Medical Billing Account Manager

POSITION: Medical Billing Account Manager

ROLE SUMMARY: The Billing Account Manager serves as a liaison to the senior management team; organizes and coordinates billing outreach and oversees special projects. The Billing Account Manager must be creative and enjoy working within a team-oriented environment that is mission-driven, results-driven and proactive.

PRIMARY RESPONSIBILITIES:

• Assist with onboarding of new clients to include: procuring necessary data, ensuring payer and payment information is accurate, assisting leadership with the set-up of database tables and mapping functions
• Plan, implement, evaluate, and administer all Revenue Cycle strategies and processes, including authorization, eligibility and benefits verification, claims submission, payment posting for ERA’s, denial management, accounts receivable follow-up, reporting and aged claims
• Maintain provider enrollments with payers
• Ensure billing for all current and new medical service lines is accurate, consistent, and will achieve optimal revenue capture
• Monitor payment processing and ensure billing staff/team is completing all payments in a timely manner; perform root cause analysis and create action plans when they are not as expected
• Report and resolve payment and system issues with urgency, escalating if needed and putting processes into place to prevent similar future issues
• Monitor, respond to, and communicate changes in billing requirements, regulations, and reimbursement rates
• Monitor monthly aging reports, the follow-up of unpaid claims and rebilling efforts by staff
• Review weekly and monthly revenue reports to ensure A/R trends are as expected; perform root cause analysis and create action plans when they are not as expected
• Monitor Productivity metrics for staff assigned to you and your clients; create Performance Improvement Plans when expected metrics are not met
• Develop, implement, and maintain best practice revenue cycle standard operating procedures (SOPs)
• Lead monthly team meetings with staff to review Client challenges/wins and determine next steps if corrections are needed to current processes/policies
• Work with other members of the management team to develop continuous process improvement strategies and priorities improve the quality of and efficiency of revenue cycle outcomes
• Work closely with the Practice Management System vendor to identify and work to resolve system issues
• Provide training as required to staff regarding billing and other revenue cycle related tasks, standard operating procedures (SOPs).
• Participate in projects or other duties as assigned

REQUIRED SKILLS:

• Strong organizational skills that reflect ability to perform and prioritize multiple tasks seamlessly with excellent attention to detail
• Very strong interpersonal and customer service skills
• Expert level written and verbal communication skills
• Proactive attitude towards problem-solving with strong decision-making capability
• Highly resourceful team-player, with the ability to also be extremely effective independently
• Proven ability to handle confidential information with discretion
• Ability to achieve high performance goals and meet deadlines in a fast-paced environment
• Ability to multi-task
• Must be comfortable presenting reports and metrics to leadership, clients and staff
• Extensive knowledge of payer guidelines and general billing regulations necessary
• Moderate proficiency required with Microsoft applications – Word and Excel
• Minimum of 3 years in medical billing arena
• Minimum of 1 year of management level experience in any industry
• Experience working with all types of third-party payers. (HMO, PPO, Medicare/Medicaid, Worker’s Compensation etc.) and understanding of billing requirements

Job Type: Full-time

Pay: $55,000.00 - $65,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• No nights
• No weekends

Work Location: Hybrid remote in Lorton, VA 22079