Billing Manager

About the role

DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers.

Responsibilities

• Implement and/or assist/manage internal billing process and procedures
• Implement and/or assist/manage processes for verification of patient benefits
• Manage staff in the Billing department (including billing, follow-up, collections, customer service team members)
• Prepare and submit clean claims in various methods (e.g., electronically, paper, online)
• Identify and resolve patient billing complaints
• Coincide collection of needed insurance documents for billing
• Rebill insurance companies or other third parties to secure payment for patients
• Follow-up and report status of delinquent accounts
• Review accounts for possible assignment and make recommendations
• Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers
• Establish payment plans to help patients manage payment of bills
• Send delinquent accounts to collection agencies
• Prepare Health Insurance analysis reports on a weekly basis
• Make recommendations to management for write-offs
• Execute approved write-offs
• Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
• Additional duties as outlined by the Revenue Cycle Director or CRO
• Adhere and follow Billing Service Level Agreement with the Operation

Required Qualifications

• 3-5+ years of experience
• Strong knowledge of various payers
• Proficient in MS Office, including intermediate experience in excel
• Knowledgeable on ICD-10 and CPT codes
• Must be available after hours
• Familiar with standard concepts, practices, and procedures
• Works under general supervision. A certain degree of creativity and latitude is required
• Strong accounting skills
• Commitment to excellence and high standards
• Able to prepare reports and business correspondence in a professional manner
• Able to understand and follow written and verbal instructions
• Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow
• Able to work independently and as a member of various teams and committees
• Able to work in a fast-paced environment
• Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm
• Time management skills as related to daily schedules and productivity
• Excellent interpersonal and communication skills

Preferred Qualifications

• Thorough knowledge of ambulance transport documentation
• Extensive knowledge of ICD-10 and Condition Codes
• Extensive knowledge of Medicare and Medicaid regulations and guidelines
• Familiarity with Medicare, Medicaid, Coding, Private Pay, and insurance
• Familiarity with medical terminology
• Ability to interpret EOB (Explanation of Benefits)
• Familiarity with Microsoft Office Suite
• Working knowledge of Zoll Data Systems
• Bachelor's Degree or equivalent experience