Billing Manager

Company: Wedgwood Christian Services
Location: Grand Rapids
Posted on: May 23, 2023

Job Description:

JOB GOAL: The Billing Manager manages all activities, including staff and staff training in the billing department, and oversees the development and implementation of policies and procedures that ensure timely and accurate billing. The Billing Manager is also responsible for keeping A/R to a minimum as set forth in established goals, for follow-up with patients and third-party payers, and for all claim's submissions, collections, and payment postings in a timely manner.RESPONSIBILITIES:Billing for Community/Residential ServicesWork with Admissions, Residential and Community staff to assure that client demographic is accurate in EMR system.Maintain financial data, including 3rd party insurance and special arrangement billings in the EMR system.Prepare and bill for residential/community client services in accordance with funding sources parameters and 3rd party guidelines.Apply cash to client accounts in a timely and accurate manner.Post invoices and payments.Generate billings, automated and manual. Submit timely secondary billings.Responsible for the distribution of monthly client statements.Resolves patient complaints and requests regarding insurance billing in a courteous manner, initiates accurate account adjustment/payment arrangements.Manage the AR Aging and collections process. Generate bad debt write-offs, as appropriate.Coordinate daily operations and training of Accounts Receivable/ Billing Dept.Supervise staff of 4 or 5 employees in the department. Carry out supervisory responsibilities in accordance with the agency policies and applicable laws, including appraising performance, addressing complaints, and solving problems.Train Account Receivable Specialists and Medical Billing Specialists/Insurance Verifier/ Authorizations team a required (both new hires and on-going trainings as needed) including planning, assigning, and directing work.Month End and Year End ProcessesAssist Accounting Manager as needed with month-end process to close the month in the EMR system.Assist with preparing information needed for the annual financial audit.Plan, implement, evaluate, and administer all Revenue Cycle strategies and processes, including authorization, eligibility, and benefits verification, claims submission, payment posting, denial management, accounts receivable follow-up, reporting, and aged claims.Maintain and update the billing modalities in the EMR system.Work with Contracting and Program Supervisors to ensure proper set up for new programs.Ensure billing and coding for current and new programs are accurate, consistent, and maximize revenue opportunities.Provide technical expertise and assistance with the development, implementation, and ongoing maintenance of the agency policies and procedures relating to all aspects of billing, coding, and revenue cycle.Identify and implement policy improvements.Provide technical expertise and assistance/training to Quality, Contracting, Licensing, Credentialing, Compliance Program personnel, Human Resources, and others within the organization as it relates to:Governmental rules and regulationsBilling and coding requirementsUse of the EMR systemTraining Program leadership and their staff regarding governmental rules and regulations, billing, and coding requirements, and use of the EMR systemMaintain positive internal and external customer service relationships.Work collaboratively with other departments to solve issues and questions that may arise.Maintain open lines of communicationDemonstrates team behavior and promote a team-oriented environment within the agency.Complete other tasks, projects and responsibilities as needed and/or assigned.QUALIFICATIONS:5-10 years' experience in medical billing and coding with additional specialized training with emphasis in insurance billing required.Formal training or certificate in coding required.Degree in Health Information Management preferred.Experience with computer-based accounting systems required, proficient with Microsoft Excel. Experience with Access and Microsoft Word helpful.Subscription to the Statement of Faith of Wedgwood Christian Services and agreement with the goal, purpose and objectives of the agency.Employment Status: Full-time, Monday through FridayBenefits:403b Retirement Plan with Employer MatchLow cost medical plans with great coverage optionsHolistic dental and vision plansPet insuranceLegal insuranceFlexible Spending AccountsA Locally Partnered Employee Assistance ProgramCompetitive time offDirect depositQualified Federal Student Loan Forgiveness through PSLFPaid HolidaysWe also offer a variety of employer paid benefits for full time staffShort term disabilityLong term disabilityLife insurance up to 2x your annual salaryWedgwood is proud to offer a full gymnasium with an attached 24hr wellness center that houses a wide variety of workout equipment. Wedgwood is happy to provide this space to our staff at no cost.Through community partnerships, Wedgwood employees and in some cases family members, are eligible for application and tuition fee discounts for several local colleges and universities.Wedgwood Christian ServicesSince 1960, Wedgwood Christian Services has been dedicated to aggressively taking on the toughest problems facing children and families through residential care, counseling services, and community programs. Our goal is to support and help restore the physical, social, intellectual, emotional and spiritual well-being of children, adults, and families in our community.Mission: Wedgwood Christian Services extends God's love to youth, adults, and families through professional counseling and educational services.Core Values: Integrity, Compassion, Excellence, and Diversity

Keywords: Wedgwood Christian Services, Grand Rapids , Billing Manager, Executive , Grand Rapids, Michigan