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Billing Operations Manager

2 months ago

Linthicum Heights Maryland, United States Anne Arundel Dermatology Full time
About the Role

We are seeking a highly skilled and experienced Billing Operations Manager to join our team at Anne Arundel Dermatology. As a key member of our revenue cycle team, you will be responsible for overseeing all aspects of the billing process, ensuring accurate and timely submission of claims.

Key Responsibilities
  • Lead and manage a team of billing specialists, providing guidance, training, and support.
  • Assign tasks, monitor workflow, and ensure team productivity.
  • Conduct regular performance evaluations and provide feedback.
  • Oversee the entire billing process, including charge entry, claim submission, denial management, and payment posting.
  • Ensure accurate and timely submission of claims to insurance companies, government payers, and patients.
  • Monitor and manage accounts receivable to optimize cash flow.
  • Ensure compliance with all healthcare billing regulations, including HIPAA, CMS, and other relevant guidelines.
  • Stay updated on changes in billing and coding regulations and implement necessary changes.
  • Investigate and resolve claim denials and appeals by working closely with insurance providers and billing staff.
  • Monitor and manage outstanding claims to facilitate prompt payment.
  • Maintain detailed and accurate records of billing activities.
  • Generate reports on billing performance and communicate findings to the team and to leadership.
  • Facilitate collaboration between teams, including coding, insurance verification, and patient services, to resolve billing-related issues.
  • Communicate with patients regarding billing inquiries and payment arrangements.
Requirements
  • 5+ years of proven leadership and team management skills required.
  • 3+ years of experience in medical billing within a multistate environment required.
  • Experience working for a PE-backed organization is strongly preferred.
  • Proficiency in medical billing software and electronic health records (EHR) systems required.
  • In-depth knowledge of healthcare billing regulations and coding (CPT, ICD-10, HCPCS) required.
  • Intermediate to Advanced Excel skills required.
  • Strong analytical and problem-solving abilities.
  • Excellent communication skills, both written and verbal.