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Billing Manager

Billing Manager

Salem Hospital NSMCBoston, MA, US
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Billing Manager For Division Of Otolaryngology And Head And Neck Surgery

The Brigham and Women's Hospital, Inc. relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

The Billing Manager for the Division of Otolaryngology and Head and Neck Surgery (ORL) at Brigham and Women's Hospital is responsible for the daily billing activities of the Division. The billing manager optimizes the efficiency of our billing structures and ensures the timely filing of all referrals, prior authorizations, etc. The Division of ORL is a diverse clinic with outpatient appointments, clinic procedures, and surgical cases. The division operates out of two hospital facilities and has clinic locations at BWH, BWFH, and MGB FXB. The billing manager not only oversees the daily billing operations but also oversees and manages the billing coordinator in their daily operations. The billing manager also partakes in submitting referrals and authorization for visits in conjunction with the billing coordinator. In addition to managing the billing coordinator, the billing manager is the education and trainer for the administrative staff to ensure that all schedulers and admins hold a level of knowledge related to billing and insurance companies. The Billing Manager is ultimately responsible for creating a welcoming environment for all stakeholders, both internal and external. This critical position also leads with a patient-first service approach, while supporting staff, developing discussions, and continuously improving operations to the benefit of patients, employees, and clinical providers. This is done in partnership with ORL leadership which includes the Division Chief and Sr. Administrative Director.

Essential Functions :

  • Manage and oversee the billing operations, ensuring accuracy and timeliness of billing information.
  • Develop and implement billing policies and procedures to ensure compliance with regulatory requirements and company standards.
  • Manage billing team, providing training and support to enhance their skills and performance.
  • Collaborate with other departments to resolve billing-related issues and improve processes.
  • Prepare and analyze billing reports to identify trends and make recommendations for improvement.
  • Ensure all billing-related documentation is up-to-date and accurate.
  • Manage and prioritize projects, assignments, and workload for the billing team.

Required for All Jobs :

  • Performs other duties as assigned.
  • Complies with all policies and standards.

    • Overall Division Operations and Administration for Billing :

  • Oversees day-to-day operations including operational and tactical management of all staff within the billing group.
  • Assists in creating resource tools for all billing and administrative staff in regards to referrals, authorizations, insurance coverage, out of network plans, etc.
  • Assigns weekly volume of referrals and authorizations to billing staff including themselves to proactively obtain prior authorizations.
  • Creates strong systems of accountability for all team members.
  • Fosters an open-door environment where feedback is always welcome.
  • Monitors workflows for process improvement opportunities.
  • Develops systems and processes that satisfy the operational needs and billing standards.
  • Problem solves in real time for both patients and providers in regards to billing-related concerns.
  • Provides supportive "troubleshooting" to patient representatives and clinical service area administrative and clinical management on complex billing needs.
  • Partners with leadership across all role groups on various new initiatives.
  • Builds strong working relationship with vendors and internal stakeholders such as our BWH Central Authorization teams, and insurance companies.
  • Participates in departmental and organizational meetings and / or improvement committees.
  • Learns basic functions of our administrative team to understand how they impact our billing operations.

    • Human Resource Management :

  • Responsible for overall management of billing support staff. Responsible for meeting service and customer service standards.
  • Organizes and oversees work schedules and assignment of work to meet operation demands of the division.
  • Develops and implements procedures to ensure efficient processing and allocation of work related to billing support.
  • Performs the necessary hiring, orientation, performance evaluations, coaching, and as needed termination of billing staff for the division.
  • Completes weekly payroll, annual performance evaluations, and ensure mandatory HR screenings and trainings are completed in a timely manner for the designated division staff.
  • Oversees any additional staff as needed.
  • Meets regularly with staff in group and individual settings to foster a positive work environment and continue to evaluate staff needs.

    • Financial :

  • Ensure monthly monitoring of our billing KPIs (decrease write-offs, denials, etc).

    • Qualifications :

    Education : Bachelor's Degree Finance required or Bachelor's Degree Accounting required or Bachelor's Degree Related Field of Study required. Can this role accept experience in lieu of a degree? Yes.

    Licenses and Credentials : Certified Professional Coder preferred.

    Experience : Experience in billing or related field 5-7 years required. Billing supervisory experience 2-3 years required.

    Knowledge, Skills & Abilities : Strong knowledge of billing procedures, processes, regulations, and related systems / tools. Ability to analyze financial data and prepare related reports. Ability to lead, manage, and prioritize multiple projects and tasks. Ability to lead and motivate a team to achieve goals and objectives. Strong decision-making and analytical skills. Strong interpersonal and communication skills. Excellent organizational and problem-solving skills.

    Physical Requirements :

  • Standing Occasionally (3-33%)
  • Walking Occasionally (3-33%)
  • Sitting Constantly (67-100%)
  • Lifting Occasionally (3-33%) 20lbs - 35lbs
  • Carrying Occasionally (3-33%) 20lbs - 35lbs
  • Pushing Rarely (Less than 2%)
  • Pulling Rarely (Less than 2%)
  • Climbing Rarely (Less than 2%)
  • Balancing Occasionally (3-33%)
  • Stooping Occasionally (3-33%)
  • Kneeling Rarely (Less than 2%)
  • Crouching Rarely (Less than 2%)
  • Crawling Rarely (Less than 2%)
  • Reaching Occasionally (3-33%)
  • Gross Manipulation (Handling) Constantly (67-100%)
  • Fine Manipulation (Fingering) Frequently (34-66%)
  • Feeling Constantly (67-100%)
  • Foot Use Rarely (Less than 2%)
  • Vision - Far Constantly (67-100%)
  • Vision - Near Constantly (67-100%)
  • Talking Constantly (67-100%)
  • Hearing Constantly (67-100%)

    • Remote Type : Onsite

    Work Location : 75 Francis Street

    Scheduled Weekly Hours : 40

    Employee Type : Regular

    Work Shift : Day (United States of America)

    Pay Range : $97,510.40 - $141,804.00 / Annual

    Grade : 8

    At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications, and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums, and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

    The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color

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    Billing Manager • Boston, MA, US