Medicaid Billing Manager

The Medical Billing Manager oversees the firm's full medical billing services team for a variety of clients within the post-acute healthcare industry, including nursing, retirement communities, home health, and hospice facilities. As team leader, the Medical Billing Manager is responsible for the training, mentorship and performance management of Medical Billing Specialists while ensuring high levels of customer satisfaction and the efficient resolution of claims.Success FactorsResponsibilitiesResponsible for training Medical Billing Associates and Specialists on billing procedures and claim follow-up on the numerous systems clients utilizeEstablish collaborative working relationship with Medical Billing team to ensure all client needs are metCommunicate and collaborate with new clients to ensure client needs can be met by the Medical Billing TeamOrganize new client work and distribute among team membersTrain team members to achieve a strong understanding of Medicare, Managed Care, and Medicaid regulatory billing practicesReview claims against medical documentation provided by clients to ensure clean claims are submitted to the appropriate third party payerCommunicate with Medical Billing Associates, Specialists and client when claims require additional information prior to submissionEstablish collaborative working relationship with clients as their main point of contactStay abreast of current medical coding and billing issues, trends and changes in the laws and regulations in order to make recommendations for changes in policies and proceduresMeeting monthly with Medical Billing Associates and Specialists to review aging reports in detailAssist Medical Billing Associates and Specialists in investigating, managing and resolving medical claims in accordance with established requirements and proceduresAssist Medical Billing Specialists with troublesome accounts receivable balances, policy, or work flow questionsEnsure timely and high quality service to meet and exceed client expectations and perform research on projects as neededDevelop available resources and appropriate guidance and policiesOrganize facts, analyze and interpret information according to client circumstancesTrain team to process all payer types and various billings including no pay claims and bad debt while maintaining cost report logsProficient in all main software systems used and ability to perform every function in those systems (including cash posting, ancillary posting, adjustments, claim troubleshooting)Act as day-to-day liaison between Medical Billing Team and In-Charge/Partner when staff require assistanceOther duties as assignedPeople Management/RelationshipsTake initiative to be a team lead (proactively seek opportunities to help others)Treat everyone with respectDevelop loyalty and trust within the teamSuccessfully adapt to different personalities and working stylesProactively and effectively communicate information regarding status issues to team membersHold self and others accountable for assigned work; seek and provide continuous feedback to learn and develop in role; open to new ideas and suggestionsBusiness Growth (if applicable)Possesses an understanding of RKL's business (service lines, competitors) and client service capabilities and the impact of technology upon the firm's growth and successQualificationTo 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 accommodation may be made to enable individuals with disabilities to perform the essential functions.Required SkillsExcellent organization skills and strong attention to detailMultitasker with the ability to prioritize work accordinglyExcellent verbal and written communication skills with strong client service focusStrong analytical and interpersonal skillsAbility to work autonomously under the pressure of tight deadlines and multiple prioritiesAbility to research and analyze data and resolve issues; read and interpret medical terminologyEducation, Experience and CertificationsHigh school diploma or equivalent (GED); Associate's degree and medical billing certification preferred5+ years' experience in Medicaid/insurance billing or related position requiredPrevious management/supervisory experience preferred with ability to coach and train team membersExperience navigating electronical and paper medical record systemsKnowledge and understanding of insurance contracting, Medicare and MedicaidStrong knowledge of Microsoft Office suite products and technology-savvy individualEssential FunctionsRegularly required to perform manual tasks, concentrate, think, learn, communicate, sit, stand, walk, use hands and fingers, grasp, handle or feel objects, reach with arms, talk and hearMust be able to remain in a stationary position as neededThe person in this position needs to occasionally move about inside the office and on site at client locations, stoop, kneel, crouch, push and pullVision abilities required include close vision, distance vision and the ability to adjust focus.Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printerAbility to communicate in a professional manner and exchange information with internal and external actors as neededAbility to lift/carry up to 20 poundsAbility to work outside of normal business hours and weekends as neededAbility to travel to local and non-local clients and events as needed, overnight travel may be requiredThis job description is subject to change at any time and employee will be given additional responsibilities as assignedSalary Range:$70,000 - $80,000