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Manager, Office (31422) in Rocky Hill, Connecticut at GI Alliance

NewSalary: $67500 - $90000Industry: Healthcare / Health ServicesJob Function: Executive/Management
GI Alliance
Rocky Hill, Connecticut, 06067, United States
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Job Description

Manager, Office (31422)
Job DetailsJob Location: CTGI Central Clinic - Rocky Hill, CT 06067
Position Type: Full Time
Job Shift: Day
Description

Description


Connecticut GI, a division of GI alliance,is looking for afull-time experienced Billing Supervisor to join our Rocky Hill Care Center!We are the largest gastroenterology practice in the state of Connecticut with over 30 Care Centers and still growing. Our employees are the foundation of our practice, and we pride ourselves on the fact that we have been named a TOP WORKPLACE 8 times! Our team of clinical and administrative support staff work collaboratively with our physicians and advanced practitioners to provide our patients with the most comprehensive and compassionate care. Here at CTGI our promise is to treat every patient as if they were a member of our own families, and we are looking for team members who also embody this vision!
A Short List Of Reasons Why You Should Work For CTGI
  • Selected as a Top Workplace 8 Times


  • Selected as a Top Workplace 8 Times
  • Competitive Pay


  • Competitive Pay
  • Very Fast-Growing Practice


  • Very Fast-Growing Practice
    Key Responsibilities
    Operational Leadership
  • Supervise daily billing operations including charge entry, claim edits, payment posting, A/R follow-up, and denial management.


  • Supervise daily billing operations including charge entry, claim edits, payment posting, A/R follow-up, and denial management.
  • Monitor workqueue volumes, productivity, and aging to ensure timely resolution of outstanding accounts.


  • Monitor workqueue volumes, productivity, and aging to ensure timely resolution of outstanding accounts.
  • Assign and adjust workloads to meet departmental goals and maintain balanced staffing coverage.


  • Assign and adjust workloads to meet departmental goals and maintain balanced staffing coverage.
  • Serve as an escalation point for complex billing issues, payer disputes, and claim denials.


  • Serve as an escalation point for complex billing issues, payer disputes, and claim denials.
    Team Management & Development
  • Provide coaching, training, and ongoing development for billing team leaders and staff.


  • Provide coaching, training, and ongoing development for billing team leaders and staff.
  • Conduct regular 1:1s, performance evaluations, and corrective action when necessary.


  • Conduct regular 1:1s, performance evaluations, and corrective action when necessary.
  • Foster a collaborative, accountable, and solutions-oriented team culture.


  • Foster a collaborative, accountable, and solutions-oriented team culture.
  • Support onboarding and competency development for new team members.


  • Support onboarding and competency development for new team members.
    Revenue Cycle Performance
  • Monitor key performance indicators (KPIs) including days in A/R, denial rates, clean claim rate, and aging benchmarks.


  • Monitor key performance indicators (KPIs) including days in A/R, denial rates, clean claim rate, and aging benchmarks.
  • Identify trends, root causes, and process gaps impacting revenue capture or reimbursement.


  • Identify trends, root causes, and process gaps impacting revenue capture or reimbursement.
  • Partner with coding, clinical teams, and leadership to resolve systemic issues and improve workflows.


  • Partner with coding, clinical teams, and leadership to resolve systemic issues and improve workflows.
  • Ensure compliance with payer policies, billing regulations, and organizational standards.


  • Ensure compliance with payer policies, billing regulations, and organizational standards.
    Compliance & Quality Assurance
  • Ensure accurate documentation, coding integrity, and adherence to federal, state, and payer guidelines.


  • Ensure accurate documentation, coding integrity, and adherence to federal, state, and payer guidelines.
  • Support internal audits and implement corrective action plans as needed.


  • Support internal audits and implement corrective action plans as needed.
  • Maintain up-to-date knowledge of billing regulations, CPT/HCPCS changes, and payer updates.


  • Maintain up-to-date knowledge of billing regulations, CPT/HCPCS changes, and payer updates.
    Communication & Collaboration
  • Act as a liaison between billing, coding, clinical departments, and external partners.


  • Act as a liaison between billing, coding, clinical departments, and external partners.
  • Communicate operational updates, payer changes, and performance metrics to leadership and staff.


  • Communicate operational updates, payer changes, and performance metrics to leadership and staff.
  • Participate in cross-functional meetings to support revenue cycle initiatives and organizational goals.


  • Participate in cross-functional meetings to support revenue cycle initiatives and organizational goals.
    Qualifications
    Required Skills/Abilities:
  • 3–5 years of experience in professional billing, revenue cycle, or medical office operations.


  • 3–5 years of experience in professional billing, revenue cycle, or medical office operations.
  • Solid knowledge and understanding of revenue cycle, collections and payment posting, medical billing, Medicare and Medicaid and third-party payers.


  • Solid knowledge and understanding of revenue cycle, collections and payment posting, medical billing, Medicare and Medicaid and third-party payers.
  • Strong understanding of CPT/HCPCS, ICD-10, payer rules, and reimbursement methodologies.


  • Strong understanding of CPT/HCPCS, ICD-10, payer rules, and reimbursement methodologies.
  • Proficiency with EHR and billing systems (Epic experience preferred).


  • Proficiency with EHR and billing systems (Epic experience preferred).
  • Excellent communication, problem-solving, and organizational skills.


  • Excellent communication, problem-solving, and organizational skills.
  • Ability to lead and supervise staff, including managing performance.


  • Ability to lead and supervise staff, including managing performance.
  • Strong relationship building, interpersonal, and leadership skills.


  • Strong relationship building, interpersonal, and leadership skills.
  • Knowledge of medical terminology, healthcare coding systems, and clinic functions.


  • Knowledge of medical terminology, healthcare coding systems, and clinic functions.
  • Ability to work independently and manage deadlines.


  • Ability to work independently and manage deadlines.
  • Adherence to HIPAA regulations for patient confidentiality.


  • Adherence to HIPAA regulations for patient confidentiality.
    Preferred
  • Experience in a multi-specialty or GI practice setting


  • Experience in a multi-specialty or GI practice setting
  • 2+ years supervisory experience


  • 2+ years supervisory experience
  • Certified Professional Biller (CPB), Certified Professional Coder (CPC), or similar credential.


  • Certified Professional Biller (CPB), Certified Professional Coder (CPC), or similar credential.
  • Demonstrated success improving billing workflows or revenue cycle performance.


  • Demonstrated success improving billing workflows or revenue cycle performance.
    Hours:
  • Monday – Friday


  • Monday – Friday
  • 8:00am – 4:30pm


  • 8:00am – 4:30pm
    Salary Range: From $67,500 - $90,000/per year, depending on experience
    Work Location: In Person

    Qualifications

    Qualifications


    Qualifications
    EDUCATION: Bachelors Degree is preferred.
    EXPERIENCE: Minimum of threefive years medical office management. Experience in internal medicine or GI is preferred.
    Performance Requirements:
  • Knowledge of clinic policies and procedures.
  • Knowledge of medical terminology and insurance practices.
  • Knowledge of computer programs and applications.
  • Knowledge of CPT and ICD-10 coding.
  • Knowledge of managed care, Medicare, and Medicaid guidelines.
  • Skill in effective personnel management including training staff and delegating duties.
  • Skill in written and verbal communication.
  • Ability to work effectively as a team member with physicians and other staff.
  • Ability to flexibly respond to changing demands.
  • Ability to plan, organize, prioritize and direct the work of others.
  • Ability to sort and file materials correctly by alphabetic or numeric systems.
  • Ability to establish and maintain effective working relationships with patients, employees, and the public.
  • Prior experience interviewing candidates and determining staffing needs.
  • Experience credentialing physicians and mid-level providers
  • Experience managing patient issues

  • GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.


    Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.


    NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.

    No phone calls or agencies, please.


    EEO/AA-M/F/disabled/protected veteran

    Job Location

    Rocky Hill, Connecticut, 06067, United States

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