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:
Bachelors 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