Manager - Finance

Details: JOB SUMMARY The Third Party Billing & Accounts Receivable Manager manages the third party billing, accounts receivable and collections functions.   REQUIREMENTS/EDUCATION AND EXPERIENCE/QUALIFICATIONS Bachelor’s degree in healthcare administration or in a related field plus a minimum of 5 years of managing a third party billing and collections is required.  In-depth knowledge of state, federal billing regulations and requirements in medical and behavioral health billing is also required. Certified Medical Biller/Coder designation is highly preferred. Proficiency in Microsoft Office applications, excellent verbal and written communication skills, analytical and problem solving skills.  Strong background in customer service and team building and management.  MISSION STATEMENTWheeler Clinic fosters positive change in the lives of individuals and families, as well as in communities. We provide cutting-edge human services that address a diverse range of needs and backgrounds, enhance strengths and provide the supports that encourage recovery from challenges for a satisfying life in the community. ESSENTIAL DUTIES AND RESPONSIBILITIESEnsures all billing and follow up is performed timely and accurately to prevent/limit potential claim denials, avoid issues with timely filing deadlines and maintain compliance with federal, state and local regulations and contracts.  Develops, implements and ensures compliance with revenue management policies, controls, procedures and best practices.Monitors charge and payment processing and collection operations for compliance with established polices, regulations procedures and standards.  Manages actions related to delinquent accounts, adjustments and write offs.  Monitor charge and payment processing to ensure timely filing, accurate coding, and posting.  Ensures all secondary and rebilling is conducted timely and contractual adjustments are adjusted in the fee matrix and applied to client accounts timely. Review/monitor month end reports (aging, charges/receipts, write offs, adjustments, late charges and unclosed encounters (batch error handler), collection percentage, payer mix and days in AR.).  Meets weekly or more frequently as required with CFO, managed care and billing to identify issues to timely billing and maximization of third party revenue.  Proactively identifies process efficiencies, automation opportunities and improvements.  Maintains routine, productive communications with IT to address fee matrix set up and processing efficiencies, electronic billing, and ensures the smooth operation of the third party billing software.  Hires, supervises, coaches, mentors and develops billing unit staff.  Promotes and supports a team approach and a positive work environment.   Proactively identifies specific problematic payer trends and develops and implements plans to maximize collections.  Maintains weekly communication with CFO reporting accurate data on the aging, collection barriers and action plans to address problem accounts. Maintains up-to-date expertise and knowledge of mental health billing laws, regulations and developments necessary for the organization to make informed business decisions.Identifies trends and effective, collaborative communications with Chief Operating Officer, department Vice Presidents and Directors regarding any adverse trends and opportunities for improvements.  Monitors communications, follow up activity and interface between billing unit staff and clinicians for effectiveness and timeliness.  Oversees an effective, customers service oriented response to inquiries regarding billing and authorization questions, account balances, payment arrangements and refunds from consumers,  payers and clinic staff.    Affirmative Action/Equal Opportunity Employer

View the original article here