Job description

SUMMARY

The Billing & Reimbursement Manager is responsible for the oversight of charge entry, benefit verification and billing and collection processes, and ensure timely cash collections.

STATUS: Full Time

LOCATION: Horsham, PA

DEPARTMENT: Billing & Finance

SCHEDULE: Monday - Friday; Days

RESPONSIBILITIES

• Implement and manage day to day billing operations.
• Responsible for supervision of billing and reimbursement department for multi-million dollar centralized operations in Pain Management, Workplace and Rehabilitation of Toxicology Holdings (“Drugscan”). Functional areas of responsibility include insurance verification, authorizations (if applicable) and other documentation to support initial and subsequent billing, collections, AR, and patient files.
• Leads team to determine all applicable and critical payor requirements. Ensures that system functionality is then established to enforce all of these requirements.
• Establish and monitor performance metrics for coding, charge entry, payments and collections.
• Identification and resolution of payment issues with specific payors, including preparation and leadership of all payor projects.
• Supervisory responsibility for following staff members: Data Entry Specialists – responsible for entering initial patient and insurance data into system. This group will also perform insurance verification to the extent required Reimbursement Specialists responsible for billing and collecting.
• Responsibility for ensuring efficient and effective work process flows exist in all parts of the process to maintain accurate claims submission and maximize cash collections in order to achieve established payment, bad debt and contractual objectives.Effectively analyze activity to identify obstacles to achieving established goals.
• Communication of billing, cash collection, unbilled and other goals to team and external constituents
• Provides extensive training to new staff in areas of the system, policies and payor requirements.
• Develops policies and procedures in conjunction with Reimbursement Director that enhance both the overall effectiveness and adherence to corporate compliance program.
• Evaluates and provides recommendations regarding site staffing and future plans
• Actively partner with the following departments to ensure efficient and effective processes are developed and adhered to: Payor Relations, Customer Service, Sales Team, Client Clinics and/or on-site Collectors
• Perform all other duties as assigned by supervisor/management

MINIMUM QUALIFICATIONS

• Bachelor’s Degree in business, finance, accounting or related field Preferred
• 7-10 years of healthcare billing and/or reimbursement experience with at least 4 years in a supervisory/management role, laboratory setting preferred

Drugscan offers a comprehensive employee benefit program including health insurance (medical, dental, vision and prescription drug), medical and dependent care, flexible spending accounts, life insurance, disability, paid time off and 401(k). DSI Medical is an Equal Opportunity/Affirmative Action Employer.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Experience:

• Medical Billing: 7 years (Preferred)

Work Location: One location

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