Manager Billing and Insurance Follow- Up - Remote/Hybrid

Please note: This position is 75% work from home and 25% in-office 

Reporting to the Director of Patient Financial Services, the Billing and Insurance Follow-Up Manager is accountable for ensuring the accurate and timely billing of all patient accounts across the Health System. This role encompasses oversight of pre-billing, billing, third-party follow-up, government follow-up, customer service, and collaboration with other Patient Financial Services functions at all Valleywise Health locations. This role is tasked with monitoring key billing performance metrics, conducting analyses, identifying and resolving issues, and maintaining productivity standards for staff. Additionally, this position involves interaction with external insurance agencies to facilitate proper follow-up, documentation, and adherence to Valleywise Health's policies and procedures.

Salary Range: $79,913 - $117,872

Education:

• Requires a Bachelor's degree in Business, Finance or related field, or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work.

Experience:

• Must have at least five (5) years or progressively responsible healthcare billing experience that demonstrates a strong understanding of the required knowledge, skills and abilities.
• Requires prior supervisory/management experience, preferably within Patient Financial Services.

Certification/Licensure:

• Epic and HFMA certification is preferred.

Knowledge, Skills, and Abilities:

• Must demonstrate success in the ability to lead others as well as lead projects by projecting a positive attitude and possess the ability to motivate a team.
• Requires knowledge of all aspects of hospital billing and profession claims, including Medicare, AHCCCS, commercial, managed care, work comp and self pay billing guidelines.
• Epic experience and advanced knowledge of MS Office including data analytics within both Access and Excel is preferred.
• Requires excellent communication (both orally and in writing with internal and external customers, and agencies), organizational, time management, and general math skills as well as legal compliance, persistence, and training skills.
• Requires excellent patient service skills, interpersonal ability and demonstrated leadership skills to regularly interact with leadership and staff.
• Requires analytical ability to complete high-level problem-solving, develop and provide direction in the implementation of short and long-term departmental goals.
• Requires up-to-date knowledge and understanding of Federal compliance and OIG initiatives that impact the healthcare industry.
• Requires understanding of current and future trends/practice in area of responsibility.
• Requires knowledge of information systems and software used in area of responsibility, and of equipment used in performing assigned duties.
• Requires the ability to read, write and speak effectively in English.

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