Job Title

Key Responsibilities:• Execute complex and consultation engagements using industry expertise and revenue cycle knowledge.• Develop and manage budgets for assigned facilities, guiding staff to meet expectations within defined scopes and hours.• Review and oversee staff work to ensure:o Claims are billed accurately, and coding aligns with Medicare, Medicaid, and private insurance guidelines.o Timely claim submissions, follow-ups, and resolution of client needs.• Lead monthly team functions, such as Hosting Team Huddle meetings to discuss claims, aging, and outstanding work.• Monitoring team performance metrics to identify improvement opportunities.Qualifications:• 10+ years of billing experience, with a focus on long-term care facilities or healthcare settings preferred.• Expert-level knowledge of billing practices for all payer types, including Medicare and Medicaid.• Exceptional verbal and written communication skills for interacting with clients, team members, and firm leadership.• Strong organizational skills with the ability to manage multiple priorities and deadlines.• Analytical and problem-solving expertise, with a focus on resolving complex billing challenges.• Attention to detail and a passion for accuracy.• Demonstrated ability to handle confidential and sensitive information with professionalism and discretion.Required Skills and Competencies:• In-depth knowledge of insurance industries, managed care programs, Medicare, and Medicaid guidelines.• Proficiency in billing software and tools to enhance efficiency and reporting accuracy.• Comprehensive understanding of HIPAA regulations and best practices for managing client data securely.• Ability to identify inefficiencies and propose innovative solutions to improve operational workflows.