Medical Billing Manager

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Our client is a large-scale healthcare provider. They have over four decades of experience providing pharmacy, clinical, and nonclinical care to patients both at home and throughout their community. They focus on quality, innovation, and improving their community as a whole.

They are hiring a Medical Billing Manager to oversee all aspects of the billing process, ensuring efficient operations, and maintaining compliance with relevant policies and procedures. This role will maintain a steady flow of communication, and provide regular training and support to the billing teams.

This Role Offers:

• Company has strong financial standing – parent company over many services and brands.
• Over 40+ years of experience and proven industry success.
• Company on the cutting edge of healthcare technology innovation.
• Massive customer base and a nationwide reputation and presence.
• High employee tenure with low red tape culture. They hire professionals and trust their expertise, giving them room to make tangible impacts.
• Hybrid work schedule: 2 days remote/3 days on-site at North Phoenix, AZ office.

Focus:

• Oversee all aspects of billing operations across multiple service lines, ensuring compliance with healthcare regulations and company policies.
• Foster an environment of continuous learning and development by conducting weekly and bi-weekly meetings, focusing on team performance, skill enhancement, and KPI achievement.
• Effectively plan and manage resources through the maintenance and distribution of comprehensive billing calendars.
• Act as a crucial point of contact during audits, providing necessary billing information and demonstrating adherence to internal controls and procedures.
• Stay abreast of the latest updates and changes in payer bulletins, incorporating this knowledge into the billing process to maximize efficiency and accuracy.
• Proactively participate in processing payer changes, promptly resolving any discrepancies or issues within the billing portal.
• Take responsibility for the reconciliation of unbilled reports, swiftly addressing any missing bill requirements to prevent revenue leakage.
• Uphold the highest standards of accuracy in bill tracking, striving to achieve a 100% assignment rate consistently.
• Advocate for and ensure compliance with company standards, policies, and procedures within the team, fostering a culture of integrity and transparency.

Skill Sets:

• Bachelor’s degree in Accounting, Finance, Business Management, or a comparable field, supplemented by relevant work experience.
• Minimum 3-5 years of experience in healthcare, private insurance, and/or federally funded therapy billing claims.
• Demonstrated proficiency in MS Excel and familiarity with financial software programs.
• Outstanding customer service and communication skills, enabling the effective transmission of information to both internal team members and external payors.
• Proven leadership and supervisory abilities, with a history of managing successful teams and promoting a positive, productive work environment.
• Solid understanding of HIPAA policies, upholding responsible use of confidential information and fostering a culture of privacy and trust.
• Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
• Ability to multitask and work courteously and respectfully with fellow employees, management, and payers
• Experience in reading and understanding remits (explanation of benefits) for denial reasons

About Blue Signal:

Blue Signal is a leading executive search firm specializing in healthcare recruiting. Our healthcare recruiters have expertise in placing high-performing talent in healthcare IT, medical devices, biotechnology, pharmaceuticals, etc. Learn more at bit.ly/3G5DbWr