Billing Operations Manager

Position Summary:

The Billing Operations Manager provides overall leadership and vision to the assigned direct reports. This role provides strategic direction, process improvement and workflow direction, and team/ leadership development for the billing office. The Billing Operations Manager oversees the daily operations of the billing department, ensuring efficient and accurate processing of all invoices, claims, and payments. This role is responsible for managing the billing staff, coordinating with other departments to resolve billing discrepancies, and ensuring compliance with all regulatory and insurance requirements.

The ideal candidate will have strong organizational, leadership, and communication skills, with a deep understanding of billing systems and processes. The Billing Operations Manager plays a key role in maintaining the financial integrity of the organization and ensuring timely and accurate revenue collection.

Essential Duties & Responsibilities:

Conduct and administer monthly financial reporting.

Direct, supervise and evaluate work activities of front-end billing office departmental staff

Direct or conduct recruitment, hiring and training of personnel.

Establish work schedules and assignments for staff, according to workload, space and equipment availability.

Develop and maintain computerized record management systems to store and process data such as personnel activities and information, and to produce reports.

Meet with assigned staff on a routine basis to evaluate work performance and provide feedback and establish goals and expectations in team and individual setting

Ensure departments complete work timely for month-end close

Maintain thorough understanding of front-End departments, workflow, and processes as well as serve as a resource for escalations from Front End departments.

Familiar with NRS payers and Back End departments, serve as a backup resource for escalations from Back End departments.

Work individually and in a team to meet individual and departmental goals

Familiar with different insurance contracts/payers we handle and keep abreast of any changes with these contracts

Attend annual training sessions and/or competency tests

Share accountability in completion of tasks that drive NRS metrics, such as improvement in 3rd Party Billing %, DSO, and Aging AR.Miscellaneous duties and projects as needed based upon needs of the Billing Office department(s) and/or Senior Leadership or the organization as a whole.

Qualifications:

Education:

High School diploma or general education degree required, bachelor’s degree in business administration, accounting or related degree preferred.

Experience:

6-8 years of management/leadership experience and 3-5 years of medical terminology/billing experience required; previous experience in HME billing, process and workflow improvement, and team/leadership development is strongly preferred.

Language Skills – Ability to speak and communicate well with clients and employees.

Mathematical Skills – Ability to add, subtract, multiply, and divide in all units of measure.

Time Management – Ability to work independently, organize and manage multiple priorities with little supervision

Safety/Security – Actively promotes and personally observes all safety and security procedures, and uses all equipment and materials properly

Physical Demands:

Sitting – Constant (up to 8 hours per day)
Typing – Constant (up to 8 hours per day)
Talking/Hearing/Seeing – Constant (up to 8 hours per day)
Use of both hands and fingers – to feel, touch and type Equipment Used:

Computer, keyboard, mouse, telephone, headset, other miscellaneous office supplies.

Work Environment:

Indoors - temperature-controlled office DISCLAIMER:

This description is intended to describe the essential job functions and the essential requirements for the performance of this job. It is not a complete list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.
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