team leadership: supervise and mentor a team of medical billing professionals. provide training, performance feedback, and support to ensure high standards of billing accuracy and efficiency.
billing operations: oversee the daily operations of the medical billing department, including claim generation, submission, follow-up, and payment posting. ensure timely and accurate processing of all billing activities.
process improvement: identify and implement improvements to billing processes to enhance efficiency and accuracy. develop and enforce best practices to streamline billing operations.
compliance & risk management: ensure all billing practices comply with healthcare regulations, payer requirements, and internal policies. conduct regular audits and address any compliance issues.
cross-departmental coordination: collaborate with all departments to resolve billing issues and ensure accurate claim submissions.
performance monitoring: track and analyze key performance indicators (kpis) related to billing operations. prepare and present reports to management, highlighting performance metrics, trends, and areas for improvement.
problem resolution: address and resolve complex billing issues, including claim denials, appeals, and discrepancies. implement corrective actions to prevent recurrence of issues.
customer service: ensure high levels of customer service by addressing patient and payer inquiries, resolving billing-related concerns, and maintaining positive relationships with external stakeholders.
desired candidate profile:
bachelor’s degree in healthcare administration, finance, business administration, or a related field.
certification in medical billing or coding (., cpc, ccs) is preferred.
minimum of 6+ years of experience in medical billing, with at least 2 years in a supervisory or managerial role.
strong knowledge of medical billing processes, healthcare regulations, and payer requirements.
proven leadership and team management skills.
excellent analytica