Billing Operations Manager
Company: Cadence Solutions
Location: New York
Posted on: October 18, 2024
Job Description:
The Cadence Solutions team seeks a Billing Operations Manager to
join our Growth Operations Team. As a Billing Operations Manager at
Cadence, you will be responsible for ensuring the accuracy and
compliance of all billing operations. Your role will involve
auditing billing practices to ensure that all bills align with
data, enabling accurate billing for our health system partners. You
will also work closely with finance, product, and technology teams
to validate insurance plans, manage patient copayments expectations
with our health systems, and support the expansion into commercial
insurance and additional billing codes.
WHAT YOU'LL DO:Billing Operations Management:
- Oversee the daily operations of the billing department,
ensuring accurate and timely processing of invoices.
- Validate insurance plans and ensure that patient coverage and
copayments are accurately calculated and communicated to our
Partners, as well as validate that patient eligibility is aligned
with insurance coverage for RPM.
- Develop and implement standardized billing procedures to
maintain consistency and compliance across the organization.
Auditing and Data Alignment:
- Conduct regular audits of billing operations to ensure that all
bills align accurately with data collected, facilitating precise
billing for health system partners.
- Identify discrepancies between billed amounts and data, and
work with relevant teams to resolve any issues.
- Implement best practices for billing audits to continuously
improve the accuracy and reliability of billing processes.
Expansion into Commercial Insurance and Billing Codes:
- Support the company's expansion into commercial insurance
markets by developing and implementing processes for new billing
codes and procedures aligned to successful billing and retention of
patients with these payor plans.
- Work closely with the Product and Technology teams to integrate
new billing codes into the EMR system and ensure accurate coding
and documentation.
- Monitor the performance of commercial insurance billing and
identify opportunities for optimization and growth.
Collaboration with Finance, Product, and Technology Teams:
- Partner with the finance team to ensure that billing operations
align with financial goals and reporting requirements.
- Collaborate with the Product team to identify and implement
automation solutions that streamline billing processes and enhance
efficiency.
- Work closely with the Technology team to ensure seamless
integration of billing systems with EMR and other operational
tools, addressing any technical issues that arise.
Compliance and Regulatory Adherence:
- Ensure all billing practices comply with federal, state, and
local healthcare regulations, including Medicare, Medicaid, and
commercial insurance guidelines.
- Stay updated on changes in healthcare billing regulations and
update company policies and procedures accordingly.
Process Improvement and Automation:
- Identify opportunities to streamline billing operations, reduce
errors, and enhance efficiency.
- Partner with the Product and Technology teams to develop and
implement automation tools and technologies for billing
processes.
- Continuously monitor and analyze billing data to identify
trends and make data-driven decisions for process improvements.
Stakeholder Collaboration:
- Collaborate with finance, operations, and compliance teams to
ensure alignment of billing operations with overall company
objectives.
- Communicate effectively with external partners, including
insurance companies and healthcare providers, to resolve billing
issues.
- Provide regular reports and updates to senior management on
billing operations, compliance status, and key performance
indicators.
WHAT YOU'LL NEED:Qualifications:
- Bachelor's degree in Business, Healthcare Administration,
Finance, or a related field.
- 5+ years of experience in billing operations, preferably in the
health tech or healthcare industry.
- Strong understanding of healthcare billing regulations,
including Medicare, Medicaid, and commercial insurance guidelines
(experience with RPM, CCM, APCM, and care management billing a
plus).
- Experience with auditing billing practices and ensuring
alignment between bills and data.
- Proven experience in managing billing teams and optimizing
billing processes.
- Excellent leadership, communication, and organizational
skills.
- Proficiency in billing software, EMR systems, and other
relevant operational tools.
- Ability to work remotely and manage a distributed team
effectively.
Preferred Skills:
- Experience with process automation and data analysis.
- Knowledge of healthcare compliance and quality assurance
practices.
- Familiarity with Telehealth, RPM technologies, and digital
health platforms.
- Strong problem-solving skills and a strategic mindset.
WHO WE ARE:The work we do at Cadence each day changes lives and as
such, the stakes and the pace are high. Our fully remote work
environment values autonomy, curiosity, and experimentation. Our
team is challenged with new opportunities daily. We are growing
fast and want team members who are excited about tackling an
endless list of big and complex problems. Cadence has rapidly grown
into one of the largest remote patient monitoring platforms in the
US, and we are just getting started.
We seek ambitious individuals who are passionate about lifelong
learning and eager to be part of a winning team that's shaping the
future of healthcare. In return, we provide competitive total
compensation packages with meaningful equity in one of the fastest
growing healthtech companies in the US. If you're ready to make a
difference and drive positive change, we invite you to join us at
Cadence.
WHAT YOU'LL GET:Cadence recognizes the unique needs of its diverse,
distributed workforce and seeks to provide an inclusive work
environment for its world-class clinicians and technologists.
- Company culture all about impact, shared growth mindset,
empowerment, and integrity
- An opportunity to help improve the quality of life of millions
of Americans
- Medical, dental, and vision insurance
- Competitive salaries and stock options
- TelaDoc (virtual primary care), and TalkSpace (online mental
health services) memberships
- Discounted ClassPass memberships
- Unlimited PTO and paid holidays
- Remote equipment setup and home office stipend
- Paid Parental Leave
- Charitable Donation Match program
- Expected compensation range: $90,000 - $100,000
annually
- Location: Remote
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Keywords: Cadence Solutions, Fairfield , Billing Operations Manager, Executive , New York, Connecticut
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