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Manager In Patient Billing

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  • Oversee the entire patient billing cycle, ensuring accurate and timely claim submissions to maximize revenue.
  • Lead a team of billing specialists, providing guidance, training, and performance evaluations to foster growth and efficiency.
  • Analyze billing data and key performance indicators (KPIs) to identify trends, opportunities for improvement, and potential revenue leakage.
  • Develop and implement billing policies and procedures, ensuring compliance with federal, state, and payer regulations.
  • Manage and resolve complex billing issues, including claim denials, appeals, and patient inquiries, to maintain patient satisfaction.
  • Collaborate with other departments, such as clinical and registration, to streamline processes and improve the overall billing workflow.
  • Stay informed about changes in healthcare regulations, coding guidelines, and payer requirements to maintain compliance.
  • Negotiate and manage contracts with insurance providers to optimize reimbursement rates and minimize claim denials.
  • Prepare and present financial reports, including aging reports and revenue analysis, to senior management.
  • Implement and maintain billing software and technology solutions to improve efficiency and accuracy.

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