Pre-Billing Manager (East) at Colorado Springs

Job Description

Job Description

Job Title: Pre-Billing Manager

Reports To:National Manager, Revenue Cycle Optimization (RCO)

Department: Pre-Billing

Location: American Medical Response - National (East)

FLSA Status: Exempt

** Your resume and cover letter must also be uploaded with this application in order to be considered for this position.**

POSITION SUMMARY:

The Pre-Billing Manager functions as the leader of the Pre-Billing Department providing direction and oversight. He/she ensures the timely and accurate review of patient care documentation, analyzes trends, and promotes excellent working relationships with AMR Operations and Patient Business Services (PBS). The Pre-Billing Manager enforces established policies and procedures and ensures the Pre-Billing Team operates within budget expectations.

Essential Duties and Responsibilities:

• Monitor weekly and monthly production reports and react to production statistics and ensure all billable events are reconciled and submitted to PBS in timely manner.
• Monitor and manage employee performance (e.g., enforcement of standard operating procedures, measuring, monitoring and providing feedback regarding productivity and quality).
• Prepare management reports communicating project status, critical issues and potential pitfalls.
• Identify and communicate overall priorities to subordinates. Monitor responses to changes and ensure appropriate follow-through.
• Set goals jointly with subordinates, clearly communicate goals/objectives, and monitor goals/objectives regularly through counsel and documentation.
• Delegate tasks to subordinates with clear and thorough communication of expectations. Set priorities and assign work in a fair and consistent manner.
• Seek advice/feedback from superiors when necessary (e.g., reconfirm priorities, resolve resource conflicts, approve budget variances, and mentor employees).
• Recommend staffing needs based on known and forecasted workload. Recommend use of temporary labor and overtime hours to meet unexpected changes in workload.
• Mentor employees and provide opportunities for exposure for additional responsibilities and subject areas.
• Resolve conflicts among subordinates and work to avoid issues and misunderstandings among team members. Address and resolve employee relations issues with the assistance of the National RCO Managers and Human Resources.
• Ensure new trainees and staff has adequate opportunities for training including continuous education.
• Develop policies/standard operating procedures (SOPs) and reports.
• Hire, promote and terminate employees per Company policy.
• Conduct performance evaluations regularly, counsel and provide disciplinary action and establish criteria and timelines for performance improvement as needed.
• Serve as the primary point of contact for Regional Management, providing quick resolutions surrounding Pre-Billing issues.
• Partner with Operations to resolve issues surrounding documentation.
• Review carrier websites and publications for updates regarding billing procedures and documentation requirements.
• Ensure adherence to Operational guidelines regarding documentation and billing requirements set by county and/or state agencies.
• Represent Pre-Billing department on committees, work groups, or task forces and attend pertinent functions as requested.
• Provide input to budget process.
• Ensure implementation of changes as a result of carrier or internal audit findings.
• Ensure Usual Customary Rate (UCR) changes are communicated to PBS.
• Coordinate, in conjunction with PBS QA Department, the development and delivery of Pre-Billing training materials.
• Promote an environment of mutual respect, courtesy and value of others opinions/ideas. Set example as friendly, helpful firm-but-fair leadership.
• Convey an attitude of intolerance for unprofessional behavior.
• Develop and sustain excellent working relationships with AMR professionals (e.g., Operations, PBS, Business Development, IT and Finance), as well as with the Companys clients, payors, consultants, banks and financial intermediaries and government agencies.
• Adhere to all company policies and procedures.
• Adhere to and comply with information systems security. Know and follow Information Systems security policies and procedures, attend Information Systems security training, and report information systems security problems if identified.
• Complete other duties as assigned.

Non-Essential Duties and Responsibilities:

• Convey and inspire a sense of competence and commitment
• Use initiative to learn new skills, enhance personal knowledge, and improve communications
• Seek opportunities to improve work environment. Inspire and motivate teams to achieve highest level of production and quality, within budget
• Convey an attitude of intolerance for unprofessional behavior
• Promote an environment of mutual respect, courtesy and value of others opinions/ideas
• Set example as friendly, helpful firm-but-fair management and leadership for subordinates
• Manage and inspire staff with an inspirational, positive leadership style. Promote the advancement of the best performers.
• Promote by personal example, a positive esprit de corps. Proactively identify negative attitudes and behaviors. Bring a professional attitude to extinguish any negative influences and foster a positive, productive environment.
• Develop and sustain excellent working relationships with AMR professionals (e.g., Operations, Business Development, IT, and Finance), as well as with the Companys clients, payors, consultants, banks and financial intermediaries, and government agencies
• Present image to subordinates, superiors, and client-users (AMR Operations COOs and GMs) as: knowledgeable, creative, energetic, and assertive
• Work well with other leaders to communicate and share resources on critical projects. Seek opportunities to help others projects by sharing and reallocating team members priorities and assignments.
• Demonstrate creativity and initiative in maximizing the efficient use of staff resources; balance conflicts among limited resources for competing projects
• Provide employees with feedback that is accurate, objective, timely, constructive and diplomatic

• Perform duties and handle large volumes of work, while working under pressure within tight time constraints, in an environment of changing and competing priorities
• Effectively and properly evaluate workload, prioritize and distribute work assignments to staff, based on business need
• Understand, distill and communicate issues, challenges, and solutions across departmental and divisional boundaries
• Perform other duties as assigned

Minimum Qualifications:

Education: High School diploma or GED required; Bachelors Degree in Business, Accounting, or Healthcare related field preferred

Experience: Five (5) years of experience in medical industry required; Three (3) years supervisory experience required; Experience in ambulance billing preferred

Knowledge & Skills:

• Patient care issues, how patients are transported by ambulance, required documentation, common issues which arise during transport and/or billing is preferred.
• Rules/regulations of Medicare/Medicaid and other government payors, as well as commercial insurers and specialty contracts.
• Healthcare billing, collections and other support functions including audits, patient complaints, grievance processing, bid preparation, regulatory compliance, etc.
• Medical and insurance industry terminology.
• Hospital processes, including functions and practices of Emergency Departments, Admissions, and hospital information systems which may intersect Admissions, Medical Records, Discharge Planning, and Patient Accounting.
• HIPAA, Sarbanes-Oxley and other critical governmental regulations.
• Maintain working knowledge of various tools including but not limited to:
  • Billing systems (e.g., AM2000/Jaguar, CheckPoint).
  • Spreadsheet, word processing, database, presentation tools (e.g., Word, Excel, PowerPoint, Visio, Access, Monarch, SQL).
  • Bank lockbox and reporting systems.
  • Time-keeping, Payroll, Human Resource Information System tools (e.g., Kronos, Oracle).
• Communicate clearly in English, both verbally and in writing, to convey information distinctly and concisely. Use appropriate grammar and punctuation in written documents.

We are an EOE/AA employer and AMRselects the best individual for the job based on job related qualifications, regardless of race, color, sexual orientation, national origin, gender, age, veteran status, ancestry, marital status, or disability.

Job Requirements

Country: USA, State: Colorado, City: Colorado Springs, Company: Patient Billing Services.