Billing Manager - Host Unbilled

Revenue Cycle Service Center
Antioch, TN Full Time
POSTED ON 5/22/2022 CLOSED ON 6/5/2023

Job Posting for Billing Manager - Host Unbilled at Revenue Cycle Service Center

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Manage assigned staff and manages workload and performance
  • Host Unbilled – review and drive the communications to facility to reduce Host unbilled
  • Unbilled Calls - Responsible for handling Host Unbilled escalation
  • Communications - Responsible for having emails distributed to facilities escalating Host Unbilled
  • Analyzes and monitors revenue cycle and accounts receivable metrics focusing on Host Unbilled and Billed Claim metrics
  • Identify opportunities to minimize the daily payer rejections and manage team members.
  • Manages the late charge team members and communicates with facilities to reduce unbilled.
  • Monitors and works with facilities on Readmission report
  • Identify, resolve, and report issues impacting performance objectives
  • Responsible for oversight of billing technology and development of new programming and edit requests to improved processes and gain efficiencies
  • Ensures all Host unbilled reports are worked daily
  • Tracks and communicates unbilled delays and issues for management resolution
  • Manage SSI Coordinator to all edits requests are handle appropriately and consistently across facilities
  • Monitor to ensure all claims download into SSI on a daily basis
  • Serves as SSC contact for hospital stakeholders and participates in all denials, compliance, and other revenue cycle monthly meetings
  • Performs other duties as directed by the SSC Billing Director.

Supervisory Responsibilities:

  • Direct supervision of 10-15 FTEs


QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Knowledge of PFS processes from scheduling through agency placement and final account disposition.
  • Demonstrated successful billing and claims leadership experience
  • Possess strong analytical skills
  • Highly developed written and verbal communication skills.
  • Must be able to work independently in a manner to achieve goals, objectives and productivity requirements.

REQUIRED EDUCATION/EXPERIENCE

  • High School Graduate minimum education requirement, Bachelor's Degree Preferred
  • Minimum 4 years leadership experience in hospital billing and claims preferably in a Central Business Office environment

Reasoning Ability:

  • Ability to define problems, collect data, validate data, establish facts, and draw valid conclusions

Computer Skills:
To perform this job successfully, an individual should have intermediate level knowledge of Microsoft Office Tools as well as the hospital patient accounting systems.

  • Effectively utilize Microsoft Office tools (Excel, Word, and PowerPoint)
  • Knowledge and use of HMS, SSI, and Ontario Artiva systems are a plus
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Salary.com Estimation for Billing Manager - Host Unbilled in Antioch, TN
$47,128 to $59,647
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