Billing manager job description

The Manager, Patient Billing will manage the governmental payer collection and billing functions for patient accounts. Recommends improvements, reduces denials, and facilitates processing and patient accounting operations. Assures claims are submitted to payers for all hospital and related clinics. Oversees the 835 and 837 files received from Payers along with cash management functions. Ensures compliance guidelines are monitored and implemented where appropriate.

The Manager, Patient Billing will consistently demonstrate support of the Shirley Ryan AbilityLab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.

The Manager, Patient Billing will demonstrate Shirley Ryan AbilityLab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and Core Values (Hope, Compassion, Discovery, Collaboration, and Commitment to Excellence) while fulfilling job duties.
Principal Responsibilities

The Manager, Patient Billing:
Manages activities related to the billing of accounts to payers. Develops, recommends and administers policies and procedures for areas of responsibility. Participates in the development of policies and procedures for other Institute areas, which may impact patient accounts. Ensures compliance with Payer requirements including governmental regulations for billing, and recommends procedures related to system and revenue cycle operations. Monitors 835 and 837 electronic transactions for Payers and ensures SRAlab is compliant with standards. Provides support to key operational personnel on implementing new billing requirements by Payers. Monitors governmental payer rejections or denials and reports to the Executive Director of the Revenue Cycle any patterns or trends. Interviews, hires, trains, schedules, and evaluates the performance of subordinate personnel. Monitors and reports productivity of staff for billing to payers and the collection of governmental payers. Works with third party payers to resolve billing issues, remaining cognizant of billing policies in order to expedite payment processing and to ensure internal compliance with changes. Manages the cash applications and cash reconciliation process, working with SRAlab banks and personnel. Prepares or directs preparation of financial reports of the organization's accounts receivables, presenting trends, movements and status to management. Performs all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.
Reporting Relationships


Reports directly to the Executive Director, Revenue Cycle


Knowledge, Skills & Abilities Required


Knowledge of Medicare and Medicaid billing practices, computer systems, basic finance and statistical analysis as normally acquired through progressively responsible work experience. Bachelor's degree in, Business, or another closely related field preferred Minimum 5 years of experience, with at least three years in a supervisory role, necessary to gain full understanding of credit and collection functions, financial analysis and third party payer procedures. Knowledge of Medical Necessity policies for all governmental payers including LCD and NCD. Interpersonal skills necessary to effectively discuss financial problems and arrangements with various Institutes and outside agency personnel. Analytical skills necessary to examine patient accounts detect and resolve problems relating to accounts receivable and prepare and administer policies, procedures and budgets.
Working Conditions


Normal office environment with little or no exposure to dust or extreme temperature.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

SRAlab is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Are you an experienced people leader with a wealth of knowledge in billing best practices and procedures? If so, and you have experience within professional services, this might be the next career move for you!

LaSalle Network has partnered with a top professional services firm in downtown Chicago who is looking for their next
Billing Manager
to join their team. This person will have strong people leadership, SOP experience and be willing to work in the office several times a week. As the
Billing Manager
, you will work closely with the Director of Billing and leaders in finance, including the CFO.


Billing Manager Responsibilities:


Determine priorities and provide billing oversight to billing staff Ensure quality of work and timely completion of assignments Track department productivity and implement procedures to increase effectiveness Oversee the hiring, coaching and performance evaluation of staff Play key role in staff orientation and on boarding Act as a mentor to department staff and assist in staff development Work collaboratively with internal and external billing and collections partners



Billing Manager Qualifications:


Bachelor's degree in business field highly preferred 5+ years of supervisory experience 5+ years of experience working in professional services billing


If you are ready for your next management role at a leading organization, I encourage you to apply to this
Billing Manager
position! Our client provides benefits and competitive salary, as well as a collaborative team environment that is ready to work and get the job done!

Thank you,

Jordan Marks
Senior Recruiter, Accounting and Finance
LaSalle Network


Keywords and Related Terms:
a/r , receivables , billing , professional services , aderant , elite , elite 3e , AR , client billing , finance , supervisor , manager , management #LI-CTAFDH

LaSalle Network is an Equal Opportunity Employer m/f/d/v.

LaSalle Network is the leading provider of professional staffing and recruiting services. LaSalle has worked with more than 10,000 companies, ranging from Fortune 500s to start ups. With units specializing in accounting and finance, administrative, marketing, executive search, technology, supply chain, healthcare revenue cycle, call center, and human resources, LaSalle serves companies of all sizes and across all industries.

The Chargemaster Manager is responsible for assessment of individual and departmental compliance issues and reporting any non-compliance through the Service Line structure. Works closely with other Revenue Cycle Departments and Service Line departments to provide accurate, critical information needing immediate attention to expedite compliance and recommend revenue cycle improvements. This person will read, interpret, and distribute payer coding and reimbursement information to all departments affected to ensure regulatory compliance, as well as recommends and implements pricing changes to optimize CPT / DX codes and all other payer reimbursement.
Job Relationships


Reports to Director of Revenue Integrity


Principal Responsibilities


Assessment of individual and departmental compliance issues and reporting any non-compliance through the revenue cycle organizational structure. Works closely with other Revenue Cycle Departments and Service Line departments to provide accurate, critical information needing immediate attention to expedite compliance and recommend revenue cycle improvements. This person will read, interpret, and distribute payer coding and reimbursement information to all departments affected to ensure regulatory compliance, as well as recommends and implements pricing changes to optimize CPT / DX codes and all other payer reimbursement. Manage assigned staff related to the implementation of charge master, transaction codes, and price updates as appropriate Monitor changes requested to charges, transaction codes, charge workflows and Allscripts system charging functionality. Identify potential revenue, claims, and compliance issues related to prices and charges. Work collaboratively with Finance, Reimbursement, Operations, Revenue Cycle, Information Systems & Technology, Compliance, and other stakeholders to identify charge master requirements and updates required based on changes to regulatory, coding, and contractual requirements. Develop and maintain written procedures related to establishing, maintaining, and monitoring charge processes. Establish controls and perform periodic monitoring and validation of procedures and workflows to ensure compliance with policies and procedures developed. Develop, maintain, and distribute meaningful management reports and action plan necessitated by performance noted in reports. Assist as necessary with audits and investigations conducted by Legal and Internal Audit departments. Initiate, support, and participate in continuous quality improvement initiatives. Perform data quality reviews on individual department chargemasters to validate CPT and HCPCS Level II code and modifier assignments, All CPT grouping appropriateness, missed procedures and ensures compliance with all Telemedicine mandates and outpatient reporting requirements. Coordinate the annual updating of CPT codes. Monitor compliance with department, and administrative directives. Keep abreast of new technology in chargemaster analysis and other future issues impacting the chargemaster function. Provide and/or arrange training of coding within the chargemaster to ensure compliance. Ensure compliance with all Federal, State, and local regulations. Responsible for reports, studies, analyses, or projects as requested by the VP of RC/CFO. Responsible for all aspects of managing and leading a team including interviewing, hiring, training, developing, directing work and processes, managing performance, recognizing, and rewarding employees.


Education/Experience


Bachelor's Degree in Business, Accounting, Finance or Health Administration preferred. Coding certification required. Three to Five years management experience in healthcare accounting, finance or revenue cycle. Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines, government payer regulations. Must have revenue code and CPT coding knowledge. Demonstrated knowledge of hospital pricing/charging and claims/reimbursement requirements and processes. Rural Health care billing experience a plus. Demonstrated success managing, monitoring, and optimizing information systems related to pricing, charging, and charge master systems and applications. Ability to interpret and implement regulatory standards.


Licenses/Certifications


Bachelor's Degree in Business, Accounting, Finance or Health Administration preferred. Coding certification required. Three to Five years management experience in healthcare accounting, finance or revenue cycle.


Knowledge, Skills and Abilities


Excellent interpersonal and communication skills to positively interact with a variety of personnel, including administrative and management staff. Highly skilled experience and knowledge of Windows-based software required, including but not limited to Microsoft Windows, Excel, and Access. In addition, working knowledge of Allscripts/TW/Curves reports, Experian, RCX Proficient skills to collect, organize and analyze data, produce meaningful reports, and recommend improvements and solutions.


Working Environment


Onsite


PHI/Privacy Level


HIPAA 4