Remote Medical Billing and Collections Manager

Summary

Join our startup team as we innovate the care and tools available to neuro-diverse families by delivering quality healthcare with utmost convenience.

Requirements

• At least 6 years of experience in the Medical Billing and Collections, including a minimum of 3 years in a managerial role or higher-level role
• Strong hands-on experience with MS Office - Excel, PowerPoint , Google Workspace, data analysis, and reporting
• Excellent leadership, coaching, delegation, and team-building skills
• $25,000 - $30,000 a year

Responsibilities

• Oversee and manage the daily operations of the medical billing department
• Ensure accurate coding and submission of claims to insurance companies, Medicare, Medicaid, and patients
• Assign and ensure timely claims processing, identifying and resolving any issues that may delay payment
• Regularly review and audit billing processes to ensure compliance with industry regulations and standards
• Develop and implement effective collection strategies to minimize outstanding receivables
• Monitor aging reports and follow up on unpaid or denied claims, coordinating with payers and patients as needed
• Negotiate payment arrangements and manage patient billing inquiries and disputes
• Handle escalated collection issues and coordinate with external collection agencies when necessary
• Supervise, mentor, and provide hands-on training to billing and collections staff, ensuring they meet performance goals and comply with company policies
• Conduct regular team meetings to discuss updates, resolve issues, and continuously improve processes
• Assess staffing needs, participate in hiring, and manage schedules to maintain optimal workflow
• Actively coach and provide constructive feedback to team members, fostering a collaborative and high-performing work environment
• Prepare and analyze detailed reports on billing and collections performance, identifying trends, areas for improvement, and opportunities to optimize revenue
• Report regularly to upper management on key performance indicators (KPIs), including collection rates, denial rates, and days in accounts receivable
• Implement corrective actions based on data analysis to improve financial outcomes
• Ensure that all billing and collection activities comply with federal, state, and local regulations, including HIPAA and other healthcare laws
• Stay updated on changes in billing codes, payer policies, and regulatory requirements, and ensure that the team is informed and compliant
• Work closely with IT and other departments to optimize the use of billing software and systems
• Identify and implement process improvements to enhance efficiency and accuracy in billing and collections
• Manage system updates and ensure staff are trained on new software features or changes
• Develop and execute the strategic plan for the billing and collections department in alignment with the organization’s overall goals
• Provide leadership and direction to billing and collections teams, ensuring effective execution of departmental objectives
• Collaborate with senior management to set financial goals, forecasts, and budgets for the department