Manager Hospital Billing Hospital Billing Lawrenceville NJ

## Manager Hospital Billing - FT
- Day
- Hospital Billing Lawrenceville NJApplylocations:
3131 Princeton Piketime type:
Full time posted on:
Posted Todayjob requisition :
JR109035

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a
** full-time equivalent (1.0 FTE)
** position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).
** Pay Range:**$86,964.80 - $
** Scheduled Weekly

Hours:

** 40
* * Position Overview**## SUMMARY (Basic Purpose of the Job)
Manages overall direction, coordination and evaluation of billing activities associated with hospital third party collections. Supports, oversees and manages performance and productivity of the team as it relates to processes and procedures.## MINIMUM REQUIREMENTS

Education:

Bachelor's degree. A High School diploma or equivalent and additional years of experience may be considered in lieu of a formal Bachelor's degree.

Experience:

Five years of patient accounting experience, including one year of patient accounting supervisory experience, when accompanied by a Bachelor's degree. Nine years of patient accounting experience, including one year of patient accounting supervisory experience, when accompanied by a High School diploma or equivalent.

Other Credentials:

Knowledge and

Skills:

Excellent analytical and interpretive skills. Possesses excellent organizational, interpersonal, verbal and written communication skills. Ability to effectively manage multiple projects simultaneously and ability to aggressively pursue third party payments.

Special Training:

Requires a strong understanding of complex payor contract language and terms. Knowledge of finance systems, basic computer skills. Familiarity with medical terminology, CPT-4 and ICD-10 coding.

Mental, Behavioral and Emotional Abilities:

Usual Work Day:8 Hours## Reporting Relationships Does this position formally supervise employees? Yes If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.## ESSENTIAL FUNCTIONS
* Manages and resolves complex and technical system billing and receivable issues in a timely manner. Meets regularly with staff to discuss, inform and resolve department issues.
* Monitors payer payment methodologies and reports discrepancies to Payer Relations Department. Possesses thorough knowledge of all third-party contracts.
* Attends payer meetings with the Payer Relations Department to bring forth payment and/or processing issues that differ from the terms of the contract.
* Possesses knowledge of workflow system. Remains up to date on all user group assignments, workflow for user groups within the Hospital Billing area. Monitors the data within the workflow and billing systems for gaps and takes appropriate steps for resolution.
* Coordinates and monitors the performance and productivity of hospital billing staff.
* Delegates tasks and responsibilities effectively while ensuring acceptable accounts receivable results.
* Reviews aged and high-balance accounts on a regular basis and provides direction to supervisors and staff.
* Coordinates with leaders of other revenue cycle departments to identify opportunity for improvement to ensure timely, accurate and compliant hospital billing and collections.
* Provides expertise and serves as a liaison to internal departments, all third-party agencies, vendors and payers
* Ensures that claims are processed accurately and completely via the clearinghouse edit process by correcting and validating claims prior to being electronically transmitted.
* Interviews, hires and trains employees as well as plans, assigns and directs workloads; appraises…