Manager, Billing - Roswell Park Care Network

$65,000 - $95,000/Yr

Rpci Oncology Pc - Williamsville, NY

Full-time - Mid Level

Williamsville, NY

Ambulatory Health Care Services

About the position

The Billing Manager at Roswell Park Care Network is responsible for overseeing the billing operations for oncology and specialty practices. This role focuses on managing the revenue cycle, including billing, collections, patient financial counseling, and accounts receivable management. The position aims to enhance cash flow, minimize bad debt, and ensure accurate billing across multiple specialties, while also leading and mentoring the billing team.

Responsibilities

• Manage billing operations for oncology and specialty practices, ensuring accurate and timely billing, collections, and revenue cycle processes.
• Develop and implement strategic revenue cycle management (RCM) plans to optimize cash flow and reduce bad debt.
• Monitor and report on key performance indicators (KPIs) to ensure revenue cycle processes meet or exceed targets.
• Standardize billing processes and workflows across multiple specialties for operational consistency and efficiency.
• Lead, mentor, and train the billing team, ensuring ongoing education on industry updates and RCM best practices.
• Conduct performance evaluations and provide coaching to ensure the team meets performance goals.
• Collaborate with finance, front office, prior authorization team, and other departments for smooth integration of billing activities.
• Act as the primary point of contact for patient billing inquiries, offering financial counseling and assistance with payment plans.
• Work closely with insurance companies to resolve claims issues and manage denials.
• Stay updated with changes in healthcare regulations and billing practices to ensure compliance.
• Participate in performance improvement and continuous quality improvement activities.

Requirements

• Associate or bachelor's degree preferred; additional education in healthcare administration or a related field is preferred.
• Extensive experience in revenue cycle management, focusing on tracking KPIs and driving financial improvement.
• Minimum three years management experience in a medical physician office facility.
• Three to five years in medical practice billing, coding, and collections.
• Advanced working knowledge of billing operations, including charges, coding, payment, insurance claims and appeals, scheduling, and switchboard.
• Current working knowledge of Fair Collection laws and patient billing regulations.
• Current knowledge of insurance payer coding and reimbursement guidelines.
• Working knowledge and experience in health information system management, including billing and medical record applications.
• Proficient organizational skills, attention to detail, and accuracy.
• Demonstrated ability to establish and maintain effective working relationships with internal and external parties.
• Ability to exercise initiative, problem-solving, and decision making.
• Medical billing certification, such as CPB, CMRS, CPC, CCS, or CRCP.

Nice-to-haves

• Experience with Medent EHR system.
• Oncology-specific billing and coding experience.

Benefits

• Paid holidays
• Health insurance
• Dental insurance
• Vision insurance
• 401(k) matching
• Life insurance