Billing Manager

Ophthalmology Optometry Billing Manager

Evenflow Solutions has a client in the Denver area that is looking to add a Ophthalmology Billing Manager to their team.

Evenflow Solutions wants to make your dream job a reality! Come work for a company that offers growth opportunities, strives for excellence and believes that employees truly matter.

These will be ONSITE position working with a fantastic team.

This is a Direct Hire position with our client that offers a generous Benefits Package and a great working environment.

About the position:

The Billing Department Manager will be responsible for leading and managing billing operations including managing billing staff, timely claim filing, insurance claim follow-up, charge posting, reimbursement and insurance overpayments in a manner that is compliant with governmental and payer-specific billing requirements and regulations. This position requires a strong leader with the ability to prioritize, plan and manage the department.

Job duties:

• Managing a large team of Ophthalmology Billers
• Maintaining comprehensive knowledge of all contracted insurance plans and fee schedules including remaining current with fees and reimbursement changes as they relate to contractual agreements.
• Establishing and maintaining contacts with external vendors such as payers, clearinghouse, coding/reimbursement experts.
• Understanding and effectively utilizing billing systems.
• Collaborating with physicians to identify ongoing revenue cycle issues and participating in process improvement initiatives.
• Utilizing analytics to track data regarding payors, rejected claims and A/R days outstanding.
• Demonstrating an understanding of HCFA 1500 claim forms, CPT, ICD10 and HCPCS.
• Maintaining current knowledge of all Federal, State, and compliance regulatory requirements related to billing and insurance.
• Hiring, orientating, supervising, and evaluating Billing staff; initiating and implementing disciplinary action as needed.
• Developing and conducting education/training sessions.
• Creating a positive work environment for staff through team building, coaching, constructive feedback, work delegation, personal example, and goal setting that encourages creativity, open dialogue on work issues, professional growth, and a consistently high level of performance.
• Communicating any problems that are identified concerning any discrepancies in coding levels and documentation.
• Collaborating with others to improve efficiency and operations.
• Educating all departments and staff to meet regulatory compliance.
• Maintaining confidentiality, adhering to all HIPAA guidelines
• Maintaining and supporting evidence-based practices in the Billing/Collections Department.
• Ensuring compliance with national standards and initiatives.
• Promoting individual accountability to the organizations Mission, Vision, Policies, and Procedures.
• Performing other related duties and working on special projects as requested by management.

Job Requirements:

• High School diploma required. Bachelors degree in business/health care administration or related field and a Certified Professional Coder (CPC) credential is preferred or equivalent work experience.
• Looking for someone with Nextgen Experience
• Minimum of 5 years of Medical billing, reimbursement, and revenue cycle experience. Knowledge of insurance claims processing, third-party reimbursement principles, and concepts. Exceptional knowledge of CPT, ICD-9/ICD-10, HCPCS coding, billing & medical terminology. Knowledge of Medicare, OIG, HIPAA, State & Federal statutes, and regulations. Previous supervisory experience required.
• At least 3 years of Management experience leading a team
• Excellent oral communication skills; ability to communicate effectively.
• Must be able to work well independently but ask for help when needed. Ability to analyze and interpret information, ability to interact and decipher information telephonically and electronically.

Evenflow Solutions (ES) is an Equal Opportunity Employer. ES provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.

Job Type: Full-time

Pay: $60,000.00 - $75,000.00 per year

Benefits:

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

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Lakewood, CO 80401: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Ophthalmology or Optometry: 5 years (Preferred)
• NextGen: 3 years (Preferred)
• Management: 3 years (Preferred)

Work Location: In person

Salary : $60,000 - $75,000