Manager of Physician Billing Network - Patient Accounts Job Listing at Hackensack Meridian Health in Hackensack, NJ (Job ID 4003155-2024-07-26)

Description

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Physician Enterprise/ Network Manager - Patient Accounts is responsible for pre-billing and billing functions for all Physicians located across the Hackensack Meridian Health (HMH) network. Processes to be performed in compliance with established goals, revenue cycle activities, and regulations. Manages the supervisor and billing team members. Responsible for oversight and administration for the claims editor and clearinghouse application, including all related electronic data interchange (EDI) transactions. Performs testing and validation for upgrades, system modifications and regulatory mandated changes. Ensures claims are submitted timely and accurately in compliance with local and federal regulations. Assists the Professional Division Network Directors and EVP with identifying issues and recommends possible solutions to increase productivity, maximize cash collections, and improve the revenue cycle. Load and manages EPIC's Contract Management Module for professional Physician negotiated contracts, medicare and medicaid fee schedules and all other contractual arrangements for physician services.

Education, Knowledge, Skills and Abilities Required:

• BS/BA Degree in Healthcare Administration, Management, Accounting, IT or related field.
• Minimum of three years leadership experience in a healthcare business setting.
• Minimum of three years of Hospital/facility/Professional claims experience working in an automated environment.
• Excellent communication, interpersonal, and analytical skills.
• Ability to work in a fast paced and dynamic environment.
• Computer proficiency.
• A good understanding of third party payer contracts and how to interpret.
• Excellent written and verbal communication skills.
• Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred:

• MS/MA/MBA degree.
• Working knowledge of UB/837i Claim specifications and requirements.
• Knowledge of EPIC and/ an electronic clearing house and Scrubber application.

Licenses and Certifications Preferred:

• Healthcare Financial Management Association Certification.
• EPIC Hospital Billing and Contract Management.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!