Billing and Collections Manager

Billing and Collections Manager
In Burbank, California 91505

Job Description

Workway is a professional staffing firm, working with organizations across the country to place exceptional candidates. We are looking for a Billing and Collections Manager responsible for the specific duties listed below:

  • Hands-on manager with demonstrated experience building and motivating teams
  • Effectively oversee and manage performance of billing and collections staff. Provide direction and guidance in work assignments and ensure the timely and accurate completion of tasks, while maintaining exceptional standards of excellence 
  • Establish and maintain billing and collections processes to ensure claims are processed and paid on a timely basis with the goal of keeping DSOs below 60 days
  • Review correspondence and EOBs timely while identifying and correcting billing errors and resubmitting claims via the appellate process
  • Actively review and audit all funding sources on a weekly basis to ensure all service codes and payers are active and correct
  • Meet with Operations Staff and Clinical Director(s) of Intake/Authorizations for issue resolution
  • Review of and correction of all claims/errors through the clearinghouse 
  • Review of all outstanding and unbilled claims, communicating with appropriate teams to resolve
  • Work closely with the accounting team to develop revenue accruals, reconciliation process for EOBs, posting of cash receipts, and all other related topics
  • Ensure that all month end payments are posted, and billing is complete by the 5th of the following month
  • Ensure that all month end patient billing is complete and sent out by the 8th of the following month
  • Collect on all accounts Coordinate activities with authorizations and intake team as well as clinical teams to ensure billing functions are timely, accurate, and in compliance with established policies and procedures
  • Handle in-house inquiries related to insurance billing concerns, collection law and insurance protocol. Provide training and consultation to clinical team and billing staff to ensure accuracy of medical coding for both compliance and maximum reimbursement
  • Respond timely to audit requests from insurance carriers, agencies, municipalities, Medicaid, financial auditors and others
  • Stay current with insurance carrier changes at both the State and Federal levels to ensure accurate billing
  • Actively involved in complex payer issues and continuously look for opportunities to improve and create synergies
  • Communicate with team members from other areas of the company as well as external sources.
  • Ad hoc reporting and analysis as needed.
  • Other duties as assigned

Specific qualifications for the position include

  • Five years supervisory/management experience in health care setting with strong knowledge of medical collections and understanding of HCFA-1500 claim forms and appeals processes
  • Recent experience with Central Reach Practice Management software or similar software preferred
  • Knowledge of CPT & ICD-10 Coding
  • Understanding of all PPO, HMO, Medi-Cal Affiliated Plans, School Districts, and Regional Center Billing Guidelines
  • Expert understanding of EOB’s
  • Proven comprehension of insurance contracts
  • Familiarity with Insurance, Regional Center, and School Authorizations
  • Proficient navigating insurance company websites and gaining required access
  • Demonstrated knowledge of HIPAA rules & regulations
  • Experience working with all payer types including third party commercial insurance companies, Medicaid, private-pay, and school districts
  • Strong analytical and multi-tasking skills, excellent problem-solving skills, attention to detail and follow through
  • Must be able to resolve issues of a routine and complex nature and exercise appropriate judgment to escalate issues to senior management

Let one of our recruiters assist you in finding and preparing for interviews with our clients. Whether you are interested in a direct hire, temp-to-hire, or temporary position, Workway can help you to put your best foot forward. Contact us today! 

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Perla Sanchez
perla.sanchez@workway.com
818-333-1766