WellPower provides you with the support you need to help you develop a career in helping others succeed. We innovate, adapt, and leverage the diverse perspectives of the people on our team and the people we serve in everything we do.
WellPower values and is strengthened by diversity. We are committed to ending bias and discrimination in our community and ensuring equity within all aspects of our organization. We are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment, transfer, or promotion opportunities without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status
As part of the Finance Department, the Medical Billing Manager is responsible to the Director of Revenue Cycle Management. The Manager is specifically accountable for the daily operations and functions of the back-end of the revenue cycle, which includes eligibility, authorizations, claims management, statements, collections, and denial resolutions for all locations and payers. Responsible for developing departmental policies and procedures, providing guidance, support, and leadership to ensure AR Coordinator Team Success. This role also involves creating and maintaining relationships within the organization and fostering partnerships with our funding sources.
Learn more about WellPower:
Compensation and Benefits:
- $83,610 - $98,365 per year
WellPower is committed to fair and equitable hiring with salaries based on relevant factors, such as work experience, education, and certification/licensure (rather than wage history). Toward the principle of equal pay for equal work, we post and hire within defined hiring salary ranges. We ask all applicants to carefully review the hiring salary range for each posted job opportunity, as we will not hire outside the predetermined range.
All full-time, benefits eligible employees will be eligible for WellPower’s benefits plan. For a full description of benefit offerings, please visit: https://WellPower.org/workplace-of-choice/.
ESSENTIAL JOB FUNCTIONS:
- Work closely with the Director of Revenue Cycle Management to create and carry out the organization's revenue-cycle goals.
- Assist the Director of Revenue Cycle Management in optimizing operational billing and collection processes for new and existing billing structures, assessing opportunities to simplify and automate for increased scalability.
- Maintain a working knowledge of insurance carriers, payers, and processes utilized within the revenue cycle.
- Ensures that all departmental operations run according to institutional and departmental policies and in accordance with any government or regulatory requirements as applicable.
- Perform quality assurance checks on accounts to verify accuracy for proper billing and reimbursement from funding sources.
- Performs overall revenue management, including satisfying timely filing requirements, maximizing billing revenue and collections, and resolving denied/rejected claims.
- Perform month-end account reconciliation and support the Director of Revenue Cycle Management with audit requests.
- Organize workflows, supervise day-to-day activities, and ensure that billing deadlines are met, and payments are posted in a timely manner.
- Coaches staff in problem-solving, effective communication strategies, conflict resolution, mentoring, and career path opportunities.
- Hire and evaluate staff, arrange coverage of disciplinary activities, provide communication, and foster a healthy team environment.
- Represents team by attending pertinent organizational meetings.
- Build and support sound relationships with internal teams.
- Serve as the primary point of contact for billing and collection-related inquiries from both escalated customers and internal stakeholders.
- Create and maintain relationships within the organization, as well as foster partnerships in the community.
- Act as a direct liaison to internal staff as well as external partners.
- Perform other duties as assigned.
EDUCATION:
- Bachelor’s Degree in Administration, Management, Finance or related field; or equivalent experience in healthcare/medical insurance environment.
- Certified Professional Biller (CPB), Certified Professional Coder (CPC), Certified Revenue Cycle Professional (CRCP). Or other relevant certification preferred.
EXPERIENCE:
- Minimum five years of medical billing experience required.
- Minimum of three year of progressive supervisory experience preferred
SKILLS AND COMPETENCIES:
- Possesses intermediate computer skills with demonstrated strengths in Excel and EHR software.
- Comprehensive knowledge of claims management, HIPAA standards, CMS requirements, Colorado Medicaid billing, CPT, ICD-10, and HCPCS coding.
- Has strong project management skills and the ability to prioritize and manage multiple initiatives simultaneously under minimum supervision.
- Proven leadership skills to coach, mentor, and train staff to create an accountable and high-performing team.
- Ability to address problems that are highly varied, complex, and often non-recurring, requiring staff input and innovation to resolve challenges.
- Possesses strong attention to detail and ability to work through a large volume of accounts accurately and efficiently.
- Ability to observe payment trends, determine the root cause of denials, identify possible solutions, and suggest changes to workflows as needed.
- Possesses excellent written and verbal communication skills.
- Strong computer and customer service skills
- Maintain a trauma-informed environment of well-being.
SUPERVISORY RESPONSIBILITIES: Manages the AR Coordinators.
WORKING CONDITIONS: May require occasional evening or weekend hours.
