Home Care Powered by AUAF is a fast growing, non-profit organization providing non-medical, in-home services for over 30 years. Our mission is to provide quality, in-home service that will allow seniors to live comfortably and independently in the familiarity of their own home.
About the Position
The Medical Billing Manager works in a fast-paced environment, ensuring billing and claims are accurate, timely, and meet the requirements of MCOs and the IDoA. The Billing Manager needs to be an expert on all areas of Billing from client referrals and intake to resolving rejected claims. This position is responsible for the training and work of a team of Billing Associates and works closely with the Controller. The Medical Billing Manager reports to the Chief Compliance Officer.
Responsibilities
Develop, maintain and monitor all billing procedures
Follow up on all receivable balances
Monitor write-offs with the objective of minimizing these losses
Reconcile claims/accounts to complete resolution
Prepare monthly billing reports for Director/Accountant
Coordinate with Accounting on accounts receivable.
Monitor assigned accounts to ensure maximization of collection dollars
Ensure client information is correct for insurance networks
Maintain contact with all MCO and IDOA representatives
Supervise all billing staff to ensure accuracy, efficiency, and timeliness of claims
Actively pursue all non-payments identifying the cause and providing a resolution
Process monthly billing for IDoA through IDoA web portal (eCCPIS)
Processes monthly billing for managed care organizations through insurance company or other billing web portals
Payment posting from both insurance and patient
Serve as liaison between IDoA, insurance companies and AUAF regarding any billing issues
Insurance eligibility and benefit verification
Delegate responsibilities to employees while enforcing all policies, procedures, standards, specifications, guidelines, training programs, and cultural values
Actively participates in team initiatives and in team status meetings
Use and train employees to use IDoA and MCO web portals (PSS, TTP, and MCO specific sites)
Resolve internal staff conflicts efficiently and to the mutual benefit of those involved
Understands and actively promotes all AUAF and IDoA regulations and standards
Follow all IDoA and AUAF policies and procedures
Other duties as assigned
Qualifications
Required
Bachelor's degree and a minimum of 3 years of healthcare-related experience in billing and collections
Certified Coding Specialist (CCS) from accredited program recommended
Knowledge with CMS 1500 Billing Forms, electronic billing, EOBs, claims
Experience working with all types of insurance- Commercial, Medicare, Medicaid, etc.
Ability to read and understand the information provided on EOB's, remittance advices, and other insurance correspondence
Knowledge of ICD-10 billing
Ability to work in a group and independently with little supervision
Strong knowledge of Microsoft Office: Excel, Word, Outlook
Highly organized, detail-oriented individual who has the ability to manage multiple tasks in a fast-paced environment
Demonstrated understating of the medical billing industry
Authorized to work in the United States
Pass state required background checks
Preferred
College degree
Speaks a second language
Training
Complete IDoA required Homecare Supervisor Training (HOST) within 90 days of employment
Complete 24 hours of in-service training on aging related subjects within each calendar year
Complete additional training as assigned by AUAF management
Required Skills
Proficient in Microsoft Office (Excel, Outlook, Word) and data entry
Exceptional communication and interpersonal skills
Excellent customer service
Superior organization, time management, and attention to detail
Manage large amounts of data
Explain and resolve detailed issues with multiple variables
Meet strict deadlines under pressure
Exceptional math skills
AUAF is an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by applicable law. We are committed to providing access, equal opportunity, and reasonable accommodations for people with disabilities