Responsible for overseeing the non-governmental billing process and overseeing the performance of all billers. Principal Accountabilities: Team Leadership & Supervision: Lead, manage, and mentor the billing department team, ensuring the efficient processing of patient accounts, claims, and payments. Conduct regular performance evaluations and provide ongoing coaching to ensure the team adheres to quality and compliance standards. Billing Operations Oversight: Oversee the billing cycle, including the preparation, submission, and follow-up of patient insurance claims and patient billing statements. Ensure that all claims are submitted in compliance with payer-specific guidelines and healthcare regulations. Payer Compliance & Billing Regulations: Maintain up-to-date knowledge of payer-specific requirements, billing regulations, healthcare compliance standards (e.g., HIPAA, CMS), and ICD-10, CPT, and HCPCS coding. Ensure that all claims meet payer requirements for proper reimbursement and avoid penalties for incorrect billing. Claims Management & Denial Resolution: Manage and analyze denied, rejected, or unpaid claims. Lead efforts in the investigation and resolution of claim denials by collaborating with payers and internal teams to ensure re-submission or correction. Oversee appeals for denied claims in accordance with payer guidelines and legal requirements. Compliance & Risk Mitigation: Ensure that all billing and coding procedures adhere to federal, state, and payer-specific regulations. Work closely with compliance officers and legal teams to mitigate financial risk and avoid potential audits or legal issues related to billing errors, fraud, or non-compliance. Aged Accounts & Receivables Management: Monitor and manage the aging of accounts receivable (A/R) to ensure timely collections. Analyze trends, identify root causes of delays, and implement corrective actions to reduce aging balances. Financial Reporting & Analysis: Generate comprehensive financial reports, track key performance indicators (KPIs) for the billing team, and analyze data to improve billing accuracy, payment turnaround, and overall revenue cycle efficiency. Present findings and suggestions to senior leadership. Training & Development: Provide regular training to staff on payer regulations, coding updates, billing best practices, and compliance requirements. Ensure that all billing personnel are up-to-date on changes in regulations and procedures. Collaboration with Cross-functional Teams: Work with clinical teams, coding specialists, revenue cycle management, and other departments to ensure seamless coordination across the organization, addressing any issues that may affect the billing cycle and patient financial services. Skills: + Advanced knowledge of billing and coding, including ICD-10, CPT, and HCPCS codes. + Familiarity with HIPAA, CMS guidelines, and payer-specific regulations. + Strong understanding of payer requirements, medical policies, and billing guidelines. + Ability to interpret complex billing regulations and provide guidance on compliance and best practices. + Excellent leadership, organizational, and team management skills. + Exceptional communication and negotiation skills when dealing with insurance companies, patients, and internal teams. + Analytical skills to interpret billing data and trends, with the ability to implement corrective actions. + Proficiency with Epic Electronic Health Record (EHR) system and billing software. Required: Education: Bachelor's degree in Healthcare Administration, Business, Finance, or a related field. Equivalent experience /work history may be considered. Experience: Minimum of 5 years of experience in healthcare billing, including 3+ years in a management or supervisory position. Extensive experience in payer regulations, insurance claim management, and coding compliance. Proven track record in billing, collections, and compliance in a healthcare setting, with deep knowledge of Medicare, Medicaid, and commercial payer guidelines. Certifications: Relevant certifications in billing and payer compliance are a plus. ABOUT US At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical Center, Summit, NJ + Newton Medical Center, Newton, NJ + Chilton Medical Center, Pompton Plains, NJ + Hackettstown Medical Center, Hackettstown, NJ + Goryeb Children's Hospital, Morristown, NJ + CentraState Healthcare System, Freehold, NJ + Atlantic Home Care and Hospice + Atlantic Mobile Health + Atlantic Rehabilitation We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners. We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades: + 100 Best Companies to Work For ® and FORTUNE® magazine for 15 years + Best Places to Work in Healthcare - Modern Healthcare + 150 Top Places to work in Healthcare - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well Workplace": Wellness Council of America (WELCOA) + One of the 100 Best Workplaces for “Millennials” Great Place to Work® and FORTUNE® magazine + One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine + Official Health Care Partner of the New York Jets + NJ Sustainable Business EEO STATEMENT Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.