Infinity Consulting Solutions Looking for Manager Healthcare Billing at Miami, FL(remote) Full Time

TITLE: Manager Healthcare Billing

Location: Miami, FL

In this role, the successful candidate is reporting to the Director of the group. the Manager of Healthcare Billing will be responsible for various strategic initiatives to support growth and optimization of workflows. You will be an integral part of the management team of the Central Billing Office (CBO), collaborating with the leaders across all revenue cycle including customer service, accounts receivable, authorizations, payments/credits, training/quality, and/or other areas. The candidate will develop project plans, gather/analyze data, and make recommendations to leadership. S/he will communicate with offshore partners and manage the implementation of new processes, workflows, and initiatives.

You will work closely with the offshore operations team, practice managers/administrators, CBO management, revenue cycle mangers, vendors, managed care, credentialing, and medical center IT teams.

S/he will also function in Account Management role having primary responsibility for communicating with offshore vendors and internal operational teams.

The ideal candidate must understand complete revenue management workflows.

Job Responsibilities:

Vendor Relationship

• Prepare and manage Statements of Work in accordance with the requirements of the Offshore contracts
• Act as an internal and external Account Manager – preparing action plans, progress reports, timelines, etc by working with vendors and operational owners
• Review and verify Offshore vendor invoices
• Maintain collaborative/support relationship with vendors
• Ensure staff meet CBO quality and productivity targets as established in the service level agreements with offshore partners. Implement remediation plans where they are not met.
• Serve as a liaison to the Offshore partners for questions, data request, and other inquiries.
• Delegate, coordinate, and evaluate the revenue cycle work of offshore teams. Communicate responsibilities and expected performance to staff.
• Serve as liaison between Offshore teams and CBO coordinating the work efforts and ensuring ongoing communication and expectations are being met.

Workflow/New Technology Management

• Lead vendor response and develop to supporting new business needs of the FGP. Develop workplans and outcomes for completing shorter term projects or implementing longer term plans.
• Work with subject matter experts, process owners, and others to plan new workflows with the offshore teams.
• Manage changes caused by deployment of new technologies. Identify cost savings opportunities through use of new technologies.
• Identify issues and suggest improvements and available tools to physicians and admin support staff to address issues. Escalate issues as needed to practice and FGP Leadership.
• Adhere to general practice and FGP guidelines on compliance issues and patient confidentiality.
• Review and prepare Action Plans and/or Collection and denial reports on a timely basis. Analyze issues to identify trends in denial rates to focus improvement initiatives on, and charges that requires action.
• Review outstanding accounts receivable to maintain minimal level of open accounts.

Collaboration

• Review and respond to Central Billing Office, Revenue Cycle Managers, and FGP leadership requests following CBO guidelines
• Collaborate with coders to understand CPT and ICD-10 manuals, payer policy and procedure manuals, updates, and CMS publications to ensure billing staff is compliant with current policies and procedures.
• Work with practice operations to implement changes to improve revenue where necessary.

About Infinity Consulting Solutions

At Infinity Consulting Solutions our mission is to cultivate successful long term relationships with candidates and clients matching the right candidate with the right client. We believe technology cannot replace the real personal relationships we cultivate. We reject the notion that technology alone is the answer to staffing which is why we our successful partnerships rely on collaboration NOT automation. ICS has been providing flexible staffing solutions for over 20 years in Information Technology, Compliance, Accounting / Finance and Corporate Support. Our staffing solutions include Contract, Temp to Perm and Permanent Placement.

ICS is an Equal Opportunity Employer.