It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!
When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!
Role:
The Billing Manager is responsible for managing and coordinating the overall functions of the billing department including the submission of claims, resolution of outstanding accounts and cash flow maximization. In addition, the manager is responsible for remaining current on all payor policies and regulations and ensuring compliance with Medicare, Medicaid and Commercial Insurances.
Qualifications:
• Bachelor’s degree or an equivalent combination of experience and education
• Minimum of five (5) years of related health billing and collections experience
• Minimum of one (1) years of management experience
• Strong management skills including motivating and mentoring people at all levels, training, establishing departmental policies and procedures and managing human resource issues of staff supervised
• Ability to manage in a fast pace environment, remaining proactive, detailed oriented, resourceful and efficient, with a high level of professionalism
• Strong customer service skills, interpersonal skills, ability to work independently, ability to work with a team, critical thinking, organizational skills, and knowledge of regulatory requirements appropriate for the position
• Demonstrated expertise of Home Health, Hospice and physician third party billing and regulations
• Working knowledge of state and federal billing regulations
• Strong computer skills with Excel, Word, PowerPoint, and database management
• Excellent written and verbal communication skills
• Excellent analytical skills
Competencies:
• Satisfactorily complete competency requirements for this position.
Responsibilities of all employees:
• Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company's health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company research and educational activities.
• Share expertise with co-workers both formally and informally.
• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
Leadership:
• Communication. Express thoughts and ideas clearly. Adapt communication style to fit audience.
• Initiative. Originate action to achieve goals.
• Management Identification. Identify with and accept the problems and responsibilities of management.
• Judgment. Make realistic decisions based on logical assumptions which reflect factual information and consideration of organizational resources.
• Planning, Organizing and Controlling. Establish course of action for self and/or others to accomplish a specific goal; plan proper assignments of personnel and appropriate allocation of resources. Monitors results.
• Leadership. Use appropriate interpersonal styles and methods in guiding others toward task accomplishment.
• Ethics. Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse.
• Regulatory Compliance: Educate and monitor staff regarding their own and the organization's responsibilities for regulatory compliance.
Job Responsibilities:
• Manages the daily operations of the Billing Department including monitoring and revision of policies and procedures.
• Establishes internal controls to ensure timely and accurate billing to third party payor’s.
• Ensures days in accounts receivable remain at or below Company standards in addition to monitoring daily cash flow.
• Reviews monthly productivity and quality assurance (QA) reports.
• Assists with execution of third party payor and/or governmental audits.
• Creates, analyzes and presents A/R performance metrics to management.
• Performs root cause analysis to identify opportunities for process improvements and/or automation and implements new procedures.
• Performs other duties as assigned.
Compensation Pay Range:
$67,976.53 - $106,213.33
This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.
