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Medical Billing Manager for Medicare and Medicaid

Company: TAL Healthcare
Location: New York
Posted on: March 14, 2018

Job Description:

Job DescriptionManager, Medical Billing for Medicare and Medicaid The successful candidate will be responsible for providing the daily management of the Outpatient Medicare/Medicaid Accounts Receivable. Optimizing staff performance through process redesign, policy/procedure implementation, communications and outcome feedback. Attending managerial meetings as a representative of the department; providing orientation, training and continuing education for all staff. Responsibilities: · Responsible for the operations management of the Revenue Cycle Operations department, which includes follow-up with Medicare/Medicaid Government programs.· Ensures cash optimization and accounts receivable reduction activity is functioning to fullest capability.· Utilizes previous experience in adjudication of bills, and accounts receivable functions. Resolves billing and collections issues.· Oversees the daily operations of the collections department.· Handles resubmissions of denials and ensures that department is maximizing reimbursement to efficiently lower A/R and speed up revenue cycle.· Performs “data mining" and in-depth accounts receivable analysis· Performs applicable analysis, and manages key project initiatives.· Recruits, selects, orients and manages staff.· Sets key performance indicators of RCO Teams. Monitors and reports on all accounts receivable key performance indicators to the Revenue Cycle Director.· Acts as liaison with internal and external business partners and departments.· Collect/analyze payer data to determine denial and underpayment trends for further review;· Evaluate and escalate eligibility, authorization, billing, and claims processing inaccuracies to implement upstream solutions· Adhere to compliance and departmental policies and procedures including compliance with 100% of HIPAA requirements, required trainings, and other Hospital mandated activities· Performs other duties as assigned. Requirements:· Bachelor's degree in business administration, healthcare administration or related field· Five (5) years of current patient accounts or managed care experience· Progressive supervisory/management experience in a large healthcare settingCompany DescriptionAbout TAL Healthcare:TAL Healthcare provides full-service recruitment services for all of our clients. We represent and place in permanent positions a wide variety of healthcare professionals including (but not limited to):- Senior executives (C-suite)- Physicians- Financial managers and leaders- Information Technology (IT) professionals- Supply Chain specialists- Nurse Managers- Nurse Practitioners- Revenue enhancers- Practice Administrators- Billers and Coders- Managed Care Administrators- ConsultantsOur Vision"Partnering with our clients to build talented teams and advance the healthcare careers of our candidates."Our Mission"Identify, attract, engage and connect the best possible talent while building, nurturing long-term relationships with our client partners based on integrity, trust and the on-going pursuit of excellence."Our Values"Develop and retain the best consultants where trust and caring are central to fostering professional growth; integrity; ethics; quality; professionalism; continuous improvement; and to embrace innovation and change."

Keywords: TAL Healthcare, New York, Medical Billing Manager for Medicare and Medicaid, Accounting, Auditing, New York, New York

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