Miami, Florida, United States
8 hours ago
Billing Manager
We save lives while providing the opportunity for people to realize their healthy selves. Billing Manager Monte Nido Remote Monte Nido has been delivering proven treatment for eating disorders for over two decades. Our model of treatment blends the personalized and medically sophisticated care for which we are known with the latest research and strategies for those overcoming eating disorders. Our treatment setting is intimate with a high staff to client ratio, and an emphasis on individual therapy and highly-individualized treatment. The Billing Manager is responsible for overseeing and managing all aspects of the billing process at Monte Nido & Affiliates. Reporting to the Director of Revenue Cycle Management, the Billing Manager ensures the efficient, accurate, and compliant billing of services provided across the organization’s residential treatment facilities. The role will lead a team of billing specialists, optimize billing processes, and work collaboratively with clinical and financial teams to maximize revenue and minimize billing discrepancies. Total Rewards: Discover a rewarding career with us and enjoy an array of comprehensive benefits! We prioritize your success and well-being, providing: Competitive compensation Medical, dental, and vision insurance coverage (Benefits At a Glance) Retirement Company-paid life insurance, AD&D, and short-term disability Employee Assistance Program (EAP) Flexible Spending Account (FSA) Health Savings Account (HSA) Paid time off Professional development And many more! We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Responsibilities Include: Team Leadership and Management: Supervise and mentor the billing team to ensure timely and accurate billing procedures. Provide ongoing training and support to billing staff to maintain high levels of performance and knowledge. Perform regular performance evaluations and manage team development. Billing Operations Management: Oversee the day-to-day operations of the billing department, coding, claims submission, . Ensure all billing is compliant with relevant healthcare regulations, including HIPAA, payer policies, and industry best practices. Manage the creation, review, and submission of clean claims to insurance companies, government payers, and other third-party payers. Revenue Cycle Optimization: Analyze and monitor billing and coding metrics to identify trends and areas for improvement. Collaborate with the Director of Revenue Cycle Management to implement best practices for billing efficiency, reducing denials, and enhancing reimbursement processes. Identify and resolve billing discrepancies, ensuring the accurate coding of services provided. Financial Reporting and Documentation: Generate regular reports related to billing performance, clean claims, denials, and for leadership review. Work with the finance department to ensure accurate financial reporting and contribute to month-end close processes. Denial Management and Resolution: Providing leadership to the team in identifying denial trends and taking corrective actions. Develop and implement processes to reduce denials and improve the overall claim acceptance rate. Collaboration with Clinical and Administrative Teams: Work closely with clinical and administrative staff to ensure accurate documentation, timely charge entry, and adherence to payer requirements. Assist in the education of clinical and administrative teams on insurance requirements, billing processes, and documentation best practices. Qualifications: Bachelor’s degree in healthcare administration, business, accounting, or a related field preferred. At least 5 years of experience in medical billing or revenue cycle management, with at least 2 years in a supervisory or managerial role preferred. Experience in behavioral health, mental health, or residential treatment settings is highly preferred. Proficiency in billing software and electronic health record (EHR) systems, with knowledge of industry-standard codes (CPT, ICD-10, etc.). Strong understanding of medical billing, coding, insurance policies, and healthcare reimbursement. Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) certification is a plus. Proven ability to manage a team, develop staff, and foster a collaborative work environment. Excellent problem-solving, analytical, and organizational skills. Strong attention to detail and accuracy, particularly in the handling of sensitive patient information. Ability to effectively communicate with diverse teams, insurance providers, and external vendors. #montenido #LI-REMOTE
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