Medical Billing Operations Manager

2 weeks ago

Lewisville, Texas, United States Guidehouse Full time

Job Summary:

Guidehouse is seeking a highly skilled Medical Billing Operations Manager to join our team. As a key member of our operations team, you will be responsible for overseeing the daily operations of billing and ensuring compliance with regulatory requirements.

Key Responsibilities:

  • Leadership and Training:
    • Oversee multiple client billing operations and billing systems across multiple markets within the US.
    • Ensure that all employees know and understand all State and Federal Rules and Regulations.
    • Provide a working environment which allows employees to communicate ideas for improvement to department. Whenever possible request employee input on policies and procedures that may affect or impact the way their job is performed.
    • Allow employees to attend seminars which will enhance productivity and knowledge.
    • Ensure employees have all the tools necessary to achieve the goals set.
    • Hire and develop staff as departmental needs dictate.
  • Billing:
    • Works with all departments to ensure accuracy of CPT4, HCPCS and Revenue Codes.
    • Provide departments with Medicare and other payer updates, notices and coverage changes which effect both billing and reimbursement.
    • Reviews billing process and systems to ensure the most effective methods are maintained to meet both departmental and facility goals.
    • Institutes changes in techniques and processes as necessary.
    • Works with IT to ensure that all UB/837/HCFA1500 changes are completed to ensure accuracy of billing is maintained.
    • Ensures bill hold in electronic systems meets established goal.
    • Works with Ancillary Departments, Patient Access, Medical Records and Information Systems to ensure clean claim rate meets established goals.
    • Works with both electronic billing vendor and payers to resolve billing issues.
    • Ensures that employees have access to all tools.
    • Reviews 2% of billings for both quantity and quality.
  • Compliance:
    • Educates and ensures that all employees understand Compliance and appropriate procedure for reporting compliance issues for State, Federal and HIPAA.
    • Attends pertinent seminars, internal and external and shares obtained information with staff and other appropriate departments.
    • Reviews and maintain JACHO requirements for billing.
  • Reporting:
    • Responsible for the weekly Key Indictor Reports and Accomplishments Reports which are due every Monday by 12:00pm.
    • Daily electronic and paper claim report.
    • Other reports as requested by management.
    • Weekly report of Late Charge to Departments.

Requirements:

  • University Degree and minimum 5 years of prior relevant experience
  • Understanding of Hospital Medicare processes

Preferred Qualifications:

  • Billing experience with a healthcare provider or an outsourcing company.
  • Previous experience installing/utilizing Relay Health ePremis claims scrubber
  • PC skills in a Windows environment are required.
  • Knowledge and utilization of desktop applications to include Word and Excel is essential.
  • Previous staff supervisory experience

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible 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

  • Healthcare Billing Specialist

    2 weeks ago

    Lewisville, Texas, United States Guidehouse Full time

    Job Family : Healthcare Billing Specialist Travel Required : None Clearance Required : None Key Responsibilities : The Healthcare Billing Specialist is tasked with executing specific billing functions, follow-up procedures, account resolution, adjustments, and documentation as necessary. This role collaborates with various departments to ensure...

  • Healthcare Billing Specialist

    1 week ago

    Lewisville, Texas, United States Guidehouse Full time

    Job Family:Patient Account RepresentativeTravel Required:NoneClearance Required:NoneKey Responsibilities:The Patient Account Representative (PAR) is tasked with executing specific billing functions, conducting follow-ups, resolving accounts, making adjustments, and performing scanning duties as necessary. This role collaborates with various departments to...

  • Billing and Account Resolution Specialist

    2 weeks ago

    Lewisville, Texas, United States Guidehouse Full time

    Job Family: Billing and Account Resolution SpecialistTravel Required: NoneClearance Required: NoneRole Overview:The Billing and Account Resolution Specialist is tasked with executing essential billing functions, follow-up procedures, account reconciliation, adjustments, and documentation as necessary. This role collaborates with various departments to ensure...

  • Mental Health Billing Specialist

    2 weeks ago

    Lewisville, Texas, United States Real Hope Real Help Psychology and ABA Center Full time

    Real Hope Real Help Psychology and ABA Center is seeking a detail-oriented and experienced Mental Health Biller/AR Specialist to join our team. In this role, you will play a crucial part in ensuring accurate and timely billing for our mental health and ABA services. As a Mental Health Billing Specialist, you will work closely with the Chief Biller to manage...

  • Laundry and Linen Operations Manager

    4 days ago

    Lewisville, Texas, United States Medical City Lewisville Full time

    Job SummaryWe are seeking a highly skilled and experienced Laundry and Linen Operations Manager to oversee the daily operations of our environmental services and linen departments at Medical City Lewisville. This is a key leadership role that requires strong management skills, attention to detail, and a commitment to delivering high-quality patient care.Key...

  • Operations Team Supervisor

    2 weeks ago

    Lewisville, Texas, United States Guidehouse Full time

    Job Family:Business OperationsTravel Required:NoneClearance Required:NoneKey Responsibilities:The Operations Team Supervisor serves as an integral part of the client's operational staff, as well as a facilitator of our specialized training initiatives. This role encompasses a variety of responsibilities, including:1) Assisting management in the coordination...

  • Operations Team Supervisor

    2 weeks ago

    Lewisville, Texas, United States Guidehouse Full time

    Job Family :Business OperationsTravel Required :NoneClearance Required :NoneKey Responsibilities :TheOperations Team Supervisoracts as an integral part of a client's operational team, enhancing our tailored training initiatives. Team members will undertake various job-related responsibilities as designated. Team members will deliver training to colleagues on...

  • Medical City Lewisville Registrar PRN

    6 days ago

    Lewisville, Texas, United States Medical City Lewisville Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Registrar PRN to join our team at Medical City Lewisville. As a key member of our revenue cycle team, you will be responsible for ensuring timely and accurate patient registration, verifying insurance coverage, and collecting patient liability amounts.Key ResponsibilitiesInterview patients to...

  • Service Operations Manager

    2 weeks ago

    Lewisville, Texas, United States South Star JCB Full time

    Job OverviewSouth Star JCB is seeking a dedicated Service Manager to oversee our service department operations. This role is pivotal in ensuring that our service team delivers exceptional support while fostering a collaborative and productive work environment.Key Responsibilities:Lead and manage the daily operations of the service department, ensuring all...

  • Operations Manager

    6 days ago

    Lewisville, Texas, United States ACG Texas Full time

    Job SummaryThe IHOP Restaurant General Manager is a key leadership position responsible for overseeing the daily operations of a restaurant. This individual will be responsible for managing the front and back of the house, ensuring profitability and sales growth, while maintaining high standards of quality and service.Key ResponsibilitiesOperations...

  • Healthcare Operations Manager

    6 days ago

    Lewisville, Texas, United States Armina Health Full time

    Job SummaryArmina Health is seeking a highly skilled and experienced Practice Manager to lead our clinical operations and ensure the highest level of patient care and satisfaction. As a key member of our leadership team, you will be responsible for overseeing the day-to-day operations of our clinics, managing performance metrics, and driving business...

  • Service Operations Manager

    2 weeks ago

    Lewisville, Texas, United States South Star JCB Full time

    Job OverviewSouth Star JCB is actively seeking a Service Operations Manager to oversee our service department in a dynamic environment. We are committed to fostering a workplace that values each employee as an integral part of our success. Our competitive compensation and supportive atmosphere make South Star JCB a place where you can thrive.This role is...

  • Aviation Operations Coordinator

    2 weeks ago

    Lewisville, Texas, United States Global Medical Response Inc Full time

    NOW HIRING - FULL TIME DISPATCHERS$21.00-$24.00/HOUR7 Days on/7 Days off - 12 hour shiftsDay and Night shifts availableON THE JOB TRAININGComprehensive Benefits Package: medical, dental, vision, 96 hours Paid time off, holiday pay, 401k with company matchGlobal Medical Response Inc is actively seeking a full-time Aviation Operations Coordinator/Dispatcher to...

  • Restaurant Operations Manager

    6 days ago

    Lewisville, Texas, United States Five Guys Burgers and Fries Full time

    About Five GuysFive Guys is a fast-paced, high-energy restaurant chain that prides itself on serving high-quality food with a big smile. We're looking for a talented Restaurant Operations Manager to join our team and help us continue to grow.Key ResponsibilitiesLead by example and demonstrate a strong work ethic and commitment to excellenceDevelop and...

  • Restaurant Operations Manager

    2 days ago

    Lewisville, Texas, United States Pop Restaurants, LLC Full time

    Job SummaryWe are seeking a highly skilled and experienced Restaurant General Manager to lead our restaurant team at Pop Restaurants, LLC. As a key member of our management team, you will be responsible for driving sales growth, improving customer satisfaction, and maintaining a high level of operational excellence.Key ResponsibilitiesLeadership and...

  • Restaurant Operations Manager

    6 days ago

    Lewisville, Texas, United States ACG Texas Full time

    Job SummaryThe IHOP Restaurant General Manager is a key leadership position responsible for overseeing the daily operations of an IHOP restaurant. This individual will be responsible for managing the front and back of the house, ensuring profitability and sales growth, while maintaining the high standards of quality and service expected by IHOP.Key...

  • Restaurant Operations Manager

    2 days ago

    Lewisville, Texas, United States Soulman's Bar-B-Que Full time

    Job Summary:Soulman's Bar-B-Que is seeking a highly skilled and experienced Restaurant Operations Manager to join our team. As a key member of our management team, you will be responsible for overseeing the daily operations of our restaurant and staff.Key Responsibilities:Manage the daily operations of the restaurant, ensuring seamless execution of our...

  • Restaurant Operations Manager

    4 days ago

    Lewisville, Texas, United States HHB Restaurant Recruiting Full time

    Job OverviewWe are seeking a highly skilled and experienced Restaurant Manager to lead our team at HHB Restaurant Recruiting. As a Restaurant Manager, you will be responsible for overseeing the daily operations of our restaurant, including staff management, customer service, and sales growth.Key ResponsibilitiesStaff Management: You will be responsible for...

  • Maintenance Manager

    4 days ago

    Lewisville, Texas, United States Brookdale Senior Living Full time

    About the RoleWe are seeking a highly skilled and experienced Maintenance Manager to join our team at Brookdale Senior Living. As a key member of our facilities operations team, you will be responsible for ensuring the maintenance and upkeep of our communities, providing a safe and comfortable living environment for our residents.Key...

  • Laundry and Linen Operations Supervisor

    1 week ago

    Lewisville, Texas, United States Medical City Lewisville Full time

    Position OverviewWelcome to the Laundry and Linen Operations Supervisor role at Medical City LewisvilleAre you seeking a professional environment that values diversity and inclusivity? This is an opportunity to become part of a dedicated team within the HCA Healthcare family.BenefitsMedical City Lewisville provides a comprehensive benefits package designed...