Billing Manager

🔥 12 hours ago

🌵 Arizona, Colorado, +25 more states – Remote

🌵 Arizona – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $93k - $99k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Vivo Infusion®

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2022

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Vivo Infusion® is redefining infusion care with a personal touch, offering individualized and compassionate treatment for patients. The company focuses on providing exceptional outpatient infusion therapy services in a comfortable environment, working closely with physicians to ensure seamless care. With numerous locations across several states, Vivo Infusion® is committed to making high-quality, cost-effective infusion therapies accessible to a wider community, ensuring a convenient and supportive experience for patients.

📋 Description

• Lead day-to-day billing operations and ensure patient encounters, drug charges, and administration charges are accurately, compliantly, and timely captured, coded, and billed • Lead, develop, and hold billing specialists accountable to departmental goals • Oversee charge review and entry, charge reconciliation, claim submission, and claim rejection and denial management • Submit electronic 837P and paper CMS-1500 claims within 24 hours or less of the date of service • Ensure accurate infusion-service billing, including drug HCPCS J-codes, NDC, units, wastage, JW/JZ modifiers, and drug administration CPT codes • Oversee billing-system edits, claim rules, automated workflows, testing, and monitoring • Manage clearinghouse edits, front-end rejections, payer acknowledgment reports, corrections, and resubmissions • Monitor and report billing SMGs, including time to bill, clean claim rate, first-pass resolution rate, and rejection and denial rate • Lead month-end close activity and reporting • Analyze rejection and denial trends and implement corrective action • Coordinate with coding and compliance on CPT, HCPCS, ICD-10-CM, modifiers, documentation, and provider education • Establish SMGs, productivity and quality standards, workload assignments, billing policies, procedures, and workflows • Serve as primary billing contact for new practice-management and clearinghouse systems and programs • Collaborate with Operations, Patient Access, Coding, Credentialing, Payor Contracting, Finance, and Patient Resource Operations • Maintain knowledge of payer policies, reimbursement methodologies, CMS guidelines, HIPAA, and state and federal billing regulations; support audits • Train, coach, evaluate, supervise, motivate, and discipline billing team members • Conduct team meetings, account audits, productivity and quality reviews, cross-functional training, and succession planning • Ensure staffing levels and workload balance • Perform special projects and other assigned duties

🎯 Requirements

• High school graduate or equivalent required • Professional certification preferred, such as Certified Professional Biller (CPB), Certified Professional Coder (CPC), Certified Revenue Cycle Representative (CRCR), or Certified Medical Reimbursement Specialist (CMRS) • Minimum 3 years of healthcare billing experience, preferably in an infusion center or multi-specialty physician practice (CMS-1500 billing) • Minimum 2 years of supervisory or management experience in a healthcare setting • Advanced knowledge of medical billing, medical insurance, accounting, HIPAA, Medicare/Medicaid, CPT, HCPCS, and ICD-10 • Experience in mentoring, coaching, and developing teams • Excellent listening and influencing skills • Proven attention to detail, analytical, critical thinking, problem solving, and time management skills • Strong interpersonal and communication skills • Demonstrated collaborative management style and strategic perspective • Intermediate proficiency with all Microsoft Office programs • Prior experience working with sensitive and confidential information • Minimal travel may be needed • Must reside in one of the listed states at the time of employment • Proof of eligibility to work in the US

🏖️ Benefits

• Bonus Plan Target: 10% Annually (Based on performance) • Private Equity for the Greater Good - Company-wide Employee Ownership Program • Medical, Dental, Vision • HSA w/ Employer Contribution • Touchcare - Insurance Concierge Service • 401K with Match up to 4% • PTO: Accrual 3+ weeks • PTO Rollover and PTO Donation Program • Wellness Reimbursement Program - $360 Annually • Employee Referral Bonus - Uncapped Bonus Potential • Tuition Assistance Program & Professional Association Reimbursement • Employee Assistance Program (Employer-provided) • Short & long-term disability (Employer-provided) • Life Insurance (Employer-provided) • Remote work from a home office • Opportunities for growth and advancement • Competitive benefits

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