Billing Manager, Reference Laboratory Organization
Job Description
- Oversees overall workflow of the assigned front end billing units; assures that tasks are accurately performed in a timely manner to meet targeted deadlines and goals
- Monitor and resolve unpriceable and unbillable accession issues, and communicate status and updates regularly
- Audit individual payor and client reports regularly to ensure quality and effectiveness
- Monitor and resolve claim rejection issues, working cross functionally and interdepartmentally to identify payer requirements, perform system updates, resolve enrollment and contracting issues, process clearinghouse and payer rejections, and communicate training or business opportunities
- Review various reports, including unbilled AR and clearinghouse claim rejections, to identify trends, gaps, and problem areas for review and plan improvement
- Assist with technology implementation (automation), including project planning and management, performing QA and necessary approvals, and communicating changes
- Regularly report on team effectiveness to establish production and quality standards
- Handle escalated issues with clients, physicians, payers, and vendors
- Train and coach team members; provide performance feedback and discuss goals monthly
- High School Diploma required, Associates Degree preferred
- At least seven (7) years demonstrated financial services management experience within a healthcare setting; specifically, medical billing expertise
- Thorough knowledge of the complete Revenue Cycle
- In-depth understanding of molecular diagnostic billing requirements, payer billing rules, payer coverage and medical policies, and client customer service
- Working knowledge of appropriate coding systems, CPT ICD-10 and HCPCS, LCD/NCD, and other billing requirements for clean claim submission
- Champions new initiatives: acts as a catalyst of change and stimulates others to change; paves the way for needed changes; manages implementation effectively
Date Posted
06/11/2024
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