Billing Manager

Amerita

Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals.

The Billing Manager will perform and supervise all activities related to the billing of all Accounts Receivable, including but not limited to, Medicare, Medicaid, commercial insurances, and patient balances. The Billing Manager will perform all human resource-related tasks associated with managing employees. The Billing Manager will work closely with billers' onsite and in other locations, and with other management to identify and share information about trends or patterns in billing activity. The Billing Manager will assure that the Revenue Cycle Management department maintains compliance with company policies and all applicable laws and regulations regarding billing, collections, banking, and the security of patient financial information. Above all, qualified candidates should possess strong problem solving and analytical abilities to drive the highest level of collectability.

Mon - Fri 8:30a - 5:00p - REMOTE

* Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance
* 401(k) Retirement Plan with Employer Match
* Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
* Employee Discounts
* Tuition Reimbursement
* Paid Time Off & Holidays

Team Leadership & Development:

Supervises and mentors the Billing Management team
• Conducts regular performance evaluations, provide constructive feedback, and implement development plans to enhance team skills and productivity
• Coordinates and leads team meetings to ensure alignment with company goals and objectives
• Develops and implements training programs to keep the team updated on the latest industry standards and regulatory changes

Revenue Cycle Operations:

• Thinks ahead and builds plans to drive best-in-class Billing performance
• Drives a continuous improvement mindset, leveraging process/technology to drive efficiency across the billing function
• Ensures daily accomplishments to work towards company goals for posting, cash collections and A/R over 90 days
• Supervises the process of billing as well as assists with the receiving, batching, posting, balancing, and archiving payments and adjustments to accounts receivable
• Identifies inefficient processes; makes recommendations to automate or eliminate
• Monitors Ready to Bill daily to ensure the team is billing within two days of receipt
• Monitors workload of staff; makes recommendations to management of staffing needs prior to workload becoming unmanageable and performance suffers
• Identifies unbilled revenue patterns and works with operations to correct root causes
• Works with the cash posting team to insure proper application of cash receipts
• Addresses and resolves any issues related to claims denials, underpayments, or patient disputes

Compliance & Quality Assurance:

• Ensures that all Billing activities comply with federal, state, and payer-specific regulations
• Collaborates with the compliance team to stay informed about changes in healthcare laws and payer requirements
• Monitors payer websites regularly for updates and communications; accordingly, makes recommendations to changes in billing procedures to insure timely payment of claims
• Performs regular audits of Billing processes to ensure accuracy and compliance

Cross-Functional Collaboration:

• Works closely with finance to evaluate unbilled revenue accruals
• Works closely with Billing supervisors & HR department to resolve HR related concerns
• Partners with the cash and collections team to reconcile accounts receivable and ensure accurate financial reporting
• Participates in audit and compliance activities to ensure all information is provided to support audit/compliance/legal requests

HR & Administrative Tasks:

• Manages HR related tasks related to monitoring and coaching to employee performance
• Ensures timely and accurate submission of employee timecards in accordance with company policies
• Assists with onboarding new team members, ensuring they receive the necessary training and resources
• Oversees the distribution of equipment to remote and on-site team members, including coordinating shipments and maintaining inventory of company-provided equipment
• Facilitates regular communication with HR to address team-related issues and ensure compliance with policies and procedures
• Supervisory Responsibility: Yes

EDUCATION/EXPERIENCE
* Bachelor's degree in healthcare administration, business administration, or a related field strongly preferred but not required.
* Minimum of 5 years of experience in revenue cycle management, preferably within a specialty pharmacy or home infusion setting.
* At least 5 years of supervisory or management experience in a similar role.
* Strong knowledge of healthcare billing, coding, and reimbursement processes, including experience with Medicare, Medicaid, and commercial payers.

KNOWLEDGE/SKILLS/ABILITIES
* Proficient in revenue cycle management software and Microsoft Office Suite.
* Excellent leadership, communication, and problem-solving skills.
* Ability to analyze complex data, identify trends, and implement effective solutions.
* Strong attention to detail and commitment to accuracy and compliance.

Occasional weekend, evening or night work if needed to ensure shift coverage
On-Call as needed basis

**To perform the duties of this role will require typing on a keyboard with fingers, frequently sitting, standing and walking as well as occasionally reaching. The physical requirements will be the ability to push/pull and lift/carry 11-20 lbs.**