Revenue Cycle Billing Manager

Clinical Laboratories of Hawaii, LLP

Job Functions, Duties, Responsibilities and Position Qualifications:

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Quality is in our DNA; is it in yours

The Billing Manager has supervisory responsibility and oversight for the Billing Department that is comprised of Data Entry, Scanning & Research; Credit, Collections & Correspondence; Denials and Payments; Institutional Billing & Group Accounts; Financial Applications. He/she ensures that the daily operations of the Department are performed in compliance with currently accepted billing and reimbursement practices and principles relating to health care operations, and all applicable laws and agreements governing medical billing including, but not limited to, the Health Insurance Portability and Accountability Act of 1996 (HIPAA); the security of Individually Identifiable Health Information found at Title 45, Code of Federal Regulations (CFR) Parts 160, 162, and 164; Centers for Medicare & Medicaid Services Regulations & Guidance.

LOCATION: Hilo, Hawaii

Status: Full-Time

Onsite- Opportunity

Days: Monday - Friday

Salary: 80,000 + depending on experience

Take a look at the qualifications and experience we require:

• High School Diploma or equivalent; Bachelor Degree preferred
• Minimum of five (5) years managerial/supervisory experience
• Minimum of three (3) years in medical billing
• Experience in assessing and conducting training programs, preferably in a health care or laboratory setting desired
• Computer skills with specific knowledge of Microsoft Office applications
• Knowledge of current insurance billing requirements
• Excellent organizational skills
• Proven problem solving and decision-making skills
• Excellent written and verbal communication skills (English)
• Excellent telephone etiquette
• Ability to travel
• Passes company drug testing program pre-hire and thereafter on a periodic and/or random basis

In this role, you will-

• Oversee the day-to-day functions of the Billing Department; must also be willing to assist with daily work if necessary to address increases in unbilled claims, denials, etc.
• Streamlines billing and collections processes
• Develops, reviews and revises written policies and procedures that govern the Department’s functions
• Develops and implements a quality assurance plan that ensures the functions of the Department are being performed in compliance with all laws and regulations governing health care billing
• Conducts monthly staff meetings to educate staff on changes in policy/procedure and communicate important information
• Standardizes the methods through which work will be accomplished
• Develops and provides billing reports to the organization’s Senior Team as necessary
• Monitors accounts receivables and takes steps to improve collections in accordance with established goals
• Ensures that monthly patient statements and delinquent notices are sent out as scheduled
• Creates and implements training programs to ensure that the Billing staff is aware of current laws, regulations and best practices
• Works with the organization’s Training Specialist and implements specific training for targeted problem locations
• Measures and monitors demographic front-end errors and develops a feedback mechanism to communicate those errors to the appropriate supervisors/managers so that they are able to take corrective action
• Keeps abreast of Medicare, Medicaid, commercial and managed care insurance issues and regulations
• Responds to insurance company, physician office, client, or patient concerns as they are escalated from Billing Supervisors or at the request of Senior Team members
• Monitors staff and conducts periodic performance evaluations
• Counsels and disciplines staff as necessary in accordance with human resource guidelines
• Approves Billing Supervisor timesheets and PTO requests; ensures availability of staff necessary to effectively handle daily activities
• Assists other departments as required
• Willingly shares knowledge with others to effectively accomplish assigned tasks
• Adheres to confidentiality, safety, compliance, and legal requirements
• Maintains consistent and reliable attendance and complies with company guidelines on attendance
• Performs other duties as assigned

Here are some of the preferred skills we are looking for:

• Able to understand instructions, reason, and make judgments
• Understands the meaning of words and correctly interprets the ideas associated with them, and their effective use
• Able to perform arithmetic operations quickly and accurately
• Communicates clearly both verbally and in writing
• Able to adapt to a rapidly changing environment
• Strong facilitation and communication skills/experience especially in meetings and joint development sessions with clients, end users, and project team members to develop requirements and design details
• CUSTOMER-FOCUSED: Aware of customer needs; makes decisions with customer in mind; builds strong customer relationships.
• COMMUNICATOR: Proactively conveys a clear, convincing, and timely message; possesses strong verbal, written, and presentation skills.
• PROBLEM SOLVER: Uses data and logic to quickly find solutions to difficult challenges.
• COLLABORATIVE: Works effectively with others to accomplish goals.
• TECHNICALLY COMPETENT: Possesses and maintains the functional and technical knowledge and skills to successfully perform job.
• RESULTS DRIVEN: Achievement-oriented; achieves and exceeds goals; pushes self and others for results.
• BUSINESS SAVVY: Possesses business and organizational acumen; understands how to accomplish tasks through formal channels and informal networks.
• RESOURCEFUL: Knows how to get what is needed; manages time and workloads for maximum efficiency.
• TEAM BUILDER: Builds cohesive teams and strategic partnerships.
• INFLUENTIAL: Makes an impact on people, events, and decisions; affects the thinking or actions of others by means of example or personality.
• STRATEGIC: Thinks “big picture”; commits to a course of actions to accomplish long-range goals; is forward thinking and adept at seeing future outcomes and results.
• DELEGATOR: Effectively assigns work and responsibility; supports and provides feedback on performance.
• COACH: Equips individuals with the tools, knowledge, and opportunities to develop their skills and improve performance.
• TIME-WISE: Prioritizes; respects others’ time; adheres to schedules and agendas.
• CHANGE AGENT: Initiates and promotes new approaches and transformations to reach a higher level of performance.
• ACCOUNTABLE: Follows through in all areas; accepts and delivers on responsibilities; requires others to follow through on commitments.

Scheduled Weekly Hours:

Work Shift:

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Company:

In 2008 Clinical Labs of Hawaii became a member ofSonic Healthcare Ltd. Sonic is headquartered in Sydney, Australia. Since its establishment in 1987, Sonic Healthcare has grown to become the world’s third largest pathology/laboratory medicine company with operations in eight countries. Sonic’s success stems from the belief that a global culture of Medical Leadership leads to the delivery of outstanding medical services. Learn more about our medical leadership, values, and foundation principles below.

Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.