Billing Manager at The Judge Group Inc. in Cranford, New Jersey

Job Description:

Location: Cranford, NJ

Salary: $90,000.00 USD Annually - $100,000.00 USD Annually

Description: Our client is currently seeking a Billing Manager

Position Summary: Manage all functions of Ascend Hospice and Palliative care billing, collections and credentialing as well as preparing hospice cost reports, CAP, and utilization reports, etc. Maintains current knowledge of billing requirements for Medicare Part A & B, Medicaid and commercial payors. Monitors and assists with the monthly billing close to ensure all deadlines are met. Performs other duties as required by management.


This job will have the following responsibilities:

• Organizational Core Duties, Responsibilities and Competencies:


• A.Supports and is committed to the Mission and Values of the organization •Demonstrates and communicates Ascend Hospice mission and values both within the organization and when externally representing the organization •Displays a commitment to the responsibilities of his/her position through words and actions •Contributes to the compassionate delivery of comprehensive hospice services •Acts with integrity and makes legal and ethical decisions in accordance with the Corporate Compliance program •Acts to preserve patients'/associates' privacy, confidentiality and dignity at all times


• B.Maintains meaningful relationships with patients and their families, as well as with healthcare professionals, healthcare partners and their employees, and other Ascend Hospice employees and suppliers •Demonstrates positive behaviors when interacting with others •Makes employee needs a priority •Listens with empathy •Treats all persons with respect & compassion; justly and fairly •Works collaboratively with others to achieve goals •Is responsive to the needs of others


• C.Contributes to a caring and supportive workplace, and to creating an environment that promotes personal growth and encourages creativity •Maintains and documents competencies •Maintains licensure/certification, if applicable •Participates in continuing education activities •Supports the orientation process •Shares information and expertise with co-workers •Encourages diversity for all levels of staff •Participates in constructively identifying and solving problems, and encourages this behavior in others •Fulfills responsibilities of a team member


• D.Complies with organizational and departmental policies, procedures and standards •Complies with organizational & departmental policies, procedures & standards including, but not limited to: employee health; dress code, attendance, safety/fire, standard universal precautions, infection control, staff meetings, if appropriate, Other (s) •Demonstrates appropriate use of supplies, equipment, time and/or energy •Performs unexpected and difficult assignments •Voices disagreements professionally through appropriate channels •Promotes and maintains a safe, clean and orderly environment •Participates and cooperates with any surveys (inspections) made by authorized governmental agencies


• E.Efficiently and competently manages the billing and collection functions of Ascend Hospice in accordance with company policies and procedures and all applicable laws and regulations. •Perform billing processes for all companies within the appropriate timeframe to ensure claims are accurately submitted •Ensures that all revenue is captured on a timely basis •Monitor all collection activities to ensure DSO is maintained •Directs the data entry process ensuring that data is entered timely and accurately into the electronic medical record (EMR) •Maintains current knowledge of Medicare, Medicaid and third party billing requirements •Ensures timely follow up on all claims and appeals •Verifies that new states/facilities/payors/rates are appropriately set up in the EMR •Ensures timely depositing of all Medicare, Medicaid and commercial payors remittance advice •Oversees and participates in month end billing close process to ensure deadlines are met •Keeps CFO and/or management abreast of all billing and collection concerns •Responsible for preparing and submitting the required Medicare/Medicaid annual cost reports, utilization reports, and CAP self-determinations as well as quarterly credit balance reports, etc. •Submits and works with all payors for credentialing purposes •Maintain and update SOPs •Participates in performance improvement activities •Recognizes and performs all duties required by management


• F.Maintains and completes all required documentation related to the Billing Function •Verifies that the required documentation is present in patient record prior to claims submission •Produces data reports as requested •Recognizes and performs duties which need to be performed although not directly assigned.


• G.Assists in creating an environment that promotes work force recruitment, retention and development within assigned areas to achieve and maintain quality services, and positive employee relations •Assists with interviewing, hiring, training, appraising, rewarding and disciplining duties in accordance with Ascend Hospice policies and procedures •Adequately directs and supervises billing staff in performance of their duties •Arranges coverage for essential functions in the absence of staff •Clearly and effectively communicates policies & procedures to staff and ensures staff compliance with policies •Establishes and maintains effective channels of communication between personnel and services •Participates in staff development programs including orientation, in-service, continuing education, competency testing and performance improvement initiatives •Recognizes and performs duties which need to be performed although not directly assigned.
  
  

Qualifications & Requirements:
Education: Bachelor's Degree


Experience: 4-6 years minimum


Email: Acialone@judge.com



Contact: acialone@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com Apply Now