Director of Billing - Phoenix, United States - BrightSpring Health Services
Description
Our Company:
BrightSpring Health Services
Overview:
Responsibilities:
As the Director of Billing, you will...
- Direct daily operations of the billing team consisting of 2530 employees to include supervisors and specialists.
- Work in conjunction with Director, Revenue Cycle Collections, to oversee entire RCM staff and structure.
- Manage all aspects of employee performance including development and performance oversight, identifying performance issues and coaching employees toward improvement including disciplinary action.
- Develop and implement performance metricsGenerate and analyze billing data that supports finance and accounting operations
- Optimize reimbursement by standardizing coding and pricing.
- Revise and implement policies and procedures to ensure best practices are followed.
- Minimize revenue adjustments by monitoring performance metrics and daily work queues.
- Monitor budget to actual results, participate in the annual budget process.
- Assist in solving complex billing problems and help team members improve processes, problems and issue resolution.
- Ensure compliance with Medicare billing guidelines and all other insurances.
- Perform monitoring function and provide trend reports with assessment of the trends to management.
- Provide expertise and direction to assist branch offices in maximizing reimbursement and minimizing bad debt writeoffs relating to government payers.
- Monitor changes in governmental reimbursement policies and provide leadership in strategic planning to accommodate changes in reimbursement regulations.
- Manage the EDI function as it relates to electronic claims submission. Maximize utilization or EDI capabilities, to enhance cash flow.
- Provide corporate reimbursement direction and resources for startup and newly acquired branch offices to ensure a smooth transition and uninterrupted cash flow.
Qualifications:
- Bachelor's degree in healthcare administration, business administration, finance, or a related field.
- Minimum of 8 years of experience in healthcare billing, revenue cycle management, or related field, with at least [5] years in a leadership or managerial role.
- Strong knowledge of billing processes, coding principles, reimbursement methodologies, and regulatory requirements (e.g., HIPAA, Medicare, Medicaid).
- Demonstrated leadership abilities, including the ability to effectively lead and motivate a team, set, and achieve goals, and drive results.
- Excellent analytical, problemsolving, and decisionmaking skills, with the ability to analyze complex billing issues and develop effective solutions.
- Exceptional communication and interpersonal skills, with the ability to communicate effectively with internal and external stakeholders at all levels.
- Proficiency in billing software and electronic health records (EHR) systems, with experience in implementing and optimizing billing systems preferred.
- Certified Professional Biller (CPB) or Certified Revenue Cycle Professional (CRCP) certification preferred.
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