BrightSpring Health Services Looking for REVENUE CYCLE BILLING MANAGER at Nashville, TN  Full Time

Job Locations

US-TN-NASHVILLE | US-AZ-PHOENIX | US-TX-DALLAS

BrightSpring Health Services

The Billing Manager will report to Senior Director of Revenue Cycle and will oversee all functions of the Billing Department to maximize revenues, provide analysis, create written processes, and develop training for the department for all RWW service lines. Specifically, this position will provide supervisory oversight and management of all billing including claims processing, revenue monitoring, and quality improvement initiatives. Works cooperatively with other managers to ensure timely billing, reporting, and patient account management. This person will contribute to the efficiency of the department by reviewing and improving processes and keeping the team in line with the overall company goals and KPI’s.

Ensure billing for all current and new services lines are accurate, consistent, and maximize revenue opportunities.
• Evaluate, report on , and improve results after implementation of new services or payers.
• Monitors reports to ensure clean claims submissions.
• Provides technical expertise to ensure accurate billing for new services and staying informed of regulatory, compliance, and best practices.
• Performs regular audits of daily billing reports to identify errors and work with the appropriate teams for resolution.
• Manage a team of billing specialist and provides leadership and support.
• Develop and maintain billing policies and procedures to ensure compliance.
• Develop new hire training, ongoing training and ensure all billers are properly trained.
• Identify opportunities to improve billing efficiency and accuracy and implement strategies to achieve these goals.
• Review and analyze billing data from the various clearinghouses to identify trends and areas for improvement.
• Collaborate with other departments to ensure smooth and efficient billing operations.
• Respond to billing inquires and resolve billing issues.
• Create billing trackers to ensure all claims have been submitted.
• Reports to Senior Director regarding any issues roadblocks and challenges with billing.
• Reviews with Senior Director all Billing requirement issues are resolved monthly to ensure timely filing.
• Provides billing information for audits.
• Reviews billing teams productivity.
• Resolves Rejects in the billing systems.
• Drive more claims to electronic billing vs. paper billing.
• Participates in processing payor changes.
• Meets with leadership to discuss high level issues and successes as requested.
• Reviews, maintains, and updates tracking processes.
• Stays updated with Payor bulletins regarding any billing and updates/changes.
• Reconciles unbilled reports, missing bill requirements as it relates to billing claims.
• Bills tracking at 100% of assignment.
• Performs to company standards of compliance with policies and procedures.
• Runs exception reports distributing to Operations.
• Works with Senior Director and HCS help desk on projects as it relates to billing.
• Perform special projects and other duties as assigned.

• Bachelor’s degree of Accounting, Finance or Business Management or any equivalent combination of education and experience
• Three to five years in healthcare, private insurance, and/or federally funded Therapy billing claims
• Experience in reading and understanding remits (explanation of benefits) for denial reasons
• Understanding of medical terminology and ability to research various payor audit requirements and billing
• Computer experience is essential, including, but not limited to excel, practice management software, word processing and spreadsheet applications
• Excellent customer service skills
• Strong written and verbal communication skills
• Ability to manage relationships with Staff and various insurance payers
• Maintains use of confidential information and HIPAA policies
• Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
• Proficient in Microsoft Excel and have working knowledge of financial software programs. (AS400, HCS, Wellsky, WebPT, Oracle, Zirmed/Waystar, preferred)
• Extensive knowledge of revenue cycle
• Possess exceptional organizational and communication skills and be able to manage numerous areas of responsibilities
• Ability to function well as a member of a team and must demonstrate leadership and supervisory skills
• Ability to travel 20% between RWW Business Centers (Phoenix and Nashville)

BrightSpring Health Services is a leading provider of complementary home and community-based pharmacy and health services for complex populations in need of chronic and/or specialized care. Through the company’s pharmacy and provider services to seniors and specialty (including behavioral) populations, we provide comprehensive care and clinical services in 50 states to over 360,000 customers, clients and patients daily. The company’s services foster greater patient and family satisfaction, improve outcomes and reduce health care system costs, and are supported by industry-leading quality outcomes. For more information, visitwww.brightspringhealth.com. Follow us onFacebook,TwitterandLinkedIn.

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