Billing Manager

Location: Madeira Beach, FL
Date Posted: 04-01-2018
This recognized chemical dependency treatment facility is seeking a full-time Billing Manager. Candidate must be organized energetic individual who is responsible for developing and maintaining all utilization review, insurance billing and collecting procedures to ensure maximization of cash flow for the facility.
 
Requirements:
  • Manages the operations of the billing department, encompassing medical coding, charge entry, claims submission, payment posting accounts receivable follow-up, and reimbursement management.
  • Manages the operations of the Utilization Reviews including precertification, concurrent review and peer reviews for proper authorization of services from insurance companies.
  • Oversee billing/rebilling to insurance companies for accuracy and timely filling.
  • Following up with insurance companies on denied claims and working on a resolution to get the claims paid in a timely manner.
  • Oversees collections and reviews aged receivable on a regular basis to ensure accurate and timely collection.
  • Oversees the verification of insurance for clients and potential clients as well as reports summary of these benefits to appropriate staff members.
  • Oversees the collection of insurance information from new clients or from appropriate staff member before arrival or upon admission of a new client.  
  • Reviews all insurance outgoing correspondence.
  • Audits paid accounts before closing to ensure receipt of maximum payment. 
  • Maintains a spreadsheet containing insurance information and authorization detail while client is in treatment.
  • Responsible for continuing education to keep up with Insurance billing changes and trends.
  • Reports financial status of clients to C.E.O on a weekly basis.
Required education:
  • Bachelor’s
Required experience:
  • Must have for 5 years of Substance Abuse/Mental Health medical billing and coding with a deep understanding of medical billing rules and regulations.  
  • Must have at least 5 years’ experience as an Insurance/Billing Manager in a Chemical Dependency setting.  
 
Must pass Level II Background Screening and Drug Screening.
 
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