Medical Billing Collections Manager

Spectrum Health Systems, Inc. - Worcester, MA

Full-time

Medical Billing Collections Manager Pay Range: $55,000-$65,000 annually Spectrum offers comprehensive benefits including but not limited to: health/dental benefits, paid time off, and tuition reimbursement program.

Position Summary: Oversees and supervises all collections functions in the Reimbursement Department.

Responsibilities Include:

  • Provides supervision, oversight and direction to the reimbursement department.
  • Reviews the current processes and procedures, identifies areas for improvement and implements changes.
  • Ensures the timely filing of all claims, monitors best practices and changing requirements for peers, payers and regulators.
  • Handles and resolves escalated claims, problems or complaints.
  • Monitors accounts receivable and revenue metrics and implements continuous improvement.
  • Ensures reconciliation of AR accounts.
  • Supports the reimbursement team and program management to improve communication and collaboration between department and programs.
  • Qualifications:
  • Associates Degree preferred.
  • Six (6) years insurance billing experience required plus three (3) years supervisory experience required.
  • Solid understanding of MA state billing systems preferred
  • Proven record in the management and development of staff
  • Ability to communicate and collaborate with staff at all levels of the organization

Job Type: Full-time

Salary: $55,000.00 to $65,000.00 /year

Experience:

  • Supervisory: 3 years (Required)
  • Insurance Billing: 6 years (Required)