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Corporate Billing Manager

optalis healthcare - Novi, MI

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Job Description

Overview The Corporate Billing Manager oversees the Corporate Billing team. Additionally, the Corporate Billing Manager will provide assistance to the Director of Revenue and Reimbursement Qualifications Education or experience with accounting functions, including accounts payable, billing, accounts receivable, collections, and bank reconciliations. A degree is preferred but not required with significant relevant experience. Specialized training in Medicare and Insurance billing preferred At least two years long term care billing experience Working knowledge of third-party insurers Working knowledge of the department of Health and Human Services Understands and has worked with Availity and similar Insurance portals Understands process of Medicaid Applications Understands how to determine Medicare Eligibility Understands Michigan MI Health Link Experience with collection calls and follow up documentation. Strong organizational skills, including managing the outcomes of others, and the ability to effectively multitask. Possesses strong interpersonal skills, including communication with supervisors, other staff and managers in the facility, vendors, and effective communication with residents and family members. Ability to effectively manage outcomes of this position as well as the outcomes of others in an environment of accountability. Effective user of technology, including personal computer and software applications in job functions. Examples include Microsoft Outlook, Email, Word, Excel, Internet, and use of billing and accounting software. Supervisor: Director of Revenue and Reimbursement Essential Functions and Responsibilities To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions. Responsibility The Corporate Billing Manager will be responsible for maintaining the following: Responsible for overseeing the billing and collections of all non-private payers Maintains up to date knowledge of how to bill ALL commercial insurances, managed care, Medicare PPO, HMO, advantage plans, auto claims, worker's compensation claims, Medicaid HMO and managed Medicaid plans. Responsible for reviewing and entering any custom payer rate requests Manages Billers PTO requests and payroll approvals Audit Billing Team performance Answer questions from Biller Staff as escalated from Billing Team Lead Month End Close Cash Reconciliation final check Completes month end processes timely. Responsible for tracking and being the point person for the Managed Care collections and collection agency. Inservice business office staff as needed. Effectively manages time to meet deadlines. Direct involvement in accounts receivable collections process, including responsibility for pursuit of delinquent accounts. Managed Cash Posting specialist team. Responsibility for completing external reports for third parties as assigned. Participation in relevant in-service training sessions. Attendance and participation in relevant meetings Willingness to perform other duties as assigned, including various clerical duties as they are necessary. Leadership: demonstrates willingness to take risks, generates new ideas for change; evaluates and recognizes priorities, select effective team members, challenges others to learn, keeps current and integrates new information, communicates and models organization values, fosters high performance, recognizes need for and provides adequate resources. Process Improvement: Applies PI principles, tools, and techniques; assists in data collections; identifies processes for improvement in daily work; educates new staff in team process. Process Improvement: Demonstrates active listening techniques; gains support through effective relationships; treats others with dignity and respect; seeks feedback; sets clear standards for performance; evaluates job performance and provides effective feedback; establishes systems to measure effectiveness, efficiency, and service; creates and maintains reporting mechanisms. Continuing Education: Attends in-service and education programs; attends continuing education required for maintenance of professional certification or licensure. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of this job, the employee is frequently required to stand and walk. The employee is occasionally required to sit for long periods of time completing work on the computer; reach with hands and arms; and talk or hear. Occasional physical effort with light to medium objects. Occasionally required to lift objects of 10 to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, and peripheral vision. Ability to travel to multiple locations as needed. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate. ate.

Created: 2026-03-04

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