Mgr, Billing

• Act as a Liaison between Field operations and ROC support to implement better processes that improve the PDS revenue cycle with primary focus on billing and collections of insurance claims.
• Manage billing processes for offshore and onshore operations, ensuring accuracy and efficiency.
• The Manager Billing will be responsible for ensuring accurate and timely billing, managing a team, and implementing efficient billing strategies.
• Prepare and analyze billing reports, metrics, and KPIs to monitor performance and identify areas for improvement.
• Develop and implement high-level strategic plans to increase up to 95% efficiencies in the ROC with primary focus on electronics and billing of insurance claims.
• Provide effective leadership, coaching and mentoring in an effort to identify and implement opportunities for improvement and to execute auditing best practices.
• Constantly search for best practices for specialty and general and help implementation and execution of system in place.
• Must keep commitments and keep direct supervisors informed of work progress, timetables, and issues.
• Maintain an appropriate professional appearance and demeanor in accordance with company policies, addresses others professionally and respectfully.
• Perform Human Resources related functions, such as interviewing and selecting, Performance Appraisals, Disciplinary Actions and Salary Administration.
• Ensure Compliance with Company policies, as well as State, Federal and other regulatory bodies.
• Work closely with cross-functional teams such as Finance, Operations, Quality Improvement – Assurance , Regional Analysts to resolve billing issues and optimize billing procedures.
• Report weekly to manager detailing accomplishments, areas for improvement, clear performance goals, and effectiveness of systems.
• Manage a team whose main responsibility is to bill, trace, audit dental and dental-medical claims.
• Monitor performance and ensure optimal staffing levels.
• Through working with other departments within PDS, implement new systems and protocol to improve on effectiveness of Department.
• Create an environment to facilitate learning.
• Lead and participate in meetings as required.
• Act as mentor, support, and assist in the development and training of staff.
• Conduct one- one meetings with direct reports and offshore leadership.
• Bring forth ideas to improve processes and materials.
• Other duties assigned by Management.

• Bachelor’s Degree from an accredited college or technical school; In lieu of degree, 5+ years of related experience
• 6+ years of professional work experience
• Operational management knowledge of medical/dental offices.
• Knowledge of WORD, EXCEL, POWERPOINT and Epic software applications.

• Experience leading a team, mentoring and coaching subordinates.

• Strong abilities in managing the daily operations of department(s) or work unit while developing short to medium term (1-3 years) goals.
• Fostering employee development by providing a supportive learning environment.
• Highly developed teambuilding, influencing, and collaboration skills.
• Ability to direct the work of others and work as a team leader in attainment of goals.
• Ability to interpret and apply policies and procedures.
• Ability to handle and maintain extreme confidentially with employee records, compensation information, etc.
• Ability to draw valid conclusions; apply sound judgment in making decisions, and make decisions under pressure.
• Extensive knowledge of insurance company policy and procedures and know how to make proper adjustments according to PDS claims processing criteria.
• Requires knowledge of Dental Plans, fees, general plan design, administrative guidelines, limitations and exclusions, reporting systems; business correspondence and business reporting techniques; and business principles of profit & loss statements.
• Knowledge of general human relations topics and conflict resolution.
• Displays independent judgment by willingness to make timely and accurate decisions based on available information that is sometimes vague or limited in nature.
• Ability to multitask effectively and work in a fast paced and sometimes ambiguous environment, without compromising quality of work.
• Ability to prioritize tasks and projects with limited direction, while understanding and contributing to the success of the organization.
• Ability to read, analyze, and interpret common financial reports, and legal documents.
• Ability to respond to common inquiries from customers, staff, regulatory agencies, vendors, or other members of the business community.

• Medical, dental, and vision insurance
• Paid time off
• Tuition Reimbursement
• 401K
• Paid time to volunteer in your local community

Pacific Dental Services