Opening For Manager- Billing

Job Description

1. Billing Operations: Overseeing the entire inpatient billing process, which includes capturing and documenting patient charges accurately and in compliance with healthcare regulations and hospital policies. 2. Revenue Cycle Management: Managing the hospital's revenue cycle, which encompasses patient registration, charge capture, coding, claims processing and accounts receivable. Ensuring that all stages of revenue generation and collection are efficient and accurate. 3. Compliance: Ensuring that billing and coding practices are compliant with relevant regulations and standards, such as those set forth by the Centers for Medicare & Medicaid Services (CMS) and that the hospital adheres to ethical billing practices. 4. Billing Systems: Managing the hospital's billing and financial software systems, ensuring they are up-to-date, efficient and that staff is adequately trained to use them effectively. 5. Supervision: Leading a team of billing and coding professionals, including coders, billers and administrative staff. Providing direction, training and support to ensure that the team performs effectively. 6. Documentation and Records: Ensuring that all patient records and billing documentation are complete, accurate and securely maintained, while also facilitating efficient access for audits and inquiries. 7. Claims Management: Overseeing the submission and processing of insurance claims, as well as dealing with denials, resubmissions and appeals as necessary. 8. Revenue Optimization: Identifying opportunities to maximize revenue through improved billing processes, coding accuracy and the reduction of denied claims. 9. Financial Analysis: Monitoring and analyzing financial data related to inpatient billing, including revenue trends, accounts receivable and key performance indicators (KPIs). 10. Audits and Compliance Checks: Conducting regular internal audits and compliance checks to ensure that billing practices align with regulatory requirements and hospital policies. 11. Patient Support: Handling patient inquiries and concerns related to billing issues, providing guidance and assistance in understanding medical bills and insurance claims. 12. Reporting: Preparing and presenting reports to hospital management on billing performance, revenue cycle metrics and areas of improvement. 13. Training and Education: Providing ongoing training and education to staff, especially in response to changing regulations and billing practices. 14. Budgeting: Collaborating with financial departments to develop and manage the department's budget. 15. Strategic Planning: Contributing to the hospital's strategic planning by providing insights and recommendations related to inpatient billing and revenue cycle management. Required Skill Sets: 1. Strong understanding of healthcare billing and financial management. 2. Ability to lead a team and adapt to evolving regulations and technologies. 3. Good interpersonal skills. 4. Excellent communication skills. Role & responsibilities Preferred candidate profile