Billing Manager

Oversees the planning and management of the billing functions for the agency.

Responsibilities

·        Ability to track, forecast and explain revenue cycles. Comfortable with various analysis, budgeting and financing reporting. Proficient in using billing software, EMR’s and financial reporting tools.

·        In-depth understanding of Medicare, Medicaid, and private insurance rules, including coverage policies, prior authorizations, and reimbursement structures. Familiarity with CPT/HCPCS coding, EOB’s and denials management.

·        Ability to analyze complex billing data and identify trends, discrepancies and errors. Preparing monthly revenue reports for leadership, strong problem solving capabilities,  investigates denials and develop correction actions, resourceful in finding solutions to claim issues, able to adapt to payer changing rules, healthcare policies and reporting needs.