Billing Manager, FQHC

Job not on LinkedIn

September 26

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

🦅 H1B Visa Sponsor

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Medusind

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Healthcare Insurance • SaaS • B2B

Medusind is a provider of comprehensive revenue cycle management (RCM) solutions for the medical and dental industries. Offering services such as medical billing, dental billing, practice management software, and credentialing, Medusind partners with healthcare organizations and dental practices to streamline their processes and optimize their revenue cycles. The company’s solutions are designed to increase the productivity and profitability of healthcare practices, from small offices to large hospital-owned physician groups and dental service organizations. Utilizing platforms like MedClarity, Medusind integrates with existing systems and focuses on improving financial health through enhanced billing, coding, and account management.

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

💰 Debt Financing on 2023-04

📋 Description

• Oversee billing department operations including charge processing, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management • Provide direct support to supervisory staff, mentor and coach staff, and develop training tools • Ensure billing operations follow Federal, State, and payer regulations, guidelines, and requirements • Spearhead payor projects and resolve complex billing issues, discrepancies, and claim denials • Review and interpret operational data; design and implement systems to enhance revenue and operating efficiency • Develop and implement standard operating policies and procedures • Supervise billing office personnel including work allocation, training, and coordination of time off • Prepare, analyze, and present accounts receivable and daily/weekly/monthly financial reports; monitor KPIs, SLAs, and productivity • Audit procedures to monitor and improve efficiency of billing and collections operations • Analyze trends impacting charges, coding, collection, and accounts receivable and realign staff and revise policies as needed • Keep up to date with carrier rule changes and distribute information; perform physician credentialing actions • Contribute to internal process documentation, training materials, and maintain library of documentation guidelines and coding

🎯 Requirements

• Associate's degree preferred in business administration or related field • Bachelor’s degree preferred • 5+ years of medical insurance/healthcare revenue cycle experience will be considered in lieu of the degree • Minimum of 3 years medical insurance/healthcare billing and collections experience in a medical practice or health system • FQHC, or Experience with Community Health Centers – Required • Two years’ supervisory or management experience • Familiarity with credentialing and other health center operations • Medical coding/industry-related certification a plus • Experience working in ECW, Athena, Nextgen • Advanced proficiency in RCM software and Microsoft Office Suite • Data analytics and process improvement experience • Strong communication, negotiation, and interpersonal skills • Ability to work independently and as part of a collaborative team • Detail-oriented with exceptional problem-solving abilities • Ability to set and maintain priorities in a fast-paced client-focused environment • Ability to monitor team performance and make adjustments as needed

🏖️ Benefits

• Fully Remote (CA)