SNF Billing Manager

Responsibilities

• Lead, mentor, and manage a team of billing specialists and coordinators responsible for the billing performance of assigned facilities.
• Oversee day-to-day billing operations, ensuring the team submits claims in a timely and accurate manner.
• Provide training, development, and performance feedback to the billing team to ensure adherence to best practices and regulatory compliance.
• Set performance goals for the team, monitor progress, and ensure key metrics such as days in accounts receivable (AR) and collection rates are met.
• Serve as the primary point of contact for a portfolio of SNF customers, ensuring their billing needs are met and addressing any concerns or issues related to billing or revenue cycle management.
• Serve as primary point of contact for our offshore portfolio, including vendor management, SOPs, staffing needs, and general project management to optimize our offshore A/R processes.
• Monitor the billing performance of each SNF in the portfolio, identifying trends, potential issues, and opportunities for improvement.
• Develop customized strategies for each client to optimize billing processes, reduce claims denials, and maximize collections.
• Collaborate with clients to ensure they understand their billing performance, and work with them to resolve any discrepancies or challenges.
• Oversee the submission of claims for the SNF portfolio, ensuring accuracy and compliance with Medicare, Medicaid, and other payer requirements.
• Ensure timely follow-up on unpaid claims, manage denials, and coordinate with insurance providers to resolve disputes.
• Implement best practices in billing operations, continually seeking opportunities to improve the efficiency and effectiveness of billing processes for customers.
• Work closely with executive leadership to develop and refine policies and procedures related to billing and revenue cycle management.
• Ensure that all billing activities are compliant with state and federal regulations, including HIPAA, Medicare, Medicaid, and other third-party payer rules.
• Stay updated with changes in reimbursement models, billing regulations, and industry best practices.
• Conduct regular audits of the billing processes for the SNF portfolio to ensure accuracy and compliance.
• Prepare and present reports on billing performance, revenue collection, and other key financial metrics to senior management and SNF customers.
• Build and maintain strong relationships with clients, acting as a trusted advisor on billing and revenue cycle matters.
• Provide regular communication with customers regarding billing issues, financial performance, and resolution of any disputes.
• Work to proactively resolve issues before they escalate, providing clients with clear communication on their billing status.
• Other tasks and projects as needed and assigned.
• What it Takes to Join the Family
• Bachelor's degree in business administration, finance, healthcare administration, or a related field.
• 5+ years of experience in medical billing experience with specific experience in skilled nursing or long-term care settings. Three plus years of experience leading or managing billing teams.
• Extensive knowledge of Medicare, Medicaid, and third-party insurance billing processes and regulations.
• Strong understanding of SNF-specific billing requirements and revenue cycle management.
• Experience managing offshore A/R vendors including Project Management, SOPs, Staffing operations, processes implementation, etc.
• Excellent leadership and team management skills.
• Strong analytical skills, with the ability to identify trends and develop solutions to improve billing performance.
• Proficiency with billing software systems and electronic health records (EHR).
• Strong communication skills, with the ability to interact effectively with clients and internal teams.
• Demonstrated ability to adapt to evolving industry trends and regulations and implement necessary changes to maintain compliance.
• Ability to function well in a fast-paced and at times stressful environment.
• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.
• Why Assembly?
• Be part of something special! We are growing both organically and through acquisitions.
• Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
• Ongoing training and development programs
• An environment that values transparency
• Virtual and in-person events to connect with your team.
• Competit

Benefits

Additional Information

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. This is a full-time, exempt position reporting to our Accounts Receivable Director.

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