifications are executed to maintain billing accuracy.
Ensure that bill holds in electronic systems meet established targets.
Collaborate with Ancillary Departments, Patient Access, Medical Records, and Information Systems to ensure that clean claim rates meet set goals.
Engage with both electronic billing vendors and payers to resolve billing discrepancies.
Ensure that employees have access to all necessary tools.
Review 2% of billings for both quantity and quality.

Compliance Assurance:


Educate and ensure that all employees comprehend Compliance and the proper procedures for reporting compliance issues related to State, Federal, and HIPAA regulations. Attend relevant seminars, both internal and external, and share acquired knowledge with staff and other pertinent departments.

Review and maintain JACHO requirements for billing.

Reporting Responsibilities:


Accountable for the weekly Key Indicator Reports and Accomplishments Reports, which are due every Monday, along with daily billing error reports to departments.

Maintain logs by department for claims in hold status.
Generate daily electronic and paper claim reports.
Produce other reports as requested by management.
Provide a weekly report of Late Charges to Departments.

Qualifications:
A University Degree and a minimum of 5 years of relevant experience are required, along with a solid understanding of Hospital Medicare processes.

Preferred Qualifications:
Experience in billing with a healthcare provider or outsourcing company.
Prior experience with Relay Health ePremis claims scrubber is advantageous. Proficiency in a Windows environment is essential, including knowledge of desktop applications such as Word and Excel.
Previous supervisory experience is preferred.

Compensation and Benefits:
Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package reflecting our commitment to a diverse and supportive workplace.

Benefits include:


Medical, Rx, Dental & Vision Insurance, Personal and Family Sick Time & Company Paid Holidays, eligibility for a discretionary variable incentive bonus, Parental Leave, 401(k) Retirement Plan, Basic Life & Supplemental Life, Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts, Short-Term & Long-Term Disability, Tuition Reimbursement, Personal Development & Learning Opportunities, Skills Development & Certifications, Employee Referral Program, Corporate Sponsored Events & Community Outreach, Emergency Back-Up Childcare Program.

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.