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Revenue Cycle and Billing Manager

Swap Health

Swap Health

United States
Posted on Nov 27, 2024

Job Description: Revenue Cycle and Billing Manager (Remote)

Telehealth Dietitian Group Practice

Position Overview:

We are seeking an experienced and detail-oriented Revenue Cycle Management and Billing Manager to join our telehealth dietitian group practice. This key role ensures seamless financial operations by managing billing processes, overseeing accounts receivable, and ensuring compliance with healthcare regulations. As a pivotal part of our team, the Billing Manager will work closely with dietitians, clients, and insurance providers to maintain an efficient and accurate billing system. This role will also help support credentialing for clinicians; however, training and support will be provided.

Key Responsibilities:

  • Billing Operations Management:
  • Implement strategies to improve billing efficiency, reduce claim denials, and accelerate payment collection
  • Oversee the end-to-end billing process, including claims submission, payment processing, and client invoicing.
  • Ensure Operational Efficiency: Streamline processes, optimize workflows, and leverage technology to enhance the revenue cycle's overall performance.
  • Manage team of 2 overseeing accuracy in coding (e.g., CPT codes and modifiers) for dietitian services and telehealth visits.
  • Monitor and address denials or discrepancies in claims and re-submit as necessary.

Credentialing:

  • Credentialing dietitian staff with insurance payers and necessary state licenses.
  • Monitor dietitian licensure and expiration dates.

Accounts Receivable Oversight:

  • Manage and track accounts receivable to ensure timely payments.
  • Generate and analyze financial reports to identify trends and areas for improvement.
  • Proactively follow up on unpaid claims and outstanding balances.

Insurance Liaison:

  • Collaborate with insurance companies to verify coverage, resolve disputes, and ensure accurate reimbursements.
  • Stay informed on changes in telehealth and nutrition-related billing regulations.

Compliance and Documentation:

  • Ensure compliance with HIPAA and other healthcare regulations related to billing and financial data.
  • Maintain accurate records and documentation for audits and reporting.

Team Collaboration:

  • Train and support patient care coordinators, dietitians and administrative staff on billing protocols and tools.
  • Communicate clearly with clients regarding billing questions and payment plans.

Qualifications:

  • Proven experience in Revenue Cycle Management and/or Billing Manager or in a similar role within the healthcare or telehealth industry.
  • Strong understanding of medical billing, coding, and insurance claims processes (knowledge of nutrition and telehealth billing preferred).
  • Proficiency with billing software and electronic health record (EHR) systems. Candid a plus.
  • Exceptional organizational skills and attention to detail.
  • Ability to analyze financial data and generate actionable insights.
  • Strong communication and interpersonal skills to interact effectively with team members, clients, and insurance providers.
  • Knowledge of HIPAA regulations and compliance standards.

Preferred Skills:

  • Experience working in a telehealth environment or with a dietitian group practice.
  • Certification in Medical Billing or Coding (e.g., CMRS, CPC).
  • Familiarity with telehealth-specific billing guidelines and insurance trends.

Employment Type/Location:

Full-time, Remote

Why Join Us?

We are a passionate, client-focused team dedicated to improving lives through personalized nutrition care. As part of our practice, you will play a crucial role in helping us deliver accessible and high-quality telehealth services to our clients.

If you’re a proactive professional who thrives in a dynamic environment and values accuracy, teamwork, and innovation, we’d love to hear from you!

Salary/Schedule: 65 to 75k yearly depending on experience. Mon to Fri 8:30 to 5:00 pm ET