Billing Manager

Job Description

Job Description

Description :

Medusind is a leading provider of revenue cycle management solutions to dental, behavioral health, anesthesia, pathology, emergency, surgery, radiology, and other specialties. In January 2023, Alpine Investors, a people-driven private equity firm, invested in Medusind to continue to advance its leadership position as one of the top revenue cycle management companies in the country.

The billing manager is responsible for the daily billing and collection operations, supervises staff, ensures accurate claims and coding, monitors accounts receivable, and maintains compliance with federal and state regulations. Key responsibilities include training and developing staff, identifying, and implementing process improvements, preparing financial reports, and serving as a liaison with insurance companies, clients and internal departments. This position is responsible for ensuring maximization of cash flow while improving patient, physician, and other customer relations.

This position requires the selected candidate to be on site for the first 3-6 months.

Key Responsibilities :

Operations :

• Oversee the operations of the billing department encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management, working to reduce outstanding balances and improve cash flow.
• Serve as the practice expert and go to person for all coding and billing processes.
• Plan and direct patient insurance documentation, workload coding, billing and collections, and the data processing to ensure accurate billing and efficient account collection.
• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulations, guidelines, and requirements.
• Spearhead payor projects, resolving complex billing issues, discrepancies, and claim denials.
• Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
• Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
• Follow up on claims using various systems, i.e. practice management and clearinghouse.

Leadership & Development :

Reporting and Analytics :

Continuous Improvement :

Requirements : Education :

Experience :

Communication & Collaboration :

Collaborative Problem Solving :

Technical skills :

Adaptability and flexibility :

Performance Management :