Manager Hospital Billing & Collections

Description

Manages all aspect of hospital billing and DNFB. Responsible for ensuring compliance to all 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 appropriate resolutions. Identify and coordinate performance improvement initiatives both, internal and external. Work with all levels of staff, management and payers to reduce denials and underpayments.

Well versed in all aspects of the revenue cycle and the impact to billing. Work closely with the professional billing manager to understand the impact of updates, system changes and processes on their team.

Analytical problem solver, detailed oriented. Focused on compliance, key performance indicators and efficiency. Strong ability to quickly assess current procedures / problems and develop and implement resolutions. Demonstrate employer of choice values such as fostering collaboration, team spirit and providing a positive motivating environment. Participates in planning, implementation, management and evaluation of service / department activities for Children's National in accordance with accepted national standards and administrative policies.

Qualifications 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 / problems 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 work load, 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

Accounts Receivable Management

Billing and Prebilling Management

Organizational Accountabilities

Organizational Accountabilities (Staff)

Organizational Commitment / Identification

Teamwork / Communication

Performance Improvement / Problem-solving

Cost Management / Financial Responsibility

Safety Primary Location : Maryland-Silver Spring Work Locations : Tech Hill 12211 Plum Orchard Drive Silver Spring 20904 Job : Management Organization : Finance Position Status : R (Regular) - FT - Full-Time Shift : Day Work Schedule : 8-5pm Job Posting : Sep 4, 2025, 4 : 26 : 09 PM Full-Time Salary Range : 77646.4 - 129396.8