Manager Hospital Billing - FT - Day - Hospital Billing Lawrenceville NJ

Billing ManagerManages overall direction, coordination and evaluation of billing activities associated with hospital third party collections. Supports, oversees and manages performance and productivity of the team as it relates to processes and procedures.Minimum RequirementsEducation: Bachelor's degree. A High School diploma or equivalent and additional years of experience may be considered in lieu of a formal Bachelor's degree.Experience: Five years of patient accounting experience, including one year of patient accounting supervisory experience, when accompanied by a Bachelor's degree. Nine years of patient accounting experience, including one year of patient accounting supervisory experience, when accompanied by a High School diploma or equivalent.Other Credentials:Knowledge and Skills: Excellent analytical and interpretive skills. Possesses excellent organizational, interpersonal, verbal and written communication skills. Ability to effectively manage multiple projects simultaneously and ability to aggressively pursue third party payments.Special Training: Requires a strong understanding of complex payor contract language and terms. Knowledge of finance systems, basic computer skills. Familiarity with medical terminology, CPT-4 and ICD-10 coding.Mental, Behavioral and Emotional Abilities:Usual Work Day: 8 HoursReporting RelationshipsDoes this position formally supervise employees? YesIf set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.Essential FunctionsManages and resolves complex and technical system billing and receivable issues in a timely manner. Meets regularly with staff to discuss, inform and resolve department issues.Monitors payer payment methodologies and reports discrepancies to Payer Relations Department. Possesses thorough knowledge of all third-party contracts.Attends payer meetings with the Payer Relations Department to bring forth payment and/or processing issues that differ from the terms of the contract.Possesses knowledge of workflow system. Remains up to date on all user group assignments, workflow for user groups within the Hospital Billing area. Monitors the data within the workflow and billing systems for gaps and takes appropriate steps for resolution.Coordinates and monitors the performance and productivity of hospital billing staff.Delegates tasks and responsibilities effectively while ensuring acceptable accounts receivable results.Reviews aged and high-balance accounts on a regular basis and provides direction to supervisors and staff.Coordinates with leaders of other revenue cycle departments to identify opportunity for improvement to ensure timely, accurate and compliant hospital billing and collections.Provides expertise and serves as a liaison to internal departments, all third-party agencies, vendors and payersEnsures that claims are processed accurately and completely via the clearinghouse edit process by correcting and validating claims prior to being electronically transmitted.Interviews, hires and trains employees as well as plans, assigns and directs workloads; appraises performance; rewards and disciplines employees; addresses complaints and resolves problems. Oversees training of new personnel as documented by completion of new hire competency checklists, completed ninety-day evaluations, and training program attendance. Develops and maintains effective recruitment and retention practices in order to avoid preventable turnover.Assists Director of Hospital Billing with the preparation of the yearly departmental operating budget. Demonstrates proactive vigilance in identifying opportunities for revenue enhancement and cost reduction.Monitors completeness and accuracy of the State required data transmission that is instrumental to ensure Capital Health meets State Reporting Guidelines.Performs other duties as assigned; possesses willingness to adapt to changing departmental demands.Physical Demands and Work EnvironmentFrequent physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawlOccasional physical demands include: Sitting, Keyboard use/repetitive motionContinuous physical demands include: Lifting Floor to Waist 20 lbs. Lifting Waist Level and Above 10 lbs.Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal HearingAnticipated Occupational Exposure Risks Include the following: N/AThis position is eligible for the following benefits:Medical PlanPrescription drug coverage & In-House Employee PharmacyDental PlanVision PlanFlexible Spending Account (FSA)Healthcare FSADependent Care FSARetirement Savings and Investment PlanBasic Group Term Life and Accidental Death & Dismemberment (AD&D) InsuranceSupplemental Group Term Life & Accidental Death & Dismemberment InsuranceDisability Benefits Long Term Disability (LTD)Disability Benefits Short Term Disability (STD)Employee Assistance ProgramCommuter TransitCommuter ParkingSupplemental Life InsuranceVoluntary Life SpouseVoluntary Life EmployeeVoluntary Life ChildVoluntary Legal ServicesVoluntary Accident, Critical Illness and Hospital Indemnity InsuranceVoluntary Identity Theft InsuranceVoluntary Pet InsurancePaid Time-Off Program