Role Description
We are seeking a dedicated Medical Billing and Collections Director. Responsible for overseeing and directing the Billing & Collections Center (BCC) and the BCC Managers on the billing and collections of all Rotech account receivables and ensures practices are consistent with company ethics, standards and company billing, collections and accounting policies and procedures. This position offers a salary range of $68,000 – $75,000 per year, depending on relevant experience and the state where the employee is hired.
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Assists National Director with review and implementation of billing & collections policies and procedures
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Completes special projects and other duties as may be assigned
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Conducts general billing and collection training, specialized training and direction on specific issues identified as billing/collection problems due to investigations and/or audits from Rotech’s Compliance or internal audit department or identified by payers in pre/post pay audits
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Effective presentations to management and employees with a high degree of professionalism and confidence
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Ensures consistent communication of billing/collection flow processes, policies and procedures, compliance information, payer rules and regulations by utilizing available mechanisms (i.e., DMERC websites, internal and external newsletters, web boards, inter-company websites, (Reimbursements Q/A), etc.)
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Evaluates productivity standards of billing and collections, ensures staffing needs are assessed and ensures all positions are filled with trained individuals
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Implements billing & collections flow processes, policies and procedures and ensures consistency with Rotech accounting policies and procedures
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Implements billing and collections goals set by corporate and initiates BCC goals
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Interacts with Medicare durable medical equipment regional carriers as needed
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Interview, hire and train employees; plan, assign, direct work; appraise performance; reward and discipline employees and address complaints and resolve problems as well as process improvements as applicable
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Oversee consolidation and merger of billing & collections centers
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Oversees and manages the performance of BCMs and supervisory staff to achieve the objectives of Rotech’s billing center flow process
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Write detailed reports, summaries and action plans
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Provides direction regarding resolution of problematic issues
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Works with other departments like internal audit, compliance, operations and sales to ensure BCC understanding and impact on billing and collections from related departments
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Performs other duties as assigned
Qualifications
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Employment is contingent on background check (company-wide)
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Drug screen (when applicable for the position)
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Compliance with healthcare facility credentialing process (when applicable for the position)
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Valid driver’s license in state of residence with a clean driving record (when applicable for the position)
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Bachelor’s degree from an accredited college or university in healthcare or related field is required
Requirements
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Advanced knowledge of Medicare coverage/billing guidelines for DMEPOS
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DMERC experience required
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Five years of directly-related experience; or an equivalent combination of education and experience in Durable Medical Equipment Prosthetics Orthotics & Supplies (DMEPOS) and billing, collections and training
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Knowledge of Durable Medical Equipment (DME) or Home Medical Equipment (HME)
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Three to five years of supervisory experience or prior work experience in a team-oriented environment highly desired
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Two years of experience in billing and collections is highly desired
Skills and Competencies
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Accurately perform simple mathematical calculations
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Effectively communicate in English; both oral and written
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Interpret a variety of communications (verbal, non-verbal, written, listening and visual)
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Maintain confidentiality, discretion and caution when handling sensitive information
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Multi-task along with attention to detail
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Self-motivation, organized, time-management and deductive problem-solving skills
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Work independently and as part of a team
Machines, Equipment and Technical Abilities
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Email transmission and communication
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Internet navigation and research
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Microsoft applications; Outlook, Word and Excel
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Office equipment; fax machine, copier, printer, phone and computer and/or tablet
Physical Demands
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Lift and carry office equipment at times
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Requires sitting, walking, standing, talking and listening
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Requires close vision to small print on computer and/or tablet and paperwork
Benefits
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Generous paid time off and paid holidays
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Overtime pay for non-exempt positions (as applicable)
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Commission for Account Executives
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Bonus and incentive opportunities
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Fixed and variable car reimbursement for Area Managers and Account Executives
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Car, mileage, and telephone reimbursement (as applicable)
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Employee discount and recognition programs
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Employee Assistance Program (EAP)
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401(k), HSA, and FSA/Dependent Care FSA
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Medical, prescription, dental, and vision coverage
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Life insurance, disability, accidental death, identity protection, and legal services
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Meru Health mental health and Mercer SmartConnect Medicare programs
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Livongo Diabetes and High Blood Pressure programs
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Healthcare Bluebook and RX Savings Solutions programs
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Hepatitis B (HEPB) and TB vaccinations