Billing Manager

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Health Plans, Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1981

⚕️ Healthcare Insurance

💳 Fintech

🤝 B2B

Healthcare Insurance • Fintech • B2B

Health Plans, Inc. (HPI) is a leading national third-party administrator (TPA) that specializes in self-funding solutions for employers and benefits brokers. HPI offers innovative health plan designs, including Consumer-Driven Health Plans (CDHP) and reference-based pricing, tailored to meet the unique needs of individual markets. With a commitment to providing advanced analytics and customized solutions, HPI aims to put employers in control of their healthcare costs while enhancing the member experience.

📋 Description

• Supervise, mentor, and train billing team members. • Foster a collaborative and positive work environment. • Assign tasks and monitor performance to ensure targets are met. • Oversee daily billing activities, including billing coordination, billing, and reconciliation. • Ensure timely and accurate submission of invoices to clients. • Review and resolve billing discrepancies or errors. • Maintain up-to-date knowledge of industry regulations and payer requirements. • Ensure billing practices comply with HIPAA and other relevant standards. • Conduct regular audits to identify and correct issues. • Address escalated billing inquiries from clients. • Provide clear explanations of billing procedures and resolve concerns promptly. • Identify opportunities to streamline billing workflows. • Implement best practices and new technologies to enhance efficiency. • Generate and analyze billing reports to track performance metrics. • Present findings and recommendations to management. • Monitor key indicators such as billing accuracy and invoice punctuality. • Lead prior experience in leading the Billing department in software migrations. • Ability to successfully lead the migration of the Medcost clients from the PowerStepp system to the Javelina system.

🎯 Requirements

• Associate’s or Bachelor’s degree in Healthcare Administration, Finance, or Business related discipline preferred. • 5-7 years of experience in Finance department at a third-party administrator of health plans in billing • Strong organizational skills with the ability to manage multiple priorities • Exceptional attention to detail and accuracy • Proven ability to meet deadlines in a fast-paced environment • Effective verbal and written communication skills; experienced in collaborating with internal teams, vendors, and customers to resolve inquiries • Skilled at working cross-functionally to identify and resolve business process challenges • Excellent knowledge of MS office and familiarity with relevant computer software (e.g. SAP) • ACA, ACCA or CIMA is a plus.

🏖️ Benefits

• Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the duties and responsibilities of the position.