Pre-Billing Manager

EMERGICON LLC Terrell, TX
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The Pre-Billing Manager oversees daily pre-billing operations, ensuring accuracy and efficiency through report reviews, quality audits, and regular staff meetings. This role includes reviewing staff performance, identifying reimbursement barriers, and providing ongoing training to optimize workflows and outcomes. As the entry point to the company, this department serves as a training ground for employees, fostering their development and preparing them for advancement into other roles, ensuring consistent movement and growth within the organization.


ESSENTIAL DUTIES AND RESPONSIBILITIES

• Monitor assignment queues

• Ensure timely assignment of claims to payors

• Keep claims current and address any backlogs promptly

• Manage workflows and teams

• Ensure employees meet production metrics

• Provide strategic support to underperformers

• Utilize technology to streamline processes and improve efficiency

• Ensure new employees receive comprehensive training and monitor their progress

• Maintain Compliance while staying updated on payor regulations and

• Ensure adherence to HIPAA laws and regulations

• Review and correct employee timecards and process PTO requests

• Manage disciplinary matters and clarify misunderstandings, while also providing commendations and recognition when appropriate.

• Enforce company policies and procedures

• Cultivate a learning environment that prepares employees for advancement into other roles within the company.

• Prepare and conduct employee performance reviews

• Conduct quality assurance reviews with employees

• Perform standard pre-billing tasks as needed

• Other job-related duties as assigned

EDUCATION AND EXPERIENCE

• Associate degree or higher in healthcare administration or a related field is preferred.

• Minimum of three years' experience in an EMS billing environment, including pre-billing, is preferred.

• At least two years of experience in a management role is required.

KNOWLEDGE, SKILLS, AND ABILITIES

• Effective communication with employees at all levels, both verbally and in writing.

• Strong interpersonal skills with the ability to collaborate effectively with employees, clients, patients, and external parties.

• Proficiency in multitasking and problem-solving, with a keen attention to detail.

• Knowledge of medical terminology, payor specifications, and coding.

• Proven skills in motivating employees to achieve and surpass their goals.

• Intermediate-level proficiency in Excel, including building, sorting, and manipulating spreadsheets.

• Competency in navigating reporting software to extract and analyze data through ad-hoc requests.

• Track record of self-driven, goal-focused behavior.

WORKING CONDITIONS

Position requires long periods of sitting/standing at a desk and working on a computer.

WORK SCHEDULE

This position follows a hybrid schedule, with three days on-site in Terrell, TX, and two days remote.

Emergicon requires satisfactory pre-employment background check and drug screening.

EMERGICON LLC is an EEO Employer - M/F/Disability/Protected Veteran Status
 
 
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