Medical Billing Manager at Home Care Powered by AUAF

About Our Company

Home Care Powered by AUAF is a fast growing, non-profit organization providing non-medical, in-home services for over 30 years. Our mission is to provide quality, in-home service that will allow seniors to live comfortably and independently in the familiarity of their own home.

About the Position

The Medical Billing Manager works in a fast-paced environment, ensuring billing and claims are accurate, timely, and meet the requirements of MCOs and the IDoA. The Billing Manager needs to be an expert on all areas of Billing from client referrals and intake to resolving rejected claims. This position is responsible for the training and work of a team of Billing Associates and works closely with the Controller. The Medical Billing Manager reports to the Chief Compliance Officer.

Responsibilities

• Develop, maintain and monitor all billing procedures
• Follow up on all receivable balances
• Monitor write-offs with the objective of minimizing these losses
• Reconcile claims/accounts to complete resolution
• Prepare monthly billing reports for Director/Accountant
• Coordinate with Accounting on accounts receivable.
• Monitor assigned accounts to ensure maximization of collection dollars
• Ensure client information is correct for insurance networks
• Maintain contact with all MCO and IDOA representatives
• Supervise all billing staff to ensure accuracy, efficiency, and timeliness of claims
• Actively pursue all non-payments identifying the cause and providing a resolution
• Process monthly billing for IDoA through IDoA web portal (eCCPIS)
• Processes monthly billing for managed care organizations through insurance company or other billing web portals
• Payment posting from both insurance and patient
• Serve as liaison between IDoA, insurance companies and AUAF regarding any billing issues
• Insurance eligibility and benefit verification
• Delegate responsibilities to employees while enforcing all policies, procedures, standards, specifications, guidelines, training programs, and cultural values
• Actively participates in team initiatives and in team status meetings
• Use and train employees to use IDoA and MCO web portals (PSS, TTP, and MCO specific sites)
• Client agreements, authorizations, & verifying eligibility
• Resolve internal staff conflicts efficiently and to the mutual benefit of those involved
• Understands and actively promotes all AUAF and IDoA regulations and standards
• Follow all IDoA and AUAF policies and procedures
• Other duties as assigned

Qualifications

Required

• Bachelor’s degree and a minimum of 3 years of healthcare-related experience in billing and collections
• Certified Coding Specialist (CCS) from accredited program recommended
• Knowledge with CMS 1500 Billing Forms, electronic billing, EOBs, claims
• Experience working with all types of insurance- Commercial, Medicare, Medicaid, etc.
• Ability to read and understand the information provided on EOB’s, remittance advices, and other insurance correspondence
• Knowledge of ICD-10 billing
• Ability to work in a group and independently with little supervision
• Strong knowledge of Microsoft Office: Excel, Word, Outlook
• Highly organized, detail-oriented individual who has the ability to manage multiple tasks in a fast-paced environment
• Demonstrated understating of the medical billing industry
• Authorized to work in the United States
• Pass state required background checks

Preferred

• College degree
• Speaks a second language

Training

• Complete IDoA required Homecare Supervisor Training (HOST) within 90 days of employment
• Complete 24 hours of in-service training on aging related subjects within each calendar year
• Complete additional training as assigned by AUAF management

Required Skills

Proficient in Microsoft Office (Excel, Outlook, Word) and data entry

Exceptional communication and interpersonal skills

Excellent customer service

Superior organization, time management, and attention to detail

Manage large amounts of data

Explain and resolve detailed issues with multiple variables

Meet strict deadlines under pressure

Exceptional math skills

AUAF is an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by applicable law. We are committed to providing access, equal opportunity, and reasonable accommodations for people with disabilities