Multi-State Workers Compensation Billing Manager

We are seeking an experienced Workers Compensation Billing Manager to join our team. The ideal candidate will have a strong background in billing processes and extensive knowledge of the appeals process across multiple states.

As the Workers Compensation Billing Manager, you will play a crucial role in ensuring accurate and timely billing, managing appeals efficiently, and maintaining compliance with state regulations.

Responsibilities :

• Oversee all aspects of workers' compensation billing processes, including invoicing, coding, and reconciliation.
• Develop and implement effective billing strategies to optimize revenue generation and minimize errors.
• Stay up-to-date with state regulations and compliance requirements related to workers' compensation billing.
• Lead the appeals process for denied claims, working closely with insurance carriers, attorneys, and other stakeholders to resolve issues promptly.
• Collaborate with internal teams, including claims management and finance, to streamline processes and improve efficiency.
• Provide training and guidance to staff members on billing procedures and best practices.
• Monitor key performance indicators (KPIs) to evaluate billing performance and identify areas for improvement.
• Prepare reports and presentations for senior management to communicate billing trends, challenges, and opportunities.

Qualifications :

• Bachelor's degree in Business Administration, Finance, Healthcare Management, or related field.
• Minimum of 5 years of experience in workers' compensation billing, with a focus on multi-state billing and appeals.
• Experience billing Durable Medical Equipment (DME) is highly desirable.
• In-depth understanding of workers' compensation regulations and compliance requirements across multiple states.
• Strong analytical and problem-solving skills, with the ability to identify billing discrepancies and implement corrective actions.
• Excellent communication and interpersonal skills, with the ability to collaborate effectively with internal and external stakeholders.
• Proficiency in billing software and Microsoft Office Suite.
• Certified Professional Biller (CPB) or Certified Professional Coder (CPC) certification is a plus.
• Leadership experience preferred, with a track record of managing teams and driving results.

Benefits :

• Competitive salary commensurate with experience
• Comprehensive benefits package, including medical, dental, and vision coverage
• 401(k) retirement plan with company match
• Paid time off and holidays
• Professional development opportunities

Salary :

• $60,000 - $80,000 USD
• Based on experience

If you are a motivated professional with a passion for excellence and a proven track record in workers' compensation billing, we encourage you to apply for this exciting opportunity.

Join us in making a difference in the lives of our clients and their employees!

About Us : Innovative Medical Management is a leading Revenue Cycle Management company dedicated to providing exceptional services and support to our clients.

With a commitment to excellence and innovation, we strive to deliver top-tier solutions in the realm of workers' compensation.

Our dynamic team is composed of passionate professionals who are driven to make a positive impact in the lives of our clients and their employees.