Home Health and Hospice Billing Manager

Description: Illuminus is seeking highly skilled and detail-oriented Home Health and Hospice Billing Manager to oversee and manage the billing operations in our Finance department. This individual assists with the daily operations related to billing, collections, minimizing bad debt, improving cash flow and managing the overall health of receivables. This role is also accountable for leading assigned team members, managing billing, insurance and authorization processes, ensuring processes are implemented effectively and efficiently, ensuring deadlines are met and team performance aligns with organizational goals.

Responsibilities: Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Responsible for on-call services, as assigned. Directs the daily activities and career development of billing team members, including hiring, coaching, ensuring standards of practice are uniformly applied and monitoring staff goals and performance. Manage the end-to-end medical billing process, ensuring accurate and timely submission of claims to insurance companies and processing of statements to residents. Stays abreast of current billing practices and Medicare and Medicaid regulations, as well as prepares for regulation changes in a proactive manner. Understand existing insurance payer contracts including authorization requirements, timely filing deadlines, payment methods and manage rate adjustments. Ensures that claims, denials and appeals are efficiently processed. Implements standardized and proactive processes to improve collections. Resolves problems independently and maintains productivity, quality and customer-service standards and escalates larger scale issues to upper management as needed. Preserves and upholds positive working relationship with clients, residents, representatives, and other internal departments. Collaborate with other department leaders in ongoing, cross-functional process improvement projects. Manages Accounts Receivable/Billing software to ensure efficient usage and proper implementation. Performs month end close procedures including reconciliation and review to ensure the accuracy of financial data within accounting and billing systems. Acts as the point of contact between the organization and external parties as it relates to collection efforts and issues. Performs other duties, as assigned.