Medical Billing Manager

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November 4

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ReKlame Health

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Healthcare Insurance • Telecommunications • Wellness

ReKlame Health is a company offering culturally competent addiction and psychiatric care through virtual appointments. They provide top-tier medication management and personalized mental health support by board-certified psychiatric providers, allowing patients to access care from the comfort of their homes. ReKlame Health emphasizes culturally competent treatment, ensuring accessible and personalized care for diverse populations. The company facilitates appointments within 48 hours and accepts major insurance plans, including Aetna, Cigna, Oscar, and United Health. ReKlame Health manages complex mental health cases and provides comprehensive addiction services, helping patients with conditions ranging from anxiety and depression to schizophrenia. Their services are characterized by expert support, digital engagement through text and video calls, allowing patients to connect easily with their healthcare team.

11 - 50 employees

⚕️ Healthcare Insurance

📡 Telecommunications

🧘 Wellness

📋 Description

• Lead and oversee all aspects of the billing process, including claims submission, payment processing, and account reconciliation, ensuring accuracy and efficiency. • Ensure accurate, compliant coding with ICD-10, CPT, and HCPCS systems to optimize first-pass claim submissions and maximize revenue for patient care and procedures. • Establish scalable workflows to address multi-state billing complexities, with a focus on state-specific Medicaid requirements and streamlined reimbursements. • Monitor and implement changes in Medicare, Medicaid, and other regulatory guidelines, ensuring full compliance across all billing and coding processes. • Conduct regular audits to uphold coding standards, identify gaps, and ensure accurate documentation and billing practices. • Partner with providers, administrative teams, and payers to address documentation gaps, efficiently resolve coding challenges, and reduce claim denials. • Identify skill gaps and develop tailored training initiatives, such as workshops, coaching sessions, and resource playbooks, to enhance team capabilities. • Serve as the expert in coding and billing complexities, particularly in navigating multi-state Medicaid and Medicare nuances. • Leverage emerging technologies and automation tools to optimize billing operations, enhance team performance, and support long-term cost efficiency.

🎯 Requirements

• Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification in medical coding is mandatory. • Experience: Minimum of 3-5 years of professional experience in medical coding and billing, including expertise with Medicare and Medicaid systems. • Strong preference for candidates with experience in behavioral health coding. • Leadership Skills: Demonstrated experience leading and mentoring a team, with a history of improving performance and operational workflows. • Technical Skills: Advanced proficiency with ICD-10, CPT, and HCPCS coding systems and experience with EHR and medical billing software. • Detail-Oriented: Exceptional accuracy and attention to detail in coding/billing and documentation. • Regulatory Knowledge: Strong understanding of HIPAA and healthcare compliance guidelines, with the ability to adapt to changing regulations. • Communication Skills: Exceptional written and verbal communication abilities to effectively collaborate with stakeholders at all levels. • Problem-Solving Expertise: Analytical mindset with the ability to address complex challenges, identify solutions, and implement improvements with speed and accuracy.

🏖️ Benefits

• Full Health Benefits: Medical, dental, and vision • Paid Time Off (PTO): 21 days of paid time off, including vacation and sick leave. • Professional Development: Unlock growth opportunities within a purpose-driven early-stage organization dedicated to creating a positive impact.