Billing Supervisor/Manager - Robert Half

The job function also includes liaising with insurers to ensure an efficient claims process, managing billing software updates, and interpreting coding and reimbursement guidelines.

Responsibilities:

• Oversight of the submission process for claims to Medicaid, Medicare, NJ Fee-for-service, and other insurers
• Supervising and reviewing the work of the billing staff to verify accuracy and promptness
• Compilation and uploading of necessary billing data
• Interpretation of coding and reimbursement guidelines while staying updated on standards and adhering to contract requirements
• Administration of credentialing, enrollment, and contracting of sites with insurers, maintaining access to payor portals
• Verification of health insurance coverage and eligibility for behavioral health services
• Retrieval, compilation, and research of EOBs
• Management of responses to Medicaid and Fee-for-service audits, resolution of discrepancies, and handling of refunds
• Providing regular updates on the status of the revenue cycle, including reports and metrics
• Acting as a liaison with payors/insurance companies to ensure the claims process is accurate and efficient
• Evaluation and analysis of billing processes and procedures to identify trends and areas for improvement
• Management of billing software and updates in the Electronic Medical Record, ensuring smooth operation of billing systems and resolution of system issues.
• Proficiency in Accounting Software Systems
• Familiarity with ADP - Financial Services
• Experience with Concur software
• Ability to handle CRM systems
• Knowledge of ERP - Enterprise Resource Planning
• Proficiency in using About Time software
• Comprehensive understanding of Accounting Functions
• Experience with Accounts Payable (AP)
• Experience with Accounts Receivable (AR)
• Skilled in Auditing