Billing and Revenue Cycle Manager
About this role
Overview
NaphCare is hiring a Billing and Revenue Cycle Manager to join our team at our Corporate Offices located in Birmingham AL. The candidate will be in charge of overseeing our clients' financial operations and claims billing. From the filing of claims until the final payment, you will make sure that every part of the revenue cycle operates smoothly and effectively.
**This is not a Remote Position **
Responsibilities
- Prepare and submit claims to various insurance companies electronically
- Accurately and promptly reconcile all posting transactions, including payments, adjustments, and denials for insurers.
- Resolve clearinghouse errors and work through rejections.
- Review and address clearinghouse and payer denials.
- Ensure the accuracy of account adjustments.
- Complete daily payment posting, reconciliation, and account closing tasks.
- Regularly review payment and adjustment postings for accuracy.
- Manage remittance and credits.
- Maintain clearing accounts to ensure accurate financial tracking.
- Investigate and resolve credit balances and undistributed payments.
- Resolve insurance credits following payer guidelines.
- Answers questions from clients and insurance companies
- Maintains strict confidentiality and adhere to all HIPAA guidelines and regulations
- Troubleshoots electronic health record problems as they relate to billing.
- Assist with additional tasks and special projects as needed.
Qualifications
- Minimum of five years of healthcare billing experience required (Medicaid preferred) to include identifying and correcting for errors, posting of payments, communicating with payers, providers, and medical staff.
- Must have healthcare experience and knowledge of billing and coding, including EOBs, ICD-10, and CPT codes.
- Ability to thrive in a fast-paced environment and manage changing priorities.
- Strong commitment to continuous learning and professional development.
- Proficient with medical billing software.
Why Join NaphCare?
NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US, and we are growing. If you have never considered a career in correctional healthcare, now may be the time. In addition to competitive salaries and generous employee benefits, we strongly support career advancement within the company.
NaphCare Benefits for Full-Time Employees Include:
- Health, dental & vision insurance that starts day one!
- Prescriptions free of charge through our health plan, beginning day one
- Lowest Cost Benefits!
- Employee Assistance Program (EAP) services
- 401K and Roth with company contribution that starts day one!
- Tuition Assistance
- Referral bonuses
- Term life insurance at no cost to the employee
- Generous paid time off & paid holidays
- Free continuing education and CMEs
If you would like to speak with me to learn more about this position and NaphCare, apply directly to the position to initiate the application process, and I’ll be in touch.
Equal Opportunity Employer: disability/veteran
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