Principal Duties and Responsibilities:

Complete monthly billing within five (5) business days for all entities and locations.Manage 10+ member billing team performance including setting regular goals, setting productivity standards, carrying out performance evaluations and recommend necessary actionsRun weekly staff meetingsSupervise the billing operationsInsurance eligibility and authorizationPreparing claim for submission (including coding)Address and resolve coding-related billing issues by consulting with other departments (techs, nurses, clients) to clearly understand patient’s recordsTrain, allocate work, and resolve problems among billing personnelSubmit billing to insurance and facilitiesPosting paymentsResponsible party billingRejections, denials, appeals, resubmissionsReimbursement managementIdentify opportunities for insurance credentialingRelated to medical record request and CERTsWork closely with All-Stat’s Finance Dept to project go-forward staffing needsConduct new employee interviews.Spearhead cross-training of billing employeesCarry out analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing staffCarry out audits of current procedures and processes, billing operations improvements and coordinate necessary actionsEnsure quality and appropriate trainings are provided to newly hired and existing billing staff through effect supervision and coordination of the training process, and by adhering to established company standard operating proceduresCollaborate with other departments (including Client Services and Operations) to get and analyze additional information about patients to be able to record and process billing effectively and spearhead opportunities for process improvementsEnsure the billing activities follow payer, State, and Federal requirements, regulations, and guidelinesRemain updated on billing and coding standards and regulationsRemain updated on HIPAA and all other health information management issues and regulationsComply with medical billing and coding policies and guidelinesReport all department concerns and issues to the Director of Revenue for prompt necessary action.Partner with Compliance Department over all billing activities including participating in internal and external audits.

 

Work Experience Requirements

Experience with radiology billingProven ability to perform strategic planning and priority setting for a billing departmentProven track record for improving process efficiencies and solving problemsStrong leadership skills with an ability to motivate 10+ direct reportsDetail oriented.Excellent communication skills both written and verbal, and internal personal skills.Excellent analytical and problem-solving skills.Ability to manage multiple projects concurrently

Preferred

Experience with Mobile Radiology billingExperience invoicing both Medicare part A and part B