Talent.com
Manager Hospital Billing & Collections
Manager Hospital Billing & CollectionsChildren's National Hospital • Silver Spring, MD, United States
Manager Hospital Billing & Collections

Manager Hospital Billing & Collections

Children's National Hospital • Silver Spring, MD, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Join to apply for the Manager Hospital Billing & Collections role at Children's National Hospital

Overview

Base pay range : $77,646.40 / yr - $129,396.80 / yr

Manages all aspects of hospital billing and DNFB. Responsible for ensuring compliance with regulatory bodies as well as payer-specific requirements. Understands hospital reimbursement methodologies and evaluates any billing changes against expected reimbursement. Ensures goals are achieved by maintaining fluent processing for timely claim submission. Identifies, monitors and reports issues as they arise and implements appropriate resolutions. Identifies and coordinates performance improvement initiatives with internal teams and payers to reduce denials and underpayments. Works with all levels of staff, management and payers to improve revenue cycle performance.

Well versed in all aspects of the revenue cycle and the impact to billing. Collaborates with the professional billing manager to understand the impact of system updates and process changes on their team. Demonstrates analytical problem solving, attention to detail, and a focus on compliance, key performance indicators and efficiency. Fosters a positive, collaborative work environment and participates in planning, implementation, management and evaluation of service / department activities in accordance with accepted national standards and hospital policies.

Minimum Education

Bachelor's Degree (Required)

Minimum Work Experience

  • 3 years Related and progressive experience (Required) And
  • 2 years Management experience in a healthcare or related field (Required)

Required Skills / Knowledge

  • Excellent oral and written communication
  • Excellent computer skills, preferably with Access and Excel
  • Strong analytical skills
  • Well versed in all aspects of the revenue cycle
  • Analytical problem solver
  • Focused on compliance, key performance indicators and efficiency
  • Strong ability to quickly assess current procedures and develop and implement resolutions
  • Demonstrate employer of choice values such as fostering collaboration, team spirit and providing a positive motivating environment

    • Functional Accountabilities

    Staff Supervision

  • Manage human resource activities of assigned team members, including selection and termination, training and development, evaluation and scheduling
  • Develop staff qualifications and performance criteria; update Director on staff performance and progress toward criteria; participate in employee development criteria and selection
  • Update staff with relevant information from Hospital and CNMA via written communication or staff meetings
  • Represent staff interests in committees
  • Coordinate work flow of staff, considering workload, priorities and available resources; promote an environment to support and recognize team and individual contribution
  • Document policies and procedures; communicate development and change to staff; contribute to ongoing review of policies and procedures

    • Operations Management

  • Lead or co-lead denial work groups; manage reports, data and root cause issue & resolution report; ensure progressive action to reduce denials & underpayments
  • Coordinate projects related to payer performance and work with Managed Care and others to address issues
  • Identify potential billing compliance issues, assess risk and research resolutions; work closely with Compliance Department to prioritize and correct; represent Business Operations concerns at meetings with other departments
  • Work with Federal, State, and local authorities in reviewing regulatory issues that affect submission and adjudication of bills
  • Support decision making process with operational data and information
  • Implement strategic plan through management of day to day operations of department / service area; troubleshoot operational issues / barriers; collaborate with Director on significant operational issues

    • Accounts Receivable Management

  • Take an active role in reviewing Accounts Receivable to identify problems and resolve issues; monitor patient information data entry for quality assurance; follow up on performance issues with management
  • Monitor accounts daily to maximize reimbursement opportunities; develop tools to assist staff in efficiency and effectiveness
  • Audit managed care contract compliance and payer performance regarding reimbursement; report findings and implement corrective action
  • Manage recoveries of underpayments / appeals using internal and external resources; provide documentation and reports
  • Review & report denial trends and identify internal and external causes; initiate process improvement initiatives
  • Manage bad debt process to ensure compliant, timely repayment; manage all vendor placements and related processes
  • Develop and maintain communication with third party payers; stay updated on managed care contractual requirements and payer policies related to denials and reimbursement

    • Billing and Prebilling Management

  • Manage facility billing team; ensure timely, accurate and compliant billing of accounts receivable; manage and report all prebilling functions including DNFB for IP & OP; ensure timely reconciliation of authorizations
  • Oversee daily import / export processes with STAR and TSH acknowledgement reports; monitor payer report assignments and correction / rebilling of denied claims
  • Monitor changes in daily failed volume and payer mix relative to staff assignments
  • Research Federal, CPT, ICD-9, HIPAA and local billing standards for 837 and UB92
  • Communicate requirements to interested departments and apply billing standards to Hospital Claims Processing
  • Collaborate with Managed Care Department to resolve payer-related billing issues

    • Organizational Accountabilities

    Includes teamwork / communication, performance improvement / problem-solving, cost management / financial responsibility, and safety.

    Locations

    Primary Location : Maryland-Silver Spring; Work Location : Tech Hill

    Job Details

    Job Function : Health Care Provider; Industries : Hospitals and Health Care; Position Status : Regular; Shift : Day; Work Schedule : 8-5pm

    Job Posting : Sep 4, 2025, 9 : 56 : 09 PM

    Full-Time Salary Range : 77646.4

    #J-18808-Ljbffr

    serp_jobs.job_alerts.create_a_job

    Collection Manager • Silver Spring, MD, United States

    Job_description.internal_linking.related_jobs
    Travel Cath Lab Tech - $2,620 to $2,928 per week in Baltimore, MD

    Travel Cath Lab Tech - $2,620 to $2,928 per week in Baltimore, MD

    Prime Time Healthcare • Columbia, Maryland, US
    serp_jobs.job_card.full_time
    Now Hiring : Allied Healthcare Cath Lab - Baltimore, MD.Contact us for Pay Information.Actual amount dependent upon market adjustments. Are you a passionate Allied Healthcare professional looking for...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Global Project Manager - Ophthalmology

    Global Project Manager - Ophthalmology

    The Emmes Company, LLC • Rockville, MD, United States
    serp_jobs.job_card.full_time
    Global Project Manager - Ophthalmology.Emmes Group : Building a better future for us all.Emmes Group is transforming the future of clinical research, bringing the promise of new medical discovery cl...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Home Services Manager

    Home Services Manager

    Acts Retirement-Life Communities • Sykesville, MD, United States
    serp_jobs.job_card.full_time
    Join our team and grow with us both professionally and personally!.Next day pay : Work today, get paid tomorrow with our PayActiv benefit!. We strongly believe in providing our team members with grea...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Cath Lab Tech - $2,324 to $2,524 per week in Baltimore, MD

    Travel Cath Lab Tech - $2,324 to $2,524 per week in Baltimore, MD

    Titan Medical Group • Columbia, Maryland, US
    serp_jobs.job_card.full_time
    BCLS / BLS - American Heart Association / RCIS / ARRT(R).Titan Medical is looking for travelers to fill a Travel Cath Lab Tech position for a 13 week assignment in Baltimore, MD! Call Titan for additiona...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Cath Lab Tech - $3,366 per week in Baltimore, MD

    Travel Cath Lab Tech - $3,366 per week in Baltimore, MD

    AlliedTravelNetwork • Columbia, Maryland, US
    serp_jobs.job_card.full_time
    AlliedTravelNetwork is working with Medical Solutions to find a qualified Cath Lab Tech in Baltimore, Maryland, 21224!.A facility in Baltimore, MD is seeking its next amazing Cath Lab Technologist....serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Clinical Operations Team Manager

    Clinical Operations Team Manager

    InsideHigherEd • Washington D.C., United States
    serp_jobs.job_card.full_time
    Clinical Operations Team Manager.Georgetown University comprises two unique campuses in the nation's capital.With the Hilltop Campus located in the heart of the historic Georgetown neighborhood, an...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Collections Representative

    Collections Representative

    Office of The Chief Financial Officer • Alexandria, VA, United States
    serp_jobs.job_card.full_time
    Government of the District of Columbia.Office of the Chief Financial Officer (OCFO).The Office of the Chief Financial Officer (OCFO) whose mission is to enhance the fiscal and financial stability, ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Cath Lab Tech - $3,366 per week in Baltimore, MD

    Travel Cath Lab Tech - $3,366 per week in Baltimore, MD

    Medical Solutions • Columbia, Maryland, US
    serp_jobs.job_card.full_time
    A facility in Baltimore, MD is seeking its next amazing Cath Lab Technologist.Read on if this sounds like your perfect fit!. Nurses and allied healthcare professionals are in high demand nationwide,...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Assistant Branch Manager - Columbia, MD

    Assistant Branch Manager - Columbia, MD

    First National Bank of Pennsylvania • Columbia, MD, United States
    serp_jobs.job_card.full_time
    Make a difference - for us and for your future.This position is primarily responsible for consistently meeting any and all customer asks within the retail branch environment and assisting with the ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Nursing Supervisor - Hospital Operations Coordinator (RN) - Levindale - LTC

    Nursing Supervisor - Hospital Operations Coordinator (RN) - Levindale - LTC

    LifeBridge Health • Woodstock, MD, US
    serp_jobs.job_card.full_time
    Nursing Supervisor - Hospital Operations Coordinator (RN) - Levindale - LTC Baltimore, MD LEVINDALE HOSPITAL NURSING SUPERVISORS Full-time - Weekends - Night shift - 7 : 00pm-7 : 30am RN Leader 93193 $...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_less • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Market Manager - Pharma

    Market Manager - Pharma

    Shimadzu Scientific Instruments • Columbia, MD, United States
    serp_jobs.job_card.full_time
    Established in 1975, Shimadzu Scientific Instruments is one of the largest suppliers of analytical instrumentation, physical testing, and environmental monitoring systems in the world.Ground-breaki...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Manager Clinical Rehab

    Manager Clinical Rehab

    Inova Health System • Alexandria, VA, United States
    serp_jobs.job_card.full_time
    Vernon hospital is seeking a manager to oversee our Rehabilitation acute care team.You will oversee the department, managing employees to ensure center is running effectively.Inova is consistently ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Billing Specialist

    Billing Specialist

    Arnold & Porter • Washington, Dist. Columbia, United States
    serp_jobs.job_card.full_time
    The Finance and Accounting Department of Arnold & Porter has an opening for a Billing Specialist.The Billing Specialist may work a hybrid work schedule in our Chicago, Denver, Houston, or Washi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Cath Lab Tech - $2,833 to $3,257 per week in Baltimore, MD

    Travel Cath Lab Tech - $2,833 to $3,257 per week in Baltimore, MD

    Fusion Medical Staffing • Columbia, Maryland, US
    serp_jobs.job_card.full_time
    Facility in Baltimore, Maryland.Fusion Medical Staffing is seeking a skilled Cath Lab Tech for a 13-week travel assignment in Baltimore, Maryland. As a member of our team, you'll have the opportunit...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Oncology

    Oncology

    CompHealth • Alexandria, Virginia, US
    serp_jobs.job_card.full_time
    Oncology physician employment in Virginia : CompHealth services are always free to you.Let us do the heavy lifting and handle the headache of credentialing, travel, housing, and so much more.With t...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Clinical Administrator (RN) - Relocation Offered!

    Clinical Administrator (RN) - Relocation Offered!

    MedStar Health • Clinton, MD, US
    serp_jobs.job_card.full_time
    About this Job : General Summary of Position The Clinical Administrator is a member of MedStar Health entity-based Division of Nursing and leadership team. The role is accountable for directing and s...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Travel Nurse RN - Case Manager - $1,913 per week in Baltimore, MD

    Travel Nurse RN - Case Manager - $1,913 per week in Baltimore, MD

    TravelNurseSource • Columbia, Maryland, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with American Medical Staffing to find a qualified Case Manager RN in Baltimore, Maryland, 21287!. We’re living in the new normal.Lives and careers look different today....serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Mortgage Branch Manager

    Mortgage Branch Manager

    Capital Bank MD • Rockville, MD, United States
    serp_jobs.job_card.full_time
    Maryland, and has been serving our communities since 1999.We stand as a publicly traded company (NASDAQ : CBNK) with over $3 billion in assets. We offer commercial and consumer banking services to cl...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted