Complete monthly billing within five (5) business days for all entities and locations.
Manage 10+ member billing team performance including setting regular goals, setting productivity standards, carrying out performance evaluations and recommend necessary actions
Run weekly staff meetings
Supervise the billing operations
Insurance eligibility and authorization
Preparing claim for submission (including coding)
Address and resolve coding-related billing issues by consulting with other departments (techs, nurses, clients) to clearly understand patient’s records
Train, allocate work, and resolve problems among billing personnel
Submit billing to insurance and facilities
Posting payments
Responsible party billing
Rejections, denials, appeals, resubmissions
Reimbursement management
Identify opportunities for insurance credentialing
Related to medical record request and CERTs
Work closely with All-Stat’s Finance Dept to project go-forward staffing needs
Conduct new employee interviews.
Spearhead cross-training of billing employees
Carry out analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing staff
Carry out audits of current procedures and processes, billing operations improvements and coordinate necessary actions
Ensure quality and appropriate trainings are provided to newly hired and existing billing staff through effect supervision and coordination of the training process, and by adhering to established company standard operating procedures
Collaborate with other departments (including Client Services and Operations) to get and analyze additional information about patients to be able to record and process billing effectively and spearhead opportunities for process improvements
Ensure the billing activities follow payer, State, and Federal requirements, regulations, and guidelines
Remain updated on billing and coding standards and regulations
Remain updated on HIPAA and all other health information management issues and regulations
Comply with medical billing and coding policies and guidelines
Report all department concerns and issues to the Director of Revenue for prompt necessary action.
Partner with Compliance Department over all billing activities including participating in internal and external audits.
Work Experience Requirements
Experience with radiology billing
Proven ability to perform strategic planning and priority setting for a billing department
Proven track record for improving process efficiencies and solving problems
Strong leadership skills with an ability to motivate 10+ direct reports
Detail oriented.
Excellent communication skills both written and verbal, and internal personal skills.
Excellent analytical and problem-solving skills.
Ability to manage multiple projects concurrently
Preferred
Experience with Mobile Radiology billing
Experience invoicing both Medicare part A and part B
