Medical Billing Manager

Southwest Behavioral and Health Services is seeking a dedicated Medical Billing Manager who can help us fulfill our mission. Delivering compassionate care to enhance lives and improve communities. We are seeking someone who enjoys coordination, organized and excellent communication skills. Does this describe you? If so, you may be the person we are looking for to join our dynamic Client Financial Services team!

Job Preview at a Glance:

Medical Billing Manager is responsible for timely and accurate billing of large volume of electronic and hardcopy medical and Behavioral Health claims. Responsible for the daily operations, coordination, and supervision of a team performing claims billing as well as receivable functions within the Client Financial Services Department. Develops policies and procedures related to claims processing and cash receivables. Identify and institute plans to correct problems to ensure accuracy and maximum efficiency to ensure a high collection rate.

Location & Schedule:

This a Monday-Friday remote schedule with flexibility to come in office as needed.

Pay: $67k Starting

Responsibilities:

• Manages a team of billing specialists responsible for all aspects of electronic and hardcopy HCFA 1500 and UB04 837i claims and receivables for a large volume of behavioral health and medical claims for a variety of contracts and payers.
• Ensures unbilled claims are identified, researched and submitted on a weekly basis
• Ensures denied encounters are identified, researched, and resolved within 1-4 weeks of denial date
• Reviews service codes, rates, and contract billing requirements assuring compliance to obtain clean claim submissions.
• Ensure the billing staff carries out all its activities in accordance with CFS protocol, and that billers comply with payer, State, and Federal requirements, regulations, and guidelines.
• Conducts regular review and analysis of claims to ensure contract standards are being met.
• Monitor account receivables. Report delinquent collections and issues to CFS Director
• Establishes claim-processing standards to ensure compliance with contract and industry standards.
• Carry out audits of current procedures and processes, discover billing operations areas to improve and streamline for effective billing processes
• Prepares claim appeals as needed
• Create and update CFS claim processing processes and procedures
• Provide training and motivation to employees to achieve their best performance and high degree of productivity
• Responsible for hiring and supervising billing specialist(s)
• Carry out performance evaluation of personnel and recommend necessary actions

Qualifications:

• Bachelors degree plus 3 years progressive direct healthcare billing and supervisory experience. 5 years of progressive, hands-on medical claims experience can be substituted for bachelors degree.
• Medical and Billing Certification preferred
• Behavioral Health Claims experience preferred
• Thorough knowledge and working experience of CPT, HCPC, and ICD10 codes, UB04 claim forms, HCFA 1500, HIPAA, medical terminology, appeal processes, billing and insurance regulations, and insurance benefits.
• Experience with automated billing systems and data management systems required.

Benefits:

Southwest Behavioral and Health Services offer full time employees low-cost medical insurance and 100% company paid dental, short term disability, long term disability and life insurance for employees. 3.3 weeks of PTO your 1st year of employment, with increased accruals after 2, 5 and 10 years of service and 10 paid holidays. We will help you save for retirement 40% company match up to a 10% deferral into your SB&H retirement account. We help you with your higher education goals Reduce your tuition costs with our tuition reimbursement program & discount degree programs. Employee Assistance Program, Health & Wellness and much more!

About SB&H

Southwest Behavioral & Health Services is a large and growing, non-profit community-based provider of behavioral health services with locations throughout the Phoenix metropolitan area, rural Maricopa County, Gila, Pinal, Mohave, Coconino, and Yavapai Counties. We are a well-established voice in the community with more than 115 sites, over one thousand employees, and 40 years experience.

To learn about Southwest Behavioral & Health Services mission, values and services please review our website at https://www.sbhservices.org/

• Mission: Delivering Compassionate Care to Enhance Lives and Improve Communities
• Values: Compassion, Integrity, Quality, Empowerment, Innovation and Trust

SB&H is a drug-free workplace, drug screening required. EOE

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.