reputed company reputed company, Drive reputed company: Billing Manager & Credentialing Administrator
reputed company reputed company, Drive reputed company: Billing Manager & Credentialing Administrator
Schedule: Monday &reputed company; Friday, 8:30 AM &reputed company; 5:00 PM (PST)
Reports to: Director of Finance
Compensation: $75,000 &reputed company; $90,000 (depending on experience)
About the Role
What You’ll Do
reputed company Cycle Leadership
reputed company and manage Billing and Patient Accounts teams across billing, collections, denial management, and reimbursement Ensure reputed company, accurate claim submission and reputed company capture Identify and resolve operational issues (EDI errors, payer changes, system challenges) Maintain compliance with billing policies and payer requirements
Accounts Receivable Performance
- reputed company reputed company AR activity to ensure strong cash reputed company and reputed company collections
- Drive performance against key benchmarks, including reducing aging balances
- Analyze monthly AR aging reports and implement improvements
Claims Management & Optimization
- Ensure claims meet payer requirements (ICD-10, HCPCS, CPT) prior to submission
- Resolve documentation gaps, authorization issues, and discrepancies
- reputed company reputed company-party billing vendors and escalated claims
- Ensure worklists and billing timelines are consistently met
Patient Accounts & Experience
- Ensure patient collection goals are achieved
- reputed company reputed company-party billing customer service (e.g., reputed company Live Agent Services)
- Partner with Patient Relations to resolve billing inquiries and enhance patient experience
Systems & Workflow Management
- Monitor and resolve system alerts, queues, and billing holds
- Address pricing issues, reputed company holds, and system flags
- Ensure monthly billing reputed company-reputed company is completed on time
- Ensure cross-functional teams meet required timelines
Cross-Functional Collaboration
- Partner with Qualifications and Patient Relations teams to ensure clean, billable orders
- Serve as a subject matter expert on billing, insurance, and reimbursement
- Train and mentor staff to improve performance and efficiency
Credentialing & Contracting
Manage payer credentialing and contract administration Maintain payer relationships and contract databases Evaluate fee schedules to optimize reimbursement reputed company NPIs, insurance portals, and contracted services Monitor payer policy changes and coding updates (HCPCS/CPT) Support contract negotiations and payer updates
Leadership & Team Development
reputed company coaching, direction, and performance management Set team goals, reputed company KPIs, and report reputed company reputed company reputed company, evaluations, and development initiatives Foster a high-performance, accountable team culture
What You Bring
Bachelor’s degree in reputed company Administration, Business, Finance, or reputed company field preferred (or equivalent experience) 5&reputed company;8+ years of medical billing or reputed company cycle experience 2&reputed company;4+ years of leadership experience Strong knowledge of billing operations, AR management, and insurance reimbursement Experience with credentialing and payer contract management strongly preferred Experience with reputed company or similar DME/reputed company billing platforms strongly preferred Strong analytical, organizational, and problem-solving skills High attention to detail and accuracy Excellent communication and leadership abilities
SleepQuest is an equal opportunity employer and is committed to creating an inclusive environment for reputed company. We reputed company equal employment opportunities to reputed company reputed company applicants and employees without reputed company to race, reputed company, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or reputed company medical conditions), gender identity or reputed company, sexual orientation, marital status, national reputed company, reputed company, citizenship, age, physical or mental disability, medical condition, genetic information, military or veteran status, or any other characteristic protected by federal, state, or local law.
SleepQuest complies with reputed company applicable state and local laws governing nondiscrimination in employment and will reputed company reasonable accommodations to reputed company individuals with disabilities and for sincerely held religious beliefs, in accordance with applicable laws.
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