Center for Autism and Related Disorders Billing Lead - Woodland Hills, CA in Woodland Hills, California

Billing Lead - Woodland Hills, CA

Type: Full Time

Location: Woodland Hills, CA

Recruiter: Cameron Lopez

Telephone: 818-345-2345 x1140

Email: cl8730@centerforautism.com

Join a winning team! CARD is now hiring a

BILLING LEAD in Woodland Hills, CA

ORGANIZATION

The Center for Autism and Related Disorders, LLC (CARD) is the world’s largest and most experienced organization effectively treating autism and related disorders. With domestic and international reach, CARD touches the lives of thousands of families. Through a network of trained therapists, supervisors and researchers we develop and implement quality, comprehensive and personalized treatment programs which lead to success, and in many cases recovery.

CARD was founded in 1990 by renowned psychologist and early researcher of autism, Dr. Doreen Granpeesheh. Dr. Granpeesheh designed a unique treatment curriculum based on the Applied Behavior Analysis (ABA) method and built an organization of dedicated and trained staff. Currently CARD has 100+ U.S.-based offices serving in the following states: Alaska, Arizona, Arkansas, California, Colorado, Florida, Hawaii, Illinois, Iowa, Kansas, Louisiana, Maine, Massachusetts, Michigan, Missouri, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island, South Dakota, Tennessee, Texas, Virginia, Washington, and Wisconsin.

DESCRIPTION

The Billing Lead will be responsible for directing and coordinating the overall functions of the medical billing and coding processes to ensure maximization of cash flow. The position requires strong knowledge and understanding of behavioral health provider billing and managerial skills, including critical thinking and the ability to produce and present employee-level and management level billing activity reports.

DUTIES & RESPONSIBILITIES

  • Oversees the operations of the billing department, encompassing claims processing and claims submissions.

  • Serves as the subject matter expert and go-to person for all billing processes.

  • Plans, directs, and analyzes billing and data processing to ensure accuracy and completeness.

  • Maintains contacts with other departments within the organization to improve the efficiency of the billing process.

  • Prepares and analyzes billing reports, weekly and monthly department reports, and collects and compiles accurate statistical reports.

  • Audits current procedures to monitor and improve efficiency of billing operations.

  • Together with the director of RCM develops and implements operating policies and procedures for the department.

  • Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance billing and operating efficiency.

  • Analyzes trends impacting coding, collections, and billing and takes appropriate action to realign staff and revise policies and procedures.

  • Keeps current with payers updates and distributes the information within the organization.

  • Understands and remains current with coding and billing regulations and compliance requirements.

  • Maintains a working knowledge of health information management issues such as HIPAA and other health regulations.

  • Supervises billing personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.

  • Provides, oversees, and coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.

  • Coordinates team member time off in a manner that does not negatively impact necessary daily functions.

  • Performs other miscellaneous job-related duties as assigned or needed.

EXPERIENCE & QUALIFICATIONS

  • Associates degree, preferably in business administration or a related field.

  • Bachelor’s degree preferred.

  • Certified coder is a plus.

  • Minimum of five years Medical Insurance/Healthcare Billing and Collections experience in a health system, with a deep understanding of medical billing rules and regulations. Behavioral health billing experience or therapy billing experience strongly preferred

  • One or more years of supervisory experience.

  • A combination of education and experience will be considered.

  • Prior experience with an ERP system is required.

  • Thorough understanding of medical billing, collections and payment posting, revenue cycle, third party payers, and Medicare.

  • Excellent negotiation skills, including the tact required for securing payment or discussing patient’s finances, and enjoy working in a health care services setting.

  • Good planning and organizational skills to balance and prioritize work.

  • Proficient in Microsoft Office, including Outlook, Word, and Excel.

EMAIL RESUME TO: cl8730@centerforautism.com