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Samaritan Health

Billing Manager

Samaritan Health, New York, New York, us, 10261

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Billing Manager page is loaded## Billing Managerremote type:

Onsitelocations:

Samaritan Medical Centertime type:

Full timeposted on:

Posted 30+ Days Agojob requisition id:

R271Location:Samaritan Medical CenterDepartment:01.8513 SMC REVENUE CYCLEPay Range:$32.46 - $53.56Care for our community, and your career.The Medical Billing Manager will direct and manage the daily operations of the departmental billing office to ensure the preparation; posting and collections of all billable encounters are completed in an accurate and timely manner.

The successful candidate will supervise and facility all processes, policies, procedures and be responsible for the overall team effectiveness and motivation.* Collaborate with cross-functional teams to resolve billing issues and ensure timely payments.* Manage transitions to changing billing and coding environments through all payor sources. (Medicaid, Medicare, Commercial, Private Pay, Military, etc.)* Train billing staff in use of new codes/modifiers* Establish new processes to accommodate change as needed to maintain efficient workflow and uninterrupted collections.* Maintain current information on Third Party payors, and keep staff informed of insurance provisions and changes.* Monitor and track billing and cash collection goals and develop action plans as needed to ensure organizational goals are met.* Monitor aged accounts, working with staff to address oversights or problems within payors.* Ensure staff follow the process to work aging accounts and address any identified issues with insurances.* Become superuser for billing systems utilized as well as clearinghouses.* Hires new billing staff as necessary and reviews performance evaluations prepared by Supervisors.* Monitor, trend and analyze pre-bill edits and collaborates with intra-departmental team members to identify root cause.* Assists with compliance, education, accuracy in charge capture and improvement in the revenue cycle processes as identified through revenue cycle audits and root cause analysis.* Ensure billing practices are compliant with payor rules and regulations.* Prepare and present financial reports and analytics to senior management on a regular basis.Skills* Ability to manage numerous systems.* Knowledge of healthcare codes including CPT, ICD-10, HCPC, DRG, and ability to correctly use and apply codes in operational setting.* Proficiency with MS Excel, Word and PowerPoint* Knowledge of third-party payer rules and requirements, computer operations and electronic interfaces related to charge documentation, capture and billing is required.* Extensive knowledge of all payment methodologies including, Ambulatory Payment Classification (APC), Diagnosis Related Grouper (DRG) and Outpatient Prospective Payment System (OPPS) reimbursement structures, as well as pre-bill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Not Final Billed (DNFB)* Exceptional organizational skills and ability to prioritize and manage multiple functions and responsibilities simultaneously* Possess strong analytical, interpersonal, written, and verbal communication skills* Knowledge of charge capture, reconciliation, error management operations and overall revenue cycle operations requiredEducation/Experience* Minimum of (5) five to (10) years in Patient Accounting preferably in a hospital setting* Knowledge of hospital billing and reimbursement of insurance as well as third-party billing.On-Site Full Time M-F**Work Shift:**Exempt (United States of America)Position Hours:80Samaritan is an Affirmative Action/Equal Opportunity Employer. Women, Minorities, Disabled, and Veterans are encouraged to apply.Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match.

Please call our Recruitment Hotline at: 315-779-5236.Talk with our Human Resources Professionals about current opportunities within the Samaritan Health System.Exceptional care starts with exceptional people. At Samaritan, everyone’s job is critical to the successful care of our patients. Be a part of an organization whose employees, medical staff, volunteers and students choose to spend their time here because they are dedicated, enthusiastic, truly care about making a difference…and are surrounded by over 2,500 others who feel the same way.Become part of an organization whose ongoing strategic planning drives our organization forward and sets the tone for future growth and development. Samaritan is a fiscally sound and stable organization. Thanks to the hard work and dedication of our medical staff and employees combined with careful management, our bottom line is strong, which allows us to provide stable jobs, and offer ever-improving quality of care.Enjoy the natural beauty of Northern New York, minutes from Lake Ontario and the St. Lawrence River. A safe community, low cost of living and minimal commute times mean more time for enjoying life outside of work. Exceptional, dedicated people, rewarding opportunities, an excellent compensation and benefit program, and the ability to shape healthcare in our community are some of the reasons to join Samaritan. #J-18808-Ljbffr