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Role Description

As a Billing Manager you will:

• Assist the Director of Revenue Cycle in the development and implementation of billing SOPs for all payors.
• Make recommendations regarding payor set-up in the Electronic Medical Record to ensure timely claims submission in accordance with Medicare and other payor guidelines.
• Be responsible for the direct, or indirect, training of new billing team members.
• Develop, maintain, and implement training of new billing team members, communicate deficiencies, and provide ongoing training/re-training to existing team members regarding billing and reimbursement.
• Consult and communicate with all members of the billing department on a regular basis to coordinate and address appropriate quality program related issues.
• Establish, monitor, and evaluate productivity standards for billing staff. Conduct internal audits for completion of all appropriate billing documentation on a regular basis.
• Prepare reports and other information as directed by the Director of Revenue Cycle to communicate information related to claims submission, outstanding collections, and other information as directed by the VP, CEO, or Board of Directors.
• Collaborate with Regional President(s), Administrator(s), and Branch Directors to ensure timely claims submission and provide staff education, if needed.
• Support the billing team through submission of claims, as needed.
• Ensure confidentiality of all transactions related to financial structure of the company.
• Monitor and complete workflow tasks in the Agency’s electronic medical record.
• Upload documents into the EMR, e.g., payor communication, as needed, utilizing company guidelines for document naming conventions and attachment types.
• Input billing related notes into the EMR to assist in effective communication among the billing team and Branch administrative staff members.
• Provide effective communication to patients, their family, team members, and other healthcare professionals and maintain confidentiality.
• Enhance professional growth and development through participation in educational programs, staff in-service and workshops. Conduct annual performance assessments.
• Always maintain a high standard of compliance in ethical and federal regulation.
• Be responsible for ensuring that billing and payments comply with existing insurance contracts and/or single case agreements. Coordinate efforts to maintain accurate payor and service billing data in software program(s), per payor contracts.
• Coordinate paid time off for direct reports. Ensure that there is adequate coverage to meet the needs of operations and department(s).
• Attend and lead meetings and training sessions as required. Meeting minutes should be typed and saved in appropriate designated folder in a timely manner.
• Able to perform the essential duties of direct reports in critical situations to protect cash flow.
• Maintain open lines of communication with department director; report billing, collections, and staffing changes to management immediately.
• Perform other duties and tasks as requested by supervisor.

Qualifications

• High School Graduate (College Preferred).
• One year billing or general office experience is preferred.
• Reliable transportation.

Benefits

• Health & Wellness
• Medical, Dental & Vision
• Pharmacy Benefits
• Virtual & Mental Health Support
• Flexible Spending Accounts (FSAs) & Health Savings Account (HSA)
• Supplemental Health & Life Insurance
• Financial & Legal
• 401(k) with Company Match
• Employee Referral Program
• Prepaid Legal Plans
• Identity Theft Protection
• Work-Life Balance & Perks
• Paid Time Off
• Pet Insurance
• Tuition & Continuing Education Reimbursement

Company Description

Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 100 locations across the country. We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care.