CBC Billing Customer Service Manager - Allentown, PA

Company Name:
Oversees billing activities while utilizing established policies and procedures. Directs and manages staff to perform daily operations to achieve management goals.
Manages staff appropriately and sets clear expectations for performance.
Prioritize and delegate job tasks to ensure timely completion.
Support and manage business policies and procedures to maintain workflow standards.
Maintain high level of customer satisfaction regarding company's billing and collections process.
Support and maintain business manual of policies and procedures, contract guidelines, reimbursement updates and collections tips and other reference materials.
Audit billing functions regularly for compliance to policies, procedures, and contract and government regulations.
Oversee daily billing activities per policies and procedures.
Ensure accuracy of payer fee schedules in the billing system to maintain accurate billing and prompt payment.
Address performance and/or business issues while keeping direct manager informed.
Timely prepare required reports or actions plans base on results for Sr. Management.
Participate on various billing specific sub-groups to identify all attributes for best practice implementation and influence development of policies and procedures as well as identify appropriate training material and educational opportunities.
Assist internal and external audit functions.
Ensure MAP resident claims are billed monthly with private processing. Communicate routinely with caseworker to monitor application approval status.
Engage in first round collections activity as appropriate.
Ensure RxClaim is implemented on appropriate facilities and rejections are addressed timely and accurately.
Ensure claims are appropriately addressed for accurate billing for Infusion Therapy, Respiratory Therapy and Medicare Part B dispensing.
Ensure appropriate, timely and professional communications occurs with resident, responsible party, facility admissions coordinator, facility business office, facility Director of Nursing and/or facility administrator as needed.
Maintain customer satisfaction through responses to customer billing inquiries. May include various levels of customer interaction and intervention for local, chain, regional and national account customers as directed by upper management along with coordination with Billing Division.
Overtime may be required and/or expected.
Work and partner with other internal departments.
Follow all applicable government regulations including HIPAA.
Manage staff appropriately and set clear expectations for performance.
Prioritize and delegate job tasks to ensure timely completion.
Conduct performance evaluations on a Quarterly basis for Supervisory staff.
Ensure compliance with SOX regulations.
Recruit and manage an employee's work life cycle while following HR policies and procedures.
Address performance and/or business issues while keeping direct manager informed.
Timely prepare required reports or actions plans base on results for Sr. Management.
Follow all applicable government regulations including HIPAA.
Participate in projects and/or management meetings.
Other duties as assigned; job duties may vary by location.
Management Responsibilities:
Responsible for providing employees with timely, candid and constructive feedback; developing employees to their full potential and providing challenging opportunities that enhance employee career growth; developing the appropriate talent pool to ensure adequate bench strength and succession planning; recognizing and rewarding employees for accomplishments.
Minimum (Required): _(must be met in order to perform the job at the required level)_
2-3 years progressive experience in health care management.
5+ years experience in long term care pharmacy billing and/or operations.
Effective leadership and management skills.
Effective coaching and listening skills at all levels of the organization.
Excellent interpersonal and communication skills.
Ability to effectively translate long-term business strategies and plans into execution and results including defining the priorities, plans and objectives of the organization.
Ability to understand and add value to management interaction, demonstrate ability to work with the management team, influence others and drive change at all levels of the organization to improve employee performance and business results.
Ability to multi-task effectively, be flexible, and operate with a sense of urgency. Open to change and demonstrates the ability to change gears when necessary.
Ability to maintain confidentiality.
Ability to work independently with minimal guidance.
Preferred: _(if above and beyond the minimum required)_
Bachelor's degree
Physical Demands: May sit, stand, stoop, bend and walk intermittently during the day. May sit or stand seven (7) to ten (10) hours per day. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required. May need to lift up to twenty-five (25) pounds on occasion. Visual acuity to see and read fine prints. Specific vision abilities required by this role include close vision, color vision and the ability to adjust focus. Must be able to hear normal voice sounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role.
Work Environment: Work in a climate-controlled, smoke-free internal environment.
Disclaimer: The above job description is intended to describe the general nature and level of work being performed by employees assigned to this job. It is not designed to capture or illustrate a comprehensive list of all responsibilities, duties, and skills required of employees assigned to this job.
Equal Opportunity Employer: Omnicare is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, and veteran status or any other status protected by federal, state or local law. Omnicare is an Equal Employment Opportunity and Affirmative Action Employer.
Requisition ID: 2014-5886
Position Type: Regular Full-Time
Job Locations: US - PA - Allentown
Division: LTC
Category: Billing

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