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Billing Manager, Laboratory Services

West Palm Beach, FL

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JOB SUMMARY: The Billing Manager for Laboratory services is responsible for timely and accurate completion and submission of all laboratory billing, including, but not limited to: ensuring departmental regulatory compliance, providing guidance and counsel to supervisor(s) and staff and monitoring collections and other internal indicators. The Lab Billing Manager will work closely with the Accounting Department in preparing and presenting financial reports and will develop expertise with existing practice management systems to lead/manage the implementation and set-up of new billing codes/procedures.

DUTIES AND RESPONSIBILITIES:

  • Oversees the lab billing department and works closely with senior management to evaluate department's productivity and performance to ensure revenue and cash flow maximization;
  • Meets billing operational standards by implementing production, productivity, quality, and customer-service standards; resolving problems; auditing; quality control; and identifying billing system improvements;
  • Develops an effective team to ensure reimbursement through timely and accurate submission and follow up of claims and appeals, post payments, research and resolve refunds and credit inquiries and research claims eligible for write offs;
  • Ability to report on payment and rejection trends while addressing cash collections and denial processing issues;
  • Monitors, develops, and collects data for key performance indicators (KPI's) to measure activity within the department; leads projects related to revenue cycle activities
  • Build relationships and work closely with key personnel to drive industry compliance, process improvement, and system enhancements/efficiencies;
  • Responsible for overseeing and supporting third party collections management;
  • Proactively identifies, resolves, and communicates solutions to management for issues and concerns involving problematic areas as they develop;
  • Responsible for implementing and documenting effective processes and procedures to improve AR turnover, revenue, cash flow and the month end close;
  • Ensures compliance with all federal, state, and local regulations and is conversant in key regulatory/compliance areas;
  • Perform other duties as assigned.

Education

  • Bachelor's Degree in Health Information Management, Healthcare Management or related field.

Experience:

  • At least 5 years of medical billing experience in a laboratory/diagnostic/ toxicology environment.
  • Demonstrates knowledge of insurance or managed care billing/coding and reimbursement principles for a diagnostic laboratory, specifically, UA toxicology:
  • A minimum of 3 years of supervisory experience.
  • Demonstrated ability in managing and mentoring staff through development of realistic action plans.
  • Proven ability to drive continuous process improvement
  • Thorough knowledge of laboratory billing and coding (ICD 9/10 and CPT), account follow-up and resolution processes, laboratory billing system processes, payment posting functions, OIG billing compliance guidelines, third-party payer and insurance company operating procedures, billing requirements and regulations, and government reimbursement programs.

Skills:

  • Ability to work in a team environment, lead and develop a team, issue clear instructions, effectively direct front and back-end work processes, and provide quality control of billing procedures.
  • Dependability is critical, must take responsibility for own action, keep commitments, commit to work goals.
  • Strong interpersonal and communication skills, and multitasking abilities.
  • Knowledgeable in the use of MS-Office (Word / Excel / Outlook)
  • Experience with billing software- Healthpac is plus.
  • Ability to learn new software, perform multiple tasks simultaneously, keep accurate records, and prepare statistical reports
  • Excellent communication and customer service skills

Work Environment and Physical Demand:

  • General office environment. No special physical demands required.
  • Willing to work a flexible schedule as needed.

Job Application

Position: Billing Manager, Laboratory Services

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