Freenet Health Corp. is hiring a Billing Manager to lead billing operations for Woundlocal, our mobile wound care practice. You will be responsible for managing the billing team, overseeing Medicare and commercial insurance billing and verification, ensuring accurate coding and timely claim submission, and analyzing accounts receivable.
What You'll Do
- Direct peers on work queues, assignments, and priorities.
- Act as a culture leader and pay attention to team dynamics.
- Coordinate internal training and third-party strategic learning sessions.
- Provide accurate answers to queries from providers, management, and internal staff.
- Identify internal process problems, research where they are occurring, and provide recommendations for solutions.
- Manage an expert remote coder to ensure proper assignment of difficult codes and complex coding scenarios using modifiers.
- Analyze aging accounts receivables and lost client revenue, and provide recommended actions.
- Act as liaison to a third-party billing company while also building an internal team.
- Grow a culture of excellence, integrity, and collaboration.
- Review and analyze medical documentation to ensure accurate coding and billing processes.
- Assign appropriate codes for diagnoses, procedures, and services according to guidelines and regulations.
- Stay up-to-date with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems.
- Collaborate with healthcare providers to clarify documentation and ensure completeness.
- Identify and resolve discrepancies in medical records and coding for accurate claims processing.
- Evaluate and re-file appeals of patient claims that were denied.
- Stay up-to-date on new coding rules and code changes.
- Assist in audits and provide necessary documentation for compliance and quality assurance activities.
- Collect and distribute coding-related information and billing issues to management and providers when changes happen.
- Accurately classify wound care and graft encounters in various care settings.
- Review provider charts for completion and adherence to practice standards.
- Perform some insurance benefits verifications with in-network and out-of-network payers.
- Analyze claims rejections and initiate appeals if applicable.
What We're Looking For
- 2+ years of college or advanced education.
- 4+ years employed in a private medical practice.
- 2+ years managing employees.
- 4+ years of insurance verification experience.
- 4+ years using billing portals.
- 4+ years experience with ICD-10, CPT, & HCPCS codes.
- Proficiency in EMR systems.
- Proficiency in Microsoft Office (Word, Excel, Outlook).
- Strong computer skills.
- A competitive nature and a happy disposition.
Nice to Have
- Experience with home health and/or skilled nursing facilities.
Technical Stack
- EMR systems
- Microsoft Office (Word, Excel, Outlook)
- Billing portals
- ICD-10, CPT, & HCPCS coding systems
Team & Environment
You will be managing a billing team and an expert remote coder, fostering a culture of excellence, integrity, and collaboration.
Benefits & Compensation
- Compensation: $30.00 - $50.00 per hour, based on experience.
- Health insurance.
- Free telehealth visits through askmindi.
- On-the-job training and company-sponsored career development.
- Opportunities for advancement.
- Paid time off.
- Employee discount on company supplement store.
- Company-sponsored events.
- Covered parking garage.
- On-site gym, shower, and café.
- Daily food delivery service.
- Lunch provided every Friday.
Work Mode
This is an onsite position located at our Austin or Boerne office.
Freenet Health Corp. is an equal opportunity employer.
