Remote Senior 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

• 7+ years of experience in medical billing and collections, with at least 3 years in a leadership or managerial role
• Strong experience in healthcare billing, coding (ICD, CPT, HCPCS), claims processing, and payer regulations, including Medicare and Medicaid
• Proven track record of managing teams and improving billing and collection operations in a healthcare setting
• Demonstrated ability to reduce AR days, improve cash flow, and optimize revenue cycle processes

Responsibilities

• Oversee and manage the daily operations of the medical billing department, ensuring the accurate and timely submission of claims to insurance providers
• Ensure proper coding practices and compliance with payer requirements to optimize reimbursement and minimize claim rejections
• Assign, monitor, and prioritize claims processing, proactively resolving issues that may delay payments
• Conduct regular audits of billing processes to ensure alignment with industry regulations, including ICD and CPT coding standards
• Develop and implement strategies to minimize outstanding receivables, ensuring consistent cash flow
• Monitor aging reports, following up on unpaid or denied claims, and coordinate with payers or patients to resolve payment issues
• Negotiate payment plans with patients, handle escalated billing inquiries, and manage disputes with professionalism
• Oversee external collection agency relationships and ensure appropriate escalation procedures are in place for unresolved accounts
• Lead, mentor, and provide hands-on training to the billing and collections team, ensuring adherence to company policies and achievement of departmental performance goals
• Conduct regular team meetings to review key performance metrics, share updates on policy or procedural changes, and foster continuous process improvement
• Assess staffing needs, participate in recruitment, and manage team schedules to maintain optimal departmental productivity
• Offer constructive feedback and actively coach team members to create a collaborative and high-performing environment
• Generate, analyze, and present detailed reports on billing and collections performance, identifying trends, opportunities, and areas for improvement
• Report key performance indicators (KPIs) to senior management, including collection rates, denial rates, and days in accounts receivable (AR)
• Leverage data analysis to implement corrective actions and optimize revenue cycle performance, ensuring timely and accurate financial reporting
• Excel in data manipulation and provide clear, actionable insights through reporting tools

Benefits

Work from home