• Oversee the billing functions, including the initiation of goals and procedures, overseeing daily operations, and coordinating office efforts to expedite payment of accounts.
• Strong customer service skills; answering calls, prompt return and follow-up to all interactions; prompt response to request for information, both internally and externally.
• Identify, implement and improve billing and collections processes that will make a positive contribution to financial results.
• Develop and implement goals, policies, procedures, and guidelines, which ensure the reimbursement analysts are working efficiently and maximizing reimbursement.
• Monitor the effectiveness of activities to ensure authorizations, billings, postings, collections, accounts receivable and adjustments stay within established ranges.
• Prepare accurate and meaningful billing, collections, accounts receivable and bad debt reports.
• Report, review, maintain, and analyze all insurance reports by tracking and monitoring codes, payments, denials, and refund processes to meet compliance and performance standards.
• Oversee functionality and integrity of software to ensure timely and accurate administration of electronic claims, and electronic payment remittance.
• Yearly reviews for direct staff – keeping notes on their performance both good and bad
• Monthly one on one individual meetings with your direct reports
• Weekly team meetings with your team to go over issues/ideas/recommendations
• Supervise Billing and AR team through effective hiring, coaching, mentoring, and performance management. Ensure development of staff to achieve high results.
• Continue education in reimbursement rules, billing rules, and coding.
• Bill and Collect as needed to meet goals and expectations of the clients
• Work on metrics for the Reimbursement Analysts to meet monthly and monitor and enforce these goals
• Conduct conference calls weekly/bi-weekly/monthly or as requested/needed by the clients
• Attend yearly conferences as requested by management
• Complete daily, weekly, and monthly assignments as assigned by Management

Experience with medical billing for home infusion/specialty pharmacies/DME or another area of medical billing. Candidates should possess a roll-up-your-sleeves attitude and display a willingness to work hard and be a member of the team. Building a service-oriented practice with a positive work culture is a high priority.

• Graduate of an accredited Medical Billing Program and hold billing certification preferred.
• WeInfuse, CPR Plus or CareTend system use preferred
• Minimum of 3 years’ experience in Billing Management/Supervision is preferred
• Knowledge of Microsoft Office and proficient with spreadsheets.
• Proficiency in medical terminology, HCPC and ICD 10 coding.
• Proficiency in filing medical claims
• Expertise in reading and interpreting EOBs
• Excellent Communication Skills
• Commitment to goals and Philosophy of Pinnacle Revenue Management, Inc.
• HIPAA compliance knowledge