Revenue Billing Manager

Act as a Supervisor to The Accounts Receivable Representative will be responsible for analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions for reimbursements. The work includes a combination of voice and non-voice follow-up along with undertaking appropriate denial and appeal management protocols.

1 Responsible for Managing the team.
 2  Ensure accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, 1500/UB04 claims form preparation, DRG, per diem, case rate reimbursements, etc.
3. Conduct appropriate activity on accounts by contacting government agencies, third-party payors, and patients/guarantors via phone, e-mail, or online. Continue reimbursement activity until account resolved
4. Document all follow-up activity taken on an account in the patient account notes
5. Taking appropriate actions to ensure payments and adjustments have been posted properly as well as identify applicable accounts for secondary billing and follow-up
 6 Research and assess correspondence and accounts for balance accuracy, confirm correct payor billed, coding accuracy, denials, and outstanding insurance requests
 7 Provide documentation appropriately and submit corrections; or if payor error, escalate for re-processing in a professional and timely manner
 8 Request additional information from patients and payors as needed
 9  Review payor contracts to determine expected reimbursement from claims, identify underpayments, and draft payor demand letters
 

Minimum of BSC Accounting
- Associate member ICAN/ACCA
- Experience working within the health or hmo industry
-Msc in Accounting or Finance related course