Billing Manager

Billing Manager

Location: 16-70 Weirfield St, Ridgewood, NY (In-Person)

Employment Type: Full time

Salary Range: $75,000 - $85,000

Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k

DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care.

Responsibilities:

• Implement and/or assist/manage internal billing process and procedures
• Implement and/or assist/manage processes for verification of patient benefits
• Manage staff in the Billing department (including billing, follow-up, collections, customer service team members)
• Be responsible for preparation of invoices and 1500 forms
• Prepare and submit clean claims in various methods (e.g., electronically, paper, online)
• Identify and resolve patient billing complaints
• Coordinate collection of needed insurance documents for billing
• Rebill insurance companies or other third parties to secure payment for patients
• Follow-up and report status of delinquent accounts
• Review accounts for possible assignment and makes recommendations
• Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers
• Establish payment plans to help patients manage payment of bills
• Send delinquent accounts to collection agencies
• Respond to patient billing and statement inquiries
• Prepare Health Insurance analysis reports on a weekly basis
• Make recommendations to management for write-offs
• Execute approved write-offs
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
• Additional duties as outlined by the Revenue Cycle Director or CRO
• Adhere and follow Billing Service Level Agreement with the Operation

Required Qualifications :

• 3-5+ years of experience
• Strong knowledge of various payers
• Proficient in MS Office, including intermediate experience in excel
• Knowledgeable on ICD-10 and CPT codes
• Must be available after hours
• Familiar with standard concepts, practices, and procedures
• Works under general supervision. A certain degree of creativity and latitude is required
• Strong accounting skills
• Commitment to excellence and high standards
• Ability to prepare reports and business correspondence in a professional manner
• Ability to understand and follow written and verbal instructions
• Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow
• Ability to work independently and as a member of various teams and committees
• Ability to work in a fast-paced environment
• Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm
• Time management skills as related to daily schedules and productivity
• Ability to type 45 wpm
• Excellent interpersonal and communication skills

Preferred Qualifications :

• Thorough knowledge of ambulance transport documentation
• Extensive knowledge of ICD-10 and Condition Codes
• Ability to collect for healthcare claims from Medicare/Medicaid, commercial insurance, contracted facilities, and individuals
• Understand Medicare and Medicaid regulations and guidelines
• Familiarity with Medicare, Medicaid, Coding, Private Pay, and insurance preferred
• Familiarity with medical terminology
• Ability to interpret EOB (Explanation of Benefits)
• Familiarity with Microsoft Office Suite
• Working knowledge of Zoll Data Systems
• Bachelor's Degree or equivalent experience

DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.