Director of Billing - Phoenix, United States - BrightSpring Health Services

Mark Lane

Posted by:

Mark Lane

beBee recruiter


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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