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Director Billing Services

Company: LifeScan Labs
Location: Skokie
Posted on: November 24, 2022

Job Description:

Description:The Director, Billing Services oversees the day-to-day operations of client billing, patient registration, order entry and billing for Lifescan Labs. The Director manages the overall policies, objectives, and projects for revenue cycle billing functions including direct management and oversight of the internal team and outsourced billing related activities.
The Director, coordinates and implements processes and procedures affecting areas of oversight including claims clearinghouse, clearinghouse projects, software use, and claims analyses to ensure the revenue cycle is effective and efficient.
The Director strives to optimize staff performance through technology, process automation, standard operating procedure implementation, and internal controls. Partnering with the Sales and Operations Teams evaluates and optimizes processes to improve the client experience, enhance operational efficiencies, and drive revenue growth.
Essential Job Functions:

  • Provides daily overall management and direction to the client services and billing team for Lifescan Labs. Monitors staffing levels and staffs appropriately in all operational areas to avoid disruption to daily operations.
  • Seeks opportunity to automate processes through program development and scripting to reduce volume of manual work.
  • Collaborates with programming consultant on automation, testing, and refining of automated processes. Prepares and trains team to ensure readiness of process changes.
  • Manages the Open Accession Reporting project to produce timely bi-weekly reports for all clients. Assures reports are available and ready for Account Managers. Responds timely to all ad hoc report requests needed to manage collection of client employee's insurance information.
  • Develops protocols for client services to monitor accuracy of client invoices and timelines to follow up on unpaid invoices.
  • Partners with Director Accounts Receivable and Cash Application to ensure appropriate claims are transferred to client timely.
  • Oversees the census process for timely and accurate Part A client billing and Part B claims submissions. Develops automated processes to manage census downloads and registration throughout the month.
  • Continually monitors order entry errors, volume, and aging by utilizing and analyzing system reports. Develops action plans to disseminate work and modify distribution of work to ensure all accessions and edits are worked timely.
  • Actively follows up with Supervisors to prioritize and re-prioritize work based on order entry edits and daily inventory volume.
  • Oversees weekly generating weekly prioritized work lists for the team.
  • Partners with Account Managers to collect employee demographic and insurance information for claims processing. Develops workflow to transfer available information to the outsource team for data input. Oversees and monitors the timeliness of keyed registration information.
  • Oversees mileage processes for invoicing clients and claims submission ensuring automation and utilization of system technology. Partners with lab operations to provide required oversight for missing route information. Follows up timely with supervisors to obtain required billing information.
  • Develops, implements, and revises standard operating procedures for all functional areas of responsibility. -
  • Partners with the Training Team to develop department training.
  • Maintains knowledge of and ensures compliance with state and federal laws, regulations for Medicare, Medicare Advantage, Medicaid, managed care and other third party payers.
  • Schedules and leads weekly business review meetings with the offshore team to assess performance and review key performance metrics. Adjusts staffing and/or workflow aligned with business need to ensure timely billing throughput.
  • Documents and maintains current workflows, policies, standard operating procedures, and department training material.
  • Assists IT with testing new features and functions in the practice management system. Develops training material and trains staff members on new revenue cycle system implementations in collaboration with It Project Managers.
  • Identifies and executes key performance indicators to assess the effectiveness and efficiency of the revenue cycle billing and outsourced team.
  • Develops and implements productivity and quality key performance indicators. -
  • Continually assesses volume and aging to maintain appropriate staffing levels.
  • Performs quality audits, identifies opportunities, provides feedback, implements training and/or action plans to improve accuracy and meet production/patient satisfaction targets.
  • Coaches, develops and mentors client services, revenue cycle billing, and offshore team members. Performs on-the-job training to increase direct reports skill sets.
  • Remains current with trends, regulatory requirements, and business strategies related to the payer relations and revenue cycle.
  • Operates in compliance with all local, state, and Federal laws as well as policy and compliance standards.
  • Other duties and responsibilities as assigned.
    Education and Experience:
    • Bachelor's degree in a healthcare, business, finance, or a related field required.
    • Master's degree in healthcare, business, or related field preferred.
    • 7+ years-experience in revenue cycle, billing or patient financial services at a healthcare provider or medical group utilizing the CMS1500 claim form.
      Supervisory Responsibilities:
      • Manages local and offshore team members -
        RequirementsKey Job Competencies:
        • Microsoft Office skills - Proficiency with Excel, Power Point, Word, and Visio.
        • Exceptional detail orientation, critical thinking, analytical, and problem-solving skills.
        • Revenue cycle system integration and project management.
        • Ability to manage large claim volumes and appropriate staffing levels.
        • Expertise in government, commercial, third party payer billing guidelines, claim requirements, and claim submission processes.
        • Knowledge of CPT and ICD coding systems.
        • Ability to collaborate and work cohesively as part of a team.
        • Communicates effectively orally and in writing with all levels of the organization and an offshore team.
        • Customer service client first aptitude.
        • Receptive to receiving and providing thoughtful productive feedback.

Keywords: LifeScan Labs, Skokie , Director Billing Services, Executive , Skokie, Illinois

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