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Manager – Billing Operations-Hybrid
Confirmed live in the last 24 hours
Locations
Raleigh, NC, USA • Research Triangle, Durham, NC, USA
Experience Level
Entry
Junior
Mid
Senior
Expert
Desired Skills
Customer Service
Management
Word/Pages/Docs
Excel/Numbers/Sheets
Requirements
  • 8+ years of related experience with a bachelor's degree or equivalent medical billing experience
  • A minimum of 2+ years of experience managing a billing or operations team in a fast-paced environment. Experience leading billing operations
  • Medical billing and revenue cycle optimization experience within a fast-paced environment
  • Strong understanding the claim submission process and ability to verify the transmission of electronic claims
  • Knowledge of health plan behaviors in reimbursement and denials is crucial
  • Must be detail-oriented, organized, self-starting, and have a demonstrated ability to prioritize personal and team wide workloads
  • Must have strong project management skills
  • Ability to work as part of a team within a highly collaborative environment
  • Excellent written communication skills are required, including technical computer proficiency (Google Docs, Google Sheets etc.)
  • Flexible, team-player with ability to develop standard methodologies for procedures on new assignments
Responsibilities
  • Own the QC of complex customer implementations. This involves the following:
  • Scope, prioritize, and lead the implementation process to ensure the setup and customer experience is first-class
  • Conduct risk assessments and testing to ensure implementations occur seamlessly
  • Monitor, track, and report to key stakeholders any issues that arise and assist in root cause analysis to resolve issues
  • Owner of front-end error process resolution in the billing system and its timely remediation
  • Performs root cause analysis to proactively prevent future errors and provide education to internal and external partners
  • Supervise the team responsible for:
  • Implementation of customer setups that are outside the traditional process
  • Resolving front end errors in the billing system using error accession reporting functions
  • Assign, monitor and audit the work performed by the team
  • Support strategic billing initiatives to support the commercial organization
  • Assist and support the Director, Billing Operations and Reimbursement in the scoping and design of transitioning billing inhouse from billing partner
  • Provide analytical support to identify patterns, trends, contract payment variance
  • Review and suggest opportunities for improvement through analysis and the monitoring of metrics in key performance areas to patient, client and third-party payor reimbursement, payor specific behavior and billing compliance
  • Embody GRAIL values and communicate with others in accordance with these standards
  • Remain composed in conflict situations and escalate issues when appropriate
  • Coach and develop team members to support their growth
  • Display effective and professional communication skills and can navigate meaningful questions and resolve complex problems
  • Demonstrate a thorough knowledge of GRAIL products and procedures
  • Assist in the review and development of Standard Operating Procedures (SOPs) and policies
  • Adhere to SOPs pertaining to medical billing, customer service, and accessioning issue resolution
  • Abide by PCI, CLIA, CAP, HIPAA, and other state, federal, and regulatory guidelines
Desired Qualifications
  • Experience managing billing operations at molecular diagnostic or genetic testing companies is a plus
GRAIL

501-1,000 employees

Designs cancer screening tests
Company Overview
GRAIL's mission is to detect cancer early, when it can be cured. They are working to change the trajectory of cancer mortality and bring stakeholders together to adopt innovative, safe, and effective technologies that can transform cancer care.
Benefits
  • Outstanding People - Join a team of passionate and dedicated professionals, committed to collaboration, education, and proactive problem-solving.
  • Strong Compensation - We offer competitive salaries and savings plans to provide for long-term financial planning.
  • Complete Health Coverage - Take advantage of comprehensive health coverage, with medical, dental and vision, to keep you and your family healthy.
  • Work-Life Balance - Make everyday life more manageable with flexible time off – we trust you to do great work and take time for yourself.
Company Core Values
  • Grit - We are determined and resilient because patients are counting on us.
  • Respect - We value diversity and challenge each other respectfully.
  • Accountability - We own our decisions and keep our commitments.
  • Integrity - We adhere to our principles of humility, transparency, and rigor.
  • Leadership - We make each other better by making leadership everyone’s responsibility