Billing Manager

BILLING MANAGER Full Time Salary Range: $65,000 - $70,000 annually

JOB SUMMARY

 This position is responsible for all revenue cycle management for the DART program ensuring timely, accurate, and compliant reimbursement for services incurred by patients and clients.

RESPONSIBILITIES AND DUTIES 

 • Oversee all revenue cycle processes including:  Monitor and manage patient insurance eligibility, which includes assisting patients to obtain/recertify insurance  Monitor and manage provider credentials and report data to insurers  Act as a liaison with managed care organizations for contracting, credentialing, and issue resolution  Obtain authorizations and referrals for services rendered when required.  Configure the electronic health record system and excel billing tools to identify and code clinical services for billing.  Generate billing data  Submit claims accurately and timely  Manage accounts receivable and address claim denials and underpayments  Collect payments from clients  Reconcile payments between billing & claims and finance system. • Maintain understanding of NYS OASAS (Office of Addiction Services & Support), Medicaid, and insurance payer billing rules and regulations. • Develops, maintains, and implements policies and procedures for revenue cycle management. • Prepares billing and revenue reports and assists with month-end closing and audit reports. • Ensures compliance with confidentiality, billing regulations, and organizational policies. • Perform supervisor responsibilities by overseeing daily operations, recruiting, training, monitoring performance and ensure workplace policies and standards are followed. • Monitor and manage vendor performance.

Secondary Responsibilities:

 • Must present a professional image in conduct, attitude, and attire. • Satisfactory completion of mandatory trainings. • Additional duties as assigned.

QUALIFICATIONS

 Education and Experience: • Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field, or equivalent experience. • Minimum of five (5) years of healthcare billing experience including Medicaid, Medicare, and commercial insurance • Minimum of two (2) years supervisory experience.

Application Requirements: 

• Physical examination record or pass physical examination by a CAO physician • Valid NYS Driver’s License and proof of motor vehicle insurance coverage • Completion of the following documents: o CAO Employment application o NYS SCR Clearance Form with acceptable clearance o Criminal Record Certification and free of criminal convictions of crimes against children (misdemeanor or felony) o Fingerprinting required. o Release for Reference Checks