Billing Regional Accounts Manager

#WFH
#Direct Client
#Full Time - 8am-5pm PST/ CST/ EST

The Billing Regional Accounts Manager is responsible for developing and managing a strong and agile insurance collections
team, heading up the insurance “arm” of our Revenue Operations Team. The manager will be responsible for operations and strategy driving our insurance collections, including daily management and oversight of insurance claim submission, processing, follow-up, and denial management.

Key Responsibilities:

? Provide direction to staff and partners (both onshore, offshore, and outsourced)
? Assist assigned staff in establishing daily/weekly workflows to accomplish KPIs
? Monitor DrChrono queues to ensure timeliness in claims submission and processing
? Establish and determine cost effective strategy on building an in-house team vs using an outsourced Revenue Cycle Management vendor.
? The Manager is also responsible for developing and documenting revenue cycle policies and procedures, monitoring performance reports to improve practice financial position, and coaching and developing employees.
? Develop and implement best practices for insurance billing to maximize reimbursement, including monitoring changing regulations and adapting accordingly
? Develop and monitor performance dashboards with Key Performance Indicators across clinics
? Collaborate with other team leads, including Clinical Operations, Provider, Product/Engineering, as needed for best practice insurance billing
? Drive insurance-related special projects, including remote patient monitoring. RPM Billing and assist with payer contracting
? A/R management, collections, and reconciliation
? Maintain reimbursement related key performance indicators for practices, setting and benchmarking revenue cycle goals (i.e. reducing Days in A/R, decreasing outstanding Performances receivable, increasing first pass rate)
? Possess an in-depth understanding of Medicare physician payment process and commercial/third party payer regulations.

Qualifications

? Bachelor's degree in accounting, business, finance, economics, mathematics, or related field
? Five or more years of healthcare experience in revenue/accounts receivable financial analysis, claims/billing analysis, decision support, or economics
? In-depth knowledge of net revenue, patient accounting and accounts receivable management
? Understanding of contractual allowance, bad debt, and financial statement reserve process
? Proficiency in compiling, assessing and trending AR key metrics
? Knowledge of clinical operations, billing, and coding
? Familiarity with CPT, HCPCS, ICD-10 coding, revenue codes, and hospital billing/claims processing
? Exceptional financial analysis, communication, organizational, problem solving, and documentation skills
? Knowledge of third-party payer regulations and contracts

Bonus Qualifications:
? Proficiency with Google suite and DrChrono EMR.
? 1+ years of experience in Merit-Based Incentive Payment System (MIPS) reporting.


If this sounds like you, we encourage you to submit your resume and a cover letter detailing your interest in the role to lois.suicon@wildhealth.com. Please use the subject line: Billing Regional Accounts Manager_Application. Be sure to review the full job description before applying.