Insurance Billing Manager

4 weeks ago


Bloomfield, Connecticut, United States Duncaster Inc Full time
Job Summary

We are seeking a highly skilled and detail-oriented Insurance Billing Manager to join our team at Duncaster Inc. As a key member of our revenue cycle team, you will be responsible for preparing, submitting, and managing insurance claims to Medicare and commercial insurers, ensuring accurate and timely reimbursement for healthcare services.

Key Responsibilities
  • Verify patient insurance coverage and eligibility before billing.
  • Prepare and submit clean claims to Medicare and commercial insurance payors, ensuring all necessary documentation is included.
  • Maintain current, comprehensive working knowledge of payer contracts and ensure that payors are billed according to contract provisions.
  • Monitor and follow up on unpaid or denied claims, working with Medicare and commercial insurers to resolve issues.
  • Reconcile accounts and manage accounts receivable aging reports.
  • Post payments and adjustments to patient accounts accurately.
  • Reconcile Medicare quarterly reports produced by the fiscal intermediary with the billing information system and prepare the quarterly CMS 838 (Credit Balance) form.
  • Collaborate with Senior Leadership to provide timely insight and communication regarding revenue and cash flow, and support operational initiatives as needed.
  • Review and analyze denied claims, determining the cause of denial.
  • Prepare and submit appeal letters and supporting documentation to Medicare and commercial insurers.
  • Track the status of appeals and work to resolve them promptly.
Requirements
  • Associate's degree in accounting, business administration, or related field is required, bachelor's degree is preferred.
  • Three years of progressively responsible experience in healthcare billing and collections management, preferably facility-based operations.
  • Electronic Health Record billing systems knowledge is required.
  • Must be able to speak, read, and write the English language in an understandable manner.
  • Must have a strong working knowledge of Microsoft Office applications (e.g., Word, Excel, Outlook, PowerPoint).
  • Demonstrated prior experience working well with others by contributing to the team cohesiveness.
  • Ability to perform work accurately and thoroughly and comprehend complex technical topics and specialized information related to the accounting function.
  • Ability to use thinking and reasoning to find a solution for or to deal proactively with work-related problems with the objective of making decisions or taking actions to solve a problem or reach a goal.
  • Ability to recognize and organize the parts of an issue in a systematic way; and to frame new ideas and courses of action.
What We Offer
  • 401(k) with match and profit sharing.
  • Medical, dental, and vision insurance available the 1st of the month after hire.
  • Short-term and long-term disability.
  • Employee assistance program.
  • Paid time off.
  • Tuition reimbursement.
  • 10% tuition discount on all degree and certificate programs at Charter Oak.
  • Free Access to our Aquatic & Fitness Center & to our beautiful walking trails throughout our campus.
  • Discount employee lunches.
  • Duncaster Spotlight Employee Recognition Program.
  • Referral bonuses.
  • Free parking.
  • Shoes for Crews - discounted safety shoes for all staff.
  • Yearly performance increases plus additional bonus opportunities.
  • Employee Appreciation Events held throughout the year by our own "Funcaster" Committee.

Hours: 40 hours per week. Pay: Salary.



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