Manager, Revenue Cycle Billing

Teladoc Health is a global, whole person care company made up of a diverse community of people dedicated to transforming the healthcare experience. As an employee, you’re empowered to show up every day as your most authentic self and be a part of something bigger – thriving both personally and professionally. Together, let’s empower people everywhere to live their healthiest lives.

Position Summary

This position reports to the Director of Revenue Cycle Billing and is responsible for management and coordination of all claims billing operations within Teladoc Health systems to maximize reimbursement and key performance metrics. This individual will work with the Director of Revenue Cycle Billing to support management of daily aspects of the revenue cycle; including benefit plan design/setup, claims billing, claim adjudication, payment posting, accounts receivable reconciliation, and credit management. This individual will serve as a liaison for oversight of the customer billing function—including claims preparation, research, analysis, recording, reconciliation, and reporting.  In addition, this role will serve as the subject matter expert regarding claims operations including systems integration, systems testing, billing functions and controls in accordance with Federal, State and Payer specific guidelines and requirements.

Role and Responsibilities

• Oversee daily claim billing operations to ensure department goals and metrics are achieved
• Management and oversight of accurate, timely payment posting, applicable adjustments/refunds to ensure accounts receivable reconciliation
• Timely Claims Billing and Clearinghouse Management
• Management of accounts receivable inventory, maximizing collections
• Denial & Appeal Management
• Coordinate with other departments as needed to ensure accurate and complete flow of information for billing purposes
• Demonstration of driving key performance indicators
• Create and maintain RCM’s billing policies and procedures
• Monitor and audit staff performance and quality metrics
• Identify and resolve outstanding claims issues with payers
• Manage team activities to support monthly financial closing calendar
• Monthly reporting and communication to internal key stakeholders
• Analyze trends using reporting and constant daily monitoring to diagnose issues with client or payers
• Staff hiring, development, performance reviews, and retention
• Managed Care and Government Payer Management
• All other duties as assigned

Skill Requirements/Preferences

• 5+ years Professional Billing Claims experience required
• Microsoft Excel expert required
• Must have strong verbal and written communication skills and effectively communicate to with internal and external department
• Must have strong organizational skills and strong account management skills
• 6 Sigma or Lean process experience preferred
• Experience with managing claims in accordance with Medical & Ancillary Group Contractual agreements
• Experience with complex billing arrangement preferred
• Experience with multiple billing/patient accounting software like, Allscripts or NextGen preferred
• Reporting – Cognos, Tableau experience preferred
• Expert knowledge of CPT and ICD-10 Diagnosis Codes
• Bachelor's degree in business management or similar field required, or equivalent experience may be substituted
• 5+ years of progressive experience in healthcare revenue cycle management
• Understanding of the Healthcare Insurance industry and the impact various departments have on one another
• Revenue Cycle Certifications in Billing or Coding from Nationally Accredited Organizations will be given preference

The base salary range for this position is $95,000-$110,000. In addition to a base salary, this position is eligible for performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2024. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions.

Why Join Teladoc Health?

A New Category in Healthcare:  Teladoc Health is transforming the healthcare experience and empowering people everywhere to live healthier lives.  

Our Work Truly Matters: Recognized as the world leader in whole-person virtual care, Teladoc Health uses proprietary health signals and personalized interactions to drive better health outcomes across the full continuum of care,