Director of Billing - HealthCare

Job description

Full Time – Director of Billing

Under general direction of the VP, Revenue Cycle Management, the Director of Billing will oversee the billing of patient accounts. The Director will be responsible for overseeing Managers, Supervisors, and leads to ensure proper process flows and efficiencies of all sub-divisions of the Revenue Cycle Team relative to billing functions. The management oversight includes claim production, rejection processing, invalid processing, invoice generation, and metrics surrounding successful submission of revenue generating tasks to be adjudicated at payers and funding sources.

Responsibilities

Responsible for proper generation of service charges into revenue for BayMark Health Services

Reviews and monitors processes surrounding system processing and third party payers

Reports any problems or adverse trends for metrics and goals to VP

Responsible for ensuring billing tasks are done timely and effectively

Act as an authority to escalated billing concerns and process workflow concerns from clinical and interdepartmental personnel to coordinate billing efforts and payer sequencing

Create training materials for RCM staff and treatment center staff when appropriate (i.e. payer selection, modifiers, codes, timeframes, payers changes in plans)

Must be able to train, counsel, monitor, and provide feedback to employees

Assist in training new employees to ensure knowledge and skills essential for effective job performance are acquired.

Provide continuous training and education to all staff to new departmental policies and changes in insurance requirements/regulations, etc.

Perform regular assessments for each employee and provide constructive feedback to include action plans for improvement as needed.

Oversee Payroll for assigned subordinates

Review, coordinate, and create billing process workflows for existing and new business

Lead conference calls with all sub-divisions across the US and discuss hot topics such as new payers and operational needs of treatment centers to ensure proper billing

Participate in Acquisition and De Novo calls as well as participate in due diligence activities

Prepare for and participate in monthly operational status and developmental calls.

Prepare for and participate in bi-weekly management operational calls.

Assist in hiring activities, evaluating employee performance and disciplinary actions/termination when necessary.

Keep staff and patient information within the HITECH HIPAA privacy laws.

Ability to handle stressful situations and interact with others.

Must be present during working hours at the office for in person meetings and access to a computer without violating company policy.

Comply with policies, procedures, compliance guidelines and Code of Conduct.

Comply with internal controls, policies and procedures.

Comply with BayMark policies and procedures, Compliance Policy and Code of Ethics.

Conduct all business activities in a professional and ethical manner adhering to medical necessity compliance and financial compliance.

Regular attendance is to be maintained.

Interact with all levels of the organization in a positive and motivational fashion supporting the Company’s mission.

Perform and complete special projects as assigned for all BayMark regions and billing modalities.

Travel by plane or by car as required.

May perform other duties as assigned

Minimum Qualifications

Must be at least 18 years or of age

Previous physician of fice, hosp ial billing, or cash management experience required(5+years)

Must have strong working knowledge in third party billing and reimbursement with emphasis on medical aid

Canidat es must have experience in medical terminology as it relates to businesses, OTP coding and authorization process

Working knowledge of of different MCO Authorization requirements

Excellence verbal and written communication skills

Database experience. Ability to of fill in former employees as needed

Compliance with all HIPA Apol ice

Professional basic PC skills.MicrosoftWord and Excelrequired

Ability to mult-task and handle large volume of detail work accurately and efficientlyand meet deadlines

Compliance with accepted professionals and practice s

Satisfactory refere nces from employees and/ or profissional peers

Satisfactory criminal background check

Satisfi ability drug screen

Benefits

Competitive salary

Comprehensive benefits package including medical, dental, vision and 401(K)

Generous paid time off accrual

Excellent growth and development opportunities

Satisfying and rewarding work striving to overcome the opioid epidemic

Here is what you can expect from us:

BayMark Health Services specializes in the treatment of opioid addiction. BayMark Health Services provides medication-assisted treatment services in a variety of modalities and settings through our divisions: BAART Community HealthCare, Health Care Resource Centers and MedMark Services, Inc. BayMark Health Services, also provides traditional primary health care services, as well as integrated primary care, in select locations.

BayMark Health Services is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran’s status or any other classification protected by State/Federal laws.

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Worksite address

lewisville, TX, 75029, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.