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Billing Manager

Company: Heritage Biologics
Location: Lees Summit
Posted on: November 22, 2022

Job Description:

The Billing Manager will report directly to the COO. He/she is responsible to perform a variety of tasks to maintain the overall coordination and operations of the patient services department from patient admissions to financial interactions. In conjunction with daily operations, reviews and enhances insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices; ensure systems are fully functional and maximized and recommend new processes to improve current workflow. In this role, he/she will have access to Protected Health Information(PHI) and Electronic Protected Health Information(EPHI). Oversees daily operations of the Patient Services team assuring appropriate utilization of staffing resources and workload distribution with focus on exceptional leadership. Verifies that payments received are correct and according to company's fee schedules, and that claims are processed correctly against billing and industry standards and regulations that match our contract agreements with individual providers. Responsible for pharmacy/medical billing and collections of IVIG, SQIG, Biologics and Hemophilia claims in addition to other company specific therapies. Researches all denials and completes all corrections, resubmissions, and adjustments accurately and timely. Maintains knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers. Communicates and works closely with other departments to streamline procedures that will help ensure correct billing to payers and patients in a timely manner. Consistently provides exceptional customer service, and effective communication with patients, payers and coworkers. Implement billing policies and procedures of all payors to ensure accurate billing of claims. Establish and maintain departmental policies and polices to include training documents, and ongoing education for the patient services team. Exhibit a positive, courteous, respectful and helpful attitude to clients, patients and colleagues. Requirements Bachelor's Degree Knowledge of the Home Infusion and Specialty Pharmacy industry to assist our intake and billing departments as needed to complete thorough patient admissions processing to solving claims, assist team members as needed with claim submission and resolution and analyze opportunities to streamline processes and implement any changes that will impact reoccurring issues. Understand all areas of claims billing, processing and reimbursement/collections. Experience with EOBs as well as all forms of insurance communication documents. Ability to complete appeals competently for successful overturn of negative decisions. Must be able to professionally communicate both verbally and through written correspondence with physicians' offices, nurses, internal departments, insurance companies and patients when needed.Job Type: Full-timePay: From $70,000.00 per yearBenefits: 401(k) 401(k) matching Dental insurance Flexible spending account Health insurance Life insurance Paid time off Vision insuranceSchedule: Monday to FridayAbility to commute/relocate: Lees Summit, MO: Reliably commute or planning to relocate before starting work (Required)Experience: Medical billing: 3 years (Required)Work Location: One location

Keywords: Heritage Biologics, Lee's Summit , Billing Manager, Executive , Lees Summit, Missouri

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