Physicians Dialysis

Role Description The Billing Manager is responsible for managing all activities of the Billing Department within the Revenue Cycle, with a strong emphasis on collections, reducing accounts receivable (A/R), and ensuring compliance with HIPAA guidelines and company policies. This role also focuses heavily on team development and process improvement to meet departmental goals and performance standards. - Oversee day-to-day operations of the billing team, including workflow management, staffing, training, and disciplinary actions. - Coordinate billing needs and onboarding processes for newly acquired centers and DeNovo facilities. - Monitor payment trends; evaluate and implement changes to billing and collections strategies to improve cash flow. - Ensure HIPAA compliance across all billing activities and implement regulatory updates in a timely manner. - Work with Payers to resolve complex billing or reimbursement issues beyond standard provider support. - Collaborate with Operations to ensure alignment and communication of billing requirements across facilities. - Ensure timely month-end close processes and reporting from the billing department. - Monitor and optimize the patient account to staff ratio. - Escalate reimbursement or payment issues to the VP of RCM proactively. - Contribute to and monitor adherence to the departmental budget. - Stay up-to-date with industry trends, Federal guidelines, and payer policy changes impacting reimbursement operations. - Oversee and continuously improve billing processes and systems for both internal and external stakeholders. - Develop and implement training programs to ensure staff proficiency in compliance, billing regulations, and policy adherence. - Conduct staff evaluations, set performance goals, and manage individual development plans. - Maintain knowledge and compliance with company handbooks, safety, and security policies. - Promote professional development through leadership coaching, mentorship, and regular performance audits. - Foster collaboration across the organization to improve efficiency and outcomes. - Serve as a communication bridge between executive leadership and frontline billing staff. - Address and resolve employee relations issues in a timely and constructive manner. Qualifications - Bachelor’s degree in Healthcare Administration, Business, or related field (preferred). - Minimum 5 years of medical billing experience, including 3+ years in a supervisory or management role, ideally in a behavioral health setting. - In-depth knowledge of medical billing codes (ICD-10, CPT, HCPCS) and Federal regulations relevant to Behavioral Health. - Proficiency in billing and EMR systems and financial reporting tools. - Professional certification preferred: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Biller (CPB). - Proven leadership skills with experience managing and developing high-performing teams. - Exceptional organizational, analytical, and problem-solving capabilities. - Excellent written and verbal communication skills. Preferred Qualifications - Experience with federal ESRD Prospective Payment System (PPS) or behavioral health reimbursement models. - Familiarity with behavioral health terminology and physician billing protocols. - Ability to interpret complex payer policy changes and translate them into operational strategies.