Hospice Room and Board Billing Manager

Education

Associate's degree preferred. Specialization in Healthcare, Accounting, Finance, or equivalent related subject is preferred

Experience

• At least 5 years of professional financial reimbursement, claims billing/collections, and analysis experience is required.
• 3-5 years supervisory/management experience is required.
• Oversight in Medicaid claims processing experience is preferred.
• Previous nursing facility billing experience preferred.
• Healthcare related finance background is preferred but not required.

Knowledge, Skills and Abilities

• Effective at supervising, monitoring daily work activities, evaluating, training, and motivating performance of subordinate technical, professional and billing support staff.
• Effective organizational and problem-solving skills are required to develop/implement efficient work processes and to successfully resolve difficult, conflict-oriented situations.
• Ability to multitask, set priorities and manage time effectively.
• Highly effective verbal and written communication skills are necessary.
• Highly proficient data analytic skills required. Ability to organize, combine, filter, and perform calculations on large datasets.
• Highly effective computer skills that include the following applications: MS Excel, MS Word, and PowerPoint. Proficiency in Epic is preferred.
• Highly effective in claims resolution.
• Ability to develop and maintain good rapport with nursing facility staff.
• Collaboration with our business development team.
• Strong interpersonal skills.
• Must have reliable transportation and be able to travel to our multiple facilities.

Licensures, Certifications

Physical Requirements

• Ability to sit, concentrate and pay close attention to detail

Working Conditions

• Normal office environment with little exposure to excessive noise, dust, temperatures and the like

Conditions of Employment

Standard Precautions

Standard precaution policy and procedures are applicable to this job

Patient Safety

Employee has knowledge and understanding of patient safety as it relates to the job duties N/A

Patient Population

Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs

Not applicable

Applicable for the following ages:

All ages

Neonate / Infant

Pediatric

Adolescent

Adult

Geriatric

Contacts

Gilchrist Hospice, Patients, caregivers, other hospice organizations, Nursing facilities, Hospice Fiscal Intermediary, Medicare, Medicaid, Commercial Insurance providers, Physicians & hospital billing departments.

Reports to

Associate Director of Revenue

Supervises

Room and Board Billers

III. Technical Assessment

Principal Duties and Responsibilities

• Responsible to maintain staffing, including interviewing, hiring and training new staff.

• Responsible for managing and overseeing personnel activities for direct reports, including timekeeping/scheduling, performance management, and other related functions.

• Facilitates on the job training. Ensures staff is adequately and appropriately trained on all facets of the room and board billing. Monitors the quality of work performed and provides feedback to staff as necessary. Conducts billing observations, error tracking/follow up, and performance appraisals.

• Collaborates with business development managers ongoing and provides feedback where necessary.

• Monitor and reviews Medicaid Remits for accuracy and payment processing to facilities. Reviews and sometimes prepares the room and board spreadsheet to AP for payment to the facilities.

• Facilitates meetings with nursing home billers to ensure accurate billing and payments.

• Oversees inpatient room and board billing.

• Travels to our inpatient units to facilitate and support clinical staff in room and board payment discussions.

• Oversight in escalated inquiries from patients, families, facilities, and any concerns related to room and board billing.

• Performs room and board biller duties in time of need and during absence of scheduled employees.

• Oversees MHRT Billing and timely payment submission to AP for processing.

Pay Range

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.