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RCS Manager – Pediatric Billing
Location
United States
Posted
7 days ago
Salary
0
Seniority
Senior
Job Description
RCS Manager – Pediatric Billing
Cnect
• Managing a team of 18 across self-pay discovery, authorizations, and Medicaid follow-up • Ensuring each team member meets production and quality expectations • Overseeing billing operations start-to-finish, including payer follow-up and authorizations • Participating in all Pediatric Billing leadership and individual team meetings • Collaborating with leaders and teams across the broader RCS organization • Driving process improvement initiatives to achieve consistent, benchmark-level outcomes • Managing resources and performance within budget parameters • Supporting the onboarding and integration of new team members through system and leadership training
Job Requirements
- Requires strong knowledge of business and reimbursement management with an undergraduate degree preferred.
- At least three years of experience with hospital or physician billing strongly preferred.
- Requires demonstrable knowledge of healthcare billing terminology concepts and processes.
- Requires the ability to plan and manage the utilization of resources.
- Requires a high level of interpersonal, problem-solving and analytical skills.
- Requires effective written and verbal communication skills in both individual and group settings.
- Requires the ability to organize and manage work to achieve performance expectations.
- Requires the ability to promote teamwork and develop team members.
- Requires ability to manage within the confines of a budget.
- Requires a passionate commitment to continuous performance improvement.
Benefits
- Strong knowledge of business and reimbursement management
- Undergrad degree preferred
- At least three years of experience with hospital or physician billing strongly preferred
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Role Description CLJ Consulting and Contracting, LLC is seeking qualified candidates for an anticipated Contract Specialist II opportunity supporting the Centers for Disease Control and Prevention (CDC), Office of Acquisition Services (OAS). This position is contingent upon contract award. The ideal candidate will possess the education, experience, and technical expertise outlined below and thrive in a collaborative, mission-focused environment. The Contract Specialist II provides cradle-to-grave acquisition support services to CDC OAS. This role performs: - Acquisition planning - Solicitation development - Proposal evaluation support - Award documentation preparation - Contract administration - Closeout activities Candidates must reside within the United States. The ideal candidate is an experienced acquisition professional who thrives in a collaborative, fast-paced environment and is committed to delivering high-quality customer service and operational excellence. Responsibilities - Conduct market research and support acquisition planning activities. - Develop procurement request packages and acquisition documentation. - Research historical procurement actions and provide acquisition guidance. - Support acquisition reviews, approvals, and milestone tracking. - Prepare and review RFQs, RFPs, IFBs, solicitations, amendments, and related procurement documents. - Maintain complete and accurate acquisition files and contract records. - Coordinate small business reviews, SBA actions, and GWAC procurement activities. - Support vendor communications, solicitation postings, and procurement meetings. - Assist with proposal evaluations, technical reviews, and source selection activities. - Conduct price and cost analyses and prepare negotiation documentation. - Develop award packages, contract actions, and acquisition reports. - Complete FPDS reporting and award-related communications. - Process contract modifications, option exercises, and funding actions. - Perform contract administration, de-obligation, and closeout activities. - Maintain electronic procurement files and ensure audit readiness. - Deliver completed procurement files and supporting documentation to the Contracting Officer within required timeframes. - Ensure compliance with FAR, HHSAR, agency policies, and procurement procedures. - Prepare status reports, workload metrics, and acquisition tracking data. - Utilize agency procurement systems, contract writing tools, and reporting applications. - Provide cradle-to-grave acquisition support throughout the contract lifecycle. Qualifications - Bachelor's degree from an accredited college or university. - Minimum five (5) years of experience providing cradle-to-grave federal acquisition and contracting support. - Demonstrated knowledge of the Federal Acquisition Regulation (FAR) and federal procurement processes. - Current or former FAC-C certification, or equivalent federal acquisition certification. Preferred Qualifications - Experience supporting CDC, HHS, NIH, or other federal civilian agencies. - Experience using Integrated Contracts Expert (ICE) or similar federal contract writing systems. - Experience supporting acquisitions under GSA Multiple Award Schedules (MAS), BPAs, GWACs, IDIQs, Time-and-Materials, Cost-Reimbursement, and Firm-Fixed-Price contracts. - Proficiency with the Federal Procurement Data System (FPDS) and other federal acquisition reporting systems. - Strong knowledge of acquisition planning, solicitation development, proposal evaluation, contract administration, and closeout procedures. - Excellent analytical, written communication, and organizational skills with the ability to manage multiple procurement actions simultaneously. Knowledge, Skills and Abilities - Knowledge of FAR, HHSAR, and federal acquisition policies. - Ability to independently manage procurement packages. - Strong organizational and file management skills. - Proficiency with Microsoft Office Suite. - Ability to support multiple acquisition actions concurrently. - Excellent written communication and documentation skills. - Ability to meet CDC performance requirements of approximately 4–5 procurement actions per week and maintain timely deliverables.
Product Manager, Billing Platform
RemoteThe easier way to employ globally. Remote builds belonging for your team with payroll, benefits, & compliance solutions.
• Build solutions together with the rest of the team that solve for finance, billing and other financial services at Remote • Own not just software implementation, but the end-to-end experience: Remote delivers value through services powered by both humans and software • Lead on complex solutions without requiring support or involvement from senior members of the product team • Effectively manage internal expectations for complex projects, products, and features while navigating challenging prioritization decisions • Drive Remote in the right direction by building an effective roadmap and strategy for your area of the product in Finance • Break down strategic plans into near and mid-term goals that's easy for others to understand • Align your product roadmap with higher level department and company problems we’re working to solve • Be the subject matter expert for your product area • Contribute to scaling and growth plans for your product area • Ship improvements quickly and iteratively, challenging yourself and counterparts to find minimal solutions to problems • Support and leads a product team delivering high throughput and high return on investment • Understand key business KPIs and align your team's work and metrics to directly improve to these • Work together with engineers, designers and stakeholders to build solutions to important complex problems • Communicate and collaborate internally and externally • Contribute to the Product org by sharing your techniques, processes, and learnings • Communicate and promote the work of your team and why it matters to customers and internal teams • Work asynchronously and transparently • Lead on solutions with minimal support or involvement from senior members of the product team. You should be able to work autonomously on simple features and iterations, only needing support to solve complex problems • Contribute to tactical and strategic decision-making for your business area • Develop into a subject matter expert for understanding, articulating, and solving complex business problems related to our mobile experiences
• Collects, posts, and manages patient account payments. • Prepares and reviews patient statements. • Imports and balances EFT’s. • Identifies and corrects rejected claims. • Reviews delinquent accounts and contacts for collection purposes. • Verifies patients’ insurance coverage. • Answer questions regarding billing and insurance policies. • Process payments from insurance companies. • Follows up to see if a claim is accepted or denied. • Reviews and appeals unpaid and denied claims accordingly. • Evaluates medical record documentation to ensure proper CPT and ICD-10 codes are billed appropriately. • Obtains precertification, if required, for specific procedures. • Investigates insurance fraud and reports if found.
• Collects, posts, and manages patient account payments • Prepares and reviews patient statements • Imports and balances EFT’s • Identifies and corrects rejected claims • Reviews delinquent accounts and contacts for collection purposes • Verifies patients’ insurance coverage • Answers questions regarding billing and insurance policies • Processes payments from insurance companies • Follows up to see if a claim is accepted or denied • Reviews and appeals unpaid and denied claims accordingly • Evaluates medical record documentation to ensure proper CPT and ICD-10 codes are billed appropriately • Obtains precertification, if required, for specific procedures • Investigates insurance fraud and reports if found


