Manager, Hospital Billing (Remote)

At Children’s Wisconsin, we believe kids deserve the best.

Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/

Job Summary
Under minimal supervision, responsible for direction, supervision and overall management of the Hospital billing department and all billing related functions of Children's Wisconsin (all sites) and the Surgicenter of Greater Milwaukee (ASC).
Essential Functions:

• Responsible for department oversight, directing and supervising activities of the team and systems involved in hospital billing; including ensuring timely claims submission, denial management, appeals, accounts receivable follow up, and accurate payment posting.
• Manages the development and rollout of workflow, educational materials, policies, and procedures related to hospital billing with intent to continually increase revenue, efficiency and improve staff experience.
• Assigns work and assists supervisors to monitor quality, efficiency, and timeliness of staff productivity and outcomes. Provides guidance and assistance in staff audits to ensure compliance with internal and external billing and reimbursement policies and regulations.
• Partners with revenue cycle and managed care leaders to implement strategies to mitigate and reduce payer denials.
• Analyzes trends impacting payer reimbursement to inform decision making; presents applicable issues to payers and partners with payer representatives to resolve issues.
• Oversees implementation and upgrades of billing systems.
• Must remain current on major payer policies in relation to billing and collection.
• Assists in the development and implementation of department and team goals to align with the overall strategies of the organization.
• Works closely with and acts as hospital billing resource for revenue cycle, providers, financial services, information services, utilization management and other teams across the health system. Provides monthly financial reporting on accounts receivable.
• Responsible for billing compliance and full understanding of state and federal laws governing billing.
• Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development

People Management Responsibility:

• Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development

Education:

• Bachelor's Degree in healthcare administration, business or related field preferred

Experience:

• 5+ years of experience in hospital/physician billing, claims management or managed care. required
• Experience with inpatient and outpatient billing required
• Previous supervisory/management experience, including facilitation/leadership and/or participation in working with teams/groups, data collection and analysis in defining and evaluating systems, and proven ability to coordinate/manage multiple projects/activities simultaneously required

Knowledge, Skills and Abilities:

• Knowledge of policies and regulations around billing, HIPAA, Medicaid, managed care policies.
• Excellent communication and organizational skills.
• Experience working with third party payers.
• Proficiency in use of Epic Billing preferred.
• Must have proficient computer skills working with MS office applications, particularly Excel.

Required for All Jobs:

• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job.
• Employment is at-will. This document does not create an employment contract, implied or otherwise.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Certifications/Licenses: