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Title

Medical Billing Manager -LTACH (HRG) 

EOE StatementCPSI is a proud equal opportunity employer (EOE). However you identify and whatever background you bring, we welcome you to apply to any role that would make you excited to work in healthcare. All employment decisions are based on business needs, job requirements and individual qualifications, regardless of race, color, ethnicity, religion, sex (including pregnancy, childbirth, lactation, or related medical conditions), national origin, ancestry, age, marital status, sexual orientation, gender identity and expression, disability, veteran status, military or uniformed service member status, genetic information, or any other status protected by applicable federal, state, local, or international law. We are committed to being a company where people thrive by being themselves and are inspired to do their best work every day.
 
Description

TruBridge is seeking qualified candidates to fill a Billing Manager position. Ideal candidate must have a strong background in overseeing claims production, billing, follow-up, collections, cash receipts/adjustments, and compliance with third party payer regulations. The Billing Manager should have comprehensive knowledge of revenue cycle operations. The position is responsible for personnel development and initiating disciplinary action according to policy.

Essential Functions:

  • Possess complete understanding of the billing/collection process to resolve complex, outstanding claims.
  • Ensures accounts are billed accurately and timely by providing proactive oversight and direction for billing and collections.
  • Provides operational oversight for the Billing Supervisor, mentoring them in their responsibilities
  • Maintains current knowledge of hospital billing systems and government payer systems, including applicable federal/state laws and regulations, as well as all aspects of third party reimbursement policies and practices
  • Demonstrates ability to supervise, train and motivate employees, as well as a professional attitude in relating to executive management, professionals and third party insurance carriers.
  • Organizes and leads efforts to maximize operational efficiency and optimize reimbursement, as well as monitors denials and provides education and reporting to the areas regarding the effect of denials from their areas.
  • Reviews all statistical reports to monitor trends, determine operational deficiencies and implement corrective action plans as necessary
  • Exhibits excellent leadership and self-direction, good judgement in handling difficult situations and good organizational, time management, interpersonal and conflict resolution skills.
  • Assures that confidentiality of patient information is maintained without exception
  • Attends all required meetings and activities, maintaining a professional affiliation to stay abreast of current trends and changes in legislation and industry best practices.
  • Liaise with facility management and operates as the lead point of contact
  • Implements, and monitors the department budget. Assures that revenue, expenses, contribution margin and FTE’s meet or exceed budget; prepares and submits budget and related reports; forecasts and accurately projects expenses; takes corrective action to address negative variances
  • Responsible for accuracy of customer invoices, and creating the invoices monthly
  • Understanding the contract terms and insuring we stay within those terms
  • Performs all functions from the Management Expectations List & all other duties assigned

 

 
Position Requirements

 

  • High school graduate or GED equivalent
  • Associates or Bachelor’s Degree preferred
  • 5 years previous hospital billing experience
  • 2 years Medicare hospital billing experience preferred
  • LTACH Experience preferred
  • Working knowledge of insurance regulations, procedure and diagnosis coding and automated insurance billing
  • Excellent communication (written and oral) and interpersonal skills
  • Excellent critical thinking, organizational and time management skills with a strong attention to detail, accuracy and follow through
  • Must be able to work through issues to resolution
 
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This position is currently accepting applications.

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