Billing, Billing Software, Current Procedural Terminology (CPT), Develop and Maintain Customers, Financial Operations, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Healthcare Providers, Healthcare Software, ICD-10, Identify Issues, Insurance, Insurance Claims, Medicaid, Medical Billing, Medical Record System, Payment Posting, Reconciliation, Regulations, Resolve Customer Issues, Revenue Management
Overview
NaphCare is hiring a Billing and Revenue Cycle Manager to join our team at NaphCare Headquaters located in Birmingham Al. The candidate will be in charge of overseeing our clients'' financial operations and claims billing. From the filing of claims until the final payment, you will make sure that every part of the revenue cycle operates smoothly and effectively.
This is not a Remote Positon
Responsibilities
- Prepare and submit claims to various insurance companies electronically
- Accurately and promptly reconcile all posting transactions, including payments, adjustments, and denials for insurers.
- Resolve clearinghouse errors and work through rejections.
- Review and address clearinghouse and payer denials.
- Ensure the accuracy of account adjustments.
- Complete daily payment posting, reconciliation, and account closing tasks.
- Regularly review payment and adjustment postings for accuracy.
- Manage remittance and credits.
- Maintain clearing accounts to ensure accurate financial tracking.
- Investigate and resolve credit balances and undistributed payments.
- Resolve insurance credits following payer guidelines.
- Answers questions from clients and insurance companies
- Maintains strict confidentiality and adhere to all HIPAA guidelines and regulations
- Troubleshoots electronic health record problems as they relate to billing.
- Assist with additional tasks and special projects as needed.
Qualifications
- Minimum of five years of healthcare billing experience required (Medicaid preferred) to include identifying and correcting for errors, posting of payments, communicating with payers, providers, and medical staff.
- Must have healthcare experience and knowledge of billing and coding, including EOBs, ICD-10, and CPT codes.
- Ability to thrive in a fast-paced environment and manage changing priorities.
- Strong commitment to continuous learning and professional development.
- Proficient with medical billing software.
We know you may have questions before applying. To speak to a recruiter directly, email your questions and/or resume to CorporateHR@naphcare.com with the position and location you're interested in.
Equal Opportunity Employer: disability/veteran
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NAPHCARE, INC.
NaphCare is dedicated to implementing cost-effective, quality services according to our clients' needs.
Because every facility is unique, we tailor our services to meet each client's respective needs. We deliver solutions based on your requests rather than telling you how to run your facility. NaphCare evaluates, evolves, and adapts our programs according to not only client needs, but also the ever-changing field of correctional healthcare.
When you choose NaphCare, you choose a proactive, preventive healthcare provider. We focus on a “Day One” mentality, providing care up front and without delay. Our clients experience greater efficiency, a reduction in unnecessary costs, and transfer their legal liability, all without giving up their independence. NaphCare is leading the way with an all-in-one approach to correctional healthcare that provides services unique to your facility.
Personal Attention
With NaphCare, people come first. We are proud of our company culture and ability to connect with our clients on a personal level, and it is NaphCare's mission to continue our history of personalized service. Care is not reserved simply for the patients entrusted to us, but also for our client partners. We care for our clients by providing efficient services to reduce their costs, communicating regularly about our services, listening to the client, providing accountability through continuous quality studies and reporting, and working with integrity at all times.
Company Consistency
Also, as an independent healthcare partner, we are free from complex partnerships and distant investors that limit our competitors' responsiveness. NaphCare has not undergone any corporate reorganization or restructuring since the company was founded in 1989, and has no plans to do so in the future. This stability, along with planned and structured growth, ensures that our client partners receive personal attention from our administrative and medical support team at our headquarters.
Financial Stability
NaphCare is a financially stable and fiscally responsible company. Throughout our history, we have maintained steady, measured growth, more stable than sweeping corporate changes. Our clients do not have to worry about drastic shifts in our company and how such changes will affect their services.
One of the best indicators of a company's financial stability is its ability to secure insurance and a bonding line. NaphCare is proud of our ability to provide performance bonds, rather than letters of credit. Due to our financial strength, NaphCare has exceptional insurance programs that indemnify our clients against litigation regarding healthcare services.