Director of Billing - Houston, United States - Quartz Medical Billing and Coding, LLC

Description

• Oversees the operations of the department, day today supervision, direction, and training to a team of direct reports.
• Partners with the President and Human Resources to ensure appropriate staffing levels and balance of workload for the team and participates in the hiring process.
• Supports and creates projects for Revenue Cycle initiatives.
• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
• Must understand the entire accounts receivable process and serve as a resource of knowledge and guidance for the department.
• Drives standardization of accounts receivable processes including proper documentation, distribution and communication.
• Analyzes trends impacting charges, coding, and clean claims submission and take appropriate action to realign staff and revise policies and procedures.
• Reviews and analyzes accounts receivable reports, weekly and monthly financial reports.
• Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
• Understands and remains updated with current coding and billing regulations and compliance requirements.
• Audits current procedures to monitor and improve efficiency of coding, claims submission, and payment posting operations effects on the revenue cycle.
• Spearheads the development and implementation of operating policies and procedures.
• Plan and implement quality assurance for all processes.
• Personnel management in a remote environment.
• Personnel development; staff meetings. Supports a positive workplace culture to attract and retain revenue cycle talent. Continued staffing discussions and team building.
• Provides, oversees, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.
• Handles Revenue Cycle Operations escalation.
• Ensure adherence to HIPAA standards and all other privacy and compliance policies.
• May be required to generate ADHOC reports requested by clients.
• Client Liaison. Ongoing communication including monthly meetings with clients regarding revenue cycle.
• Performs other miscellaneous jobrelated duties as assigned.

• Bachelor's Degree in Business or Healthcare Management; or 10+ years managing the revenue cycle of a healthcare organization (may be substituted with equivalent years of experience).
• Progressive experience in the health care industry; in a medical practice, health system, central billing office, or billing service; with a deep understanding of medical billing rules and regulations.
• Strong working knowledge of CPT and ICD10 codes, HIPAA, HCFA/UB04 claims, medical terminology, insurance regulations, insurance benefits and appeal processes.
• Proven ability to perform strategic planning and priority setting for a billing department.
• Proven track record for improving process efficiencies and problem solving.
• Strong leadership skills with an ability to motivate direct reports.
• Detail oriented with excellent communication skills both written and verbal, and interpersonal skills.
• Intuitive, with excellent analytical and critical thinking skills. Strong research and auditing skills.
• Expert in Microsoft Office, including Outlook, Word, Excel and Power Point.
• Out of Network billing experience a plus.
• Emergency Services billing experience a plus.
• Experience working with healthcare systems: EPowerDoc, GoREV, Waystar, Availity and payer sites.
• Certificate in Coding is a plus.

• 401(k)
• 401(k)

• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance