Executive Job Description | Job Description:
We are currently seeking a Director of Billing for a clinical laboratory on Long Island, NY.
The incumbent will effectively lead billing, collection and accounts receivable management team in a growing environment. This position will require a full understanding clinical laboratory billing system and all aspects of laboratory revenue cycle management. The Director will manage the activities of the centralized billing staff through daily supervision while overseeing all Billing and Accounts Receivable functions.
Responsibilities:
Direct Billing Management and staff to ensure that accurate submission of all claims and timely collections occurs in accordance with all third party contract terms including, Medicare, managed care, commercial insurance, and direct patient pay.
Develop a Skilled Nursing Facility billing department.
Establish and maintain all billing and financial data, including medical billing code tables, rate schedules and payer information.
Analyze reimbursement from all sources, including carrier reimbursement exception reporting and follow up pending claims analysis and denials management.
Assure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances.
Maintain and enhance billing policies and procedures for each function in the revenue cycle process and ensure staff adherence to policies.
Prepare detailed analyses and reports of billing and accounts receivable activity and results, including performance matrixes, bad debt expense and AR days outstanding.
Manage for continues improvements within the revenue cycle process.
Effectively interact with all laboratory departments including Sales, Operations and Technical Lab.
Provides mentoring, coaching and performance reviews for direct reports.
Manages all outreach billing operations, including hiring, orientation, training, development, coaching, corrective actions, and ongoing monitoring of all staff work-related activities.
Ensures consistent quality of the billing services by distributing and assigning duties and responsibilities to employees, ensuring skill levels are appropriate to the assigned tasks, and monitoring the departments productivity.
Requirements:
.Bachelors degree in accounting, business administration, healthcare administration/management or related field.
A minimum of 5 years management experience as a Senior Billing Manager or Billing Director in a Clinical Laboratory
Five years plus medical reimbursement experience, with progressive supervisory management in an automated billing environment.
Well-versed with all federal, state and HIPPA privacy regulations with thorough knowledge of CPT and ICD-9 coding protocols and procedures.
Knowledge of medical necessity rules and procedures impacting insurance reimbursement.
Knowledge of New York and New Jersey laboratory billing regulations.
Excellent communication skills.
Excellent Microsoft Excel, Word skills
Demonstrated strong organizational and leadership skills in a fast paced, growing environment. Detail oriented.
Strong organizational skills and have demonstrated ability to effect positive change.
Ability to maintain relationships with internal department heads and external vendors
Excellent salary and benefits. Relocation available.
Please email resume to ruth@pharmacruiting.com. Thank you.
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Pharma-Cruiting is a dynamic executive search firm specializing in the recruitment of mid and senior-level executives through C-Suite positions within the Life Sciences industries. We provide recruitment expertise in the most sought after areas, including Pharmaceutical, Biotechnology, Laboratory, Medical Device, Molecular Diagnostics, Personalized Medicine and Genomics throughout the United States. Our headquarters are in Greater Philadelphia with offices located throughout the United States.
Pharma-Cruitment, a division of Pharma-Cruiting is dedicated to the recruitment of sales executives within the Life Sciences industry.
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