Bachelor's degree in accounting or a related field required, or six years of relevant experience without a degree.
Minimum three years in health care billing, ideally in mental health services with supervisory experience.
Proven expertise in revenue cycle management and process improvement.
Strong analytical skills for interpreting financial data and identifying billing issues.
Excellent communication and collaboration skills to work with various stakeholders.
Responsibilities
Maintain monthly dashboard tracking KPIs and production metrics.
Research regulation updates and incorporate changes into workflows.
Develop a double-check process for system postings.
Collaborate with CFO on value-based revenue related to performance outcomes.
Manage credentialing and provider enrollment processes to align incoming and outgoing providers.
Oversee electronic health record system updates and billing integration.
Analyze root causes of billing denials and errors to propose corrective actions.
Benefits
401K Matching Contributions
Health Insurance
Dental Insurance
Flexible Spending Account
Health Savings Account
Flexible Work Schedule
Paid Holidays
Paid Birthday
Pet Insurance
Full Job Description
Full-Time | Exempt | Great Falls
Job Duties:
Maintain monthly dashboard including KPIs, production numbers, etc., monthly.
Research and collaborate on regulation updates to ensure all necessary changes are incorporated into daily workflows.
Develop double check process for postings to system software on a quarterly/monthly basis.
Collaborate with CFO as it relates to key insurers on value-based revenue achievements as it relates to performance outcomes.
Assist CFO on payment analysis for the various commercial payers as it relates to fee schedules, contracts, and the various plan offerings under each insurance plan.
Manage the credentialing/provider enrollment process to ensure clear integration and alignment for incoming and outgoing providers occurs.
Oversees maintenance, updates of the relevant modules, set-up, and data tables in the electronic health record systems and related billing engines.
Collaborates with the team to ensure billing functions are being maintained or added as necessary in the electronic health record systems.
Ensures analysis and correction of root causes of denials, billing errors, database errors, etc. that result in non-payment or denied claims.
Collaborate with MRWH billing/other vendor(s), if utilized, for improved data mining and financial reporting tools as it relates to revenue cycle.
Collaborates with other departments/programs to design systems, train employees, monitor and implement changes needed to ensure effective and timely revenue workflow.
Collaborates with the front desk employees for billing procedures, insurances, client payments, petty cash, etc.
Working in collaboration with CFO and accounting employees as it relates to revenue cycle management.
Assist CFO in preparing and developing operational strategies to increase cash, reduce bad debt, and decrease client refunds.
Work in collaboration with department supervisors for oversight with check in and out process: education, training, dashboards, scripting, EHR software, mapping, etc.
Liaise with 3rd party billing vendor. Oversee performance expectations and successful process improvements while facilitating/collaborating with 3rd party vendor for CPH billing, coding, A/R, collections, and any other contractual expectations.
Train, develop, support, and manage staff while supporting a team environment.
Adhere to HR/Company policies and procedures, evaluate, and approve timecards and time off requests.
Comply with all CMS, Federal and State regulations, payor guidelines and ensure consistent and complaint coding application.
Regularly provide leadership with revenue/payment data, reports, metrics, and presentations.
Directs resolution of billing and payment issues and ensures proper communication to executive and program leadership in accordance with established parameters.
Resolves escalated reimbursement issues with payers.
Performs other duties as assigned.
Minimum Qualifications:
Bachelor's degree in accounting or business-related field required.
Eligibility may be established on the basis of six (6) years' experience in lieu of a degree.
Minimum three (3) years progressive experience in health care billing field, preferably mental health services. This experience should include supervisory and/or leadership duties.
Benefits:
401K Matching Contributions
Health Insurance
Dental Insurance
Flexible Spending Account
Health Savings Account
Flexible Work Schedule
Paid Holidays
Paid Birthday
Pet Insurance
All Positions at Many Rivers Whole Health must pass Background Checks and Motor Vehicle Records Check.
