Billing Manager

Job Summary

Cardinal Ritter Senior Services, a ministry of Catholic Charities of the Archdiocese of St. Louis, is seeking a Billing Manager to oversee the billing and collections department.

Overview and Responsibilities

- Oversee the entire billing cycle, from clean claim submission to final payment posting. - Recruit, train, and mentor billing staff; set performance goals and conduct regular performance reviews. - Monitor and analyze claim denials; develop strategies to appeal rejected claims and minimize future errors. - Ensure all billing practices adhere to HIPAA guidelines and government payer (Medicare/Medicaid) regulations. Ensure all regulatory filings (ie Medicare revalidation, PECOS, Medicaid revalidation, etc. are completed accurately and timely. - Prepare and present monthly reports on accounts receivable (A/R) aging, collection rates, and overall revenue metrics to senior management. Prepare documents necessary for Medicare and Medicaid cost reports. - Establish and update standard operating procedures for billing and collections to improve efficiency. - Act as a liaison with insurance companies to resolve complex billing issues and negotiate contracts. - Assures Finance Office equipment is maintained and in good working condition. - Assures Finance Office co-workers comply with all policy and procedure. - Performs annual performance evaluations of Finance Office staff. - Perform other duties as assigned.

Knowledge and Experience Requirements

- Bachelor's degree in Accounting, Business Administration, or a related field preferred. - At least 5 years of experience in medical billing (skilled nursing preferred), with 3+ years in a supervisory or management role. - Knowledge of Medicare and Medicaid compliance requirements. - Experience with Electronic Health Records (EHR). - Experience with Matrix strongly preferred. - Demonstrate competence and proficiency in Microsoft Office Suite. - Strong ability to analyze data trends and identify operational deficiencies.

Skills and Competencies Required

- Competence with Microsoft Office suite (Excel, Word, Power Point) - Excellent computer skills - Competence with electronic health record (Matrix) - Strong attention to detail - Strong analytical and problem-solving skills - Effective written and verbal communication skills - Excellent interpersonal skills

Resources for Which Accountable

- Accountable for the timely billing and collection of accounts receivable. Supervises Finance office staff. - Analyzes aged billing and assures all residents are current on their accounts. Implements internal collection activities with escalation to external collections when necessary. - Assures resident trust funds are compliant. - Assures petty cash accounts are managed within policy.