Medical Billing Manager

As a Medical Billing Manager at Vatica Health, your main responsibilities include acting as the CPT Subject Matter Expert, collaborating with healthcare practices to resolve billing challenges, guiding users through coding processes such as ICD-10, CPT, and HCPCS, and preparing insightful reports on revenue cycles and billing metrics. Your expertise in medical billing will drive compliance and operational excellence.

To qualify for the Medical Billing Manager role at Vatica Health, candidates should hold a bachelor's degree in Healthcare Administration or a related field, along with a minimum of 5 years of experience in medical billing or revenue cycle management. Deep knowledge of CPT, ICD-10, HCPCS coding systems, and familiarity with claim forms like CMS-1500 and UB-04 are essential.

At Vatica Health, professional growth is a priority. As a Medical Billing Manager, you will have access to various development opportunities including conducting training sessions, creating educational materials, and participating in continuous improvement projects. We believe in promoting from within, so your career advancement is not just a possibility, but a pathway we actively support.

The work environment for a Medical Billing Manager at Vatica Health is collaborative and supportive. We promote a culture that values work-life balance and emphasizes family. You’ll be part of strong teams where help is always available, and your contributions to the billing process will be truly valued.

As a Medical Billing Manager at Vatica Health, you can expect competitive salaries, bonus potential, comprehensive health insurance plans, a 401k plan, an excellent PTO policy, and great work-life balance opportunities. Our commitment to employee well-being ensures you are supported both professionally and personally.

When answering this question, highlight your depth of knowledge in CPT coding, provide examples of how you've previously applied this expertise to resolve billing issues, and discuss how you would educate and guide your team or clients on proper coding practices.

To effectively answer this question, discuss your analytical approach—reviewing denials, working with the team to understand root causes, and collaborating with practices. Emphasize how you use data to inform your decisions and build solutions to minimize future denials.

Employing various strategies for staying current is crucial. You could mention participating in professional associations, subscribing to healthcare newsletters, or attending relevant educational courses. Demonstrating a proactive stance on compliance can highlight your commitment and diligence.

When addressing this question, outline a structured training process. You might suggest creating a blend of hands-on training sessions, resource materials, and ongoing support. Mention any methods you've used successfully in the past to ensure information retention and comprehension.

During your answer, refer to metrics such as claim denial rates, turnaround time for claims, days in accounts receivable, and collections rate. Emphasizing your analytical approach to improving these metrics can set you apart as a candidate.

Use the STAR method (Situation, Task, Action, Result) to structure your response. Discuss a specific instance, your role, the innovative solutions you implemented, and the positive outcomes achieved, demonstrating your problem-solving skills.

Highlighting your ability to simplify complex information is crucial. You can talk about your experiences in breaking down jargon into understandable terms through visuals, relatable examples, and open dialogue, ensuring clarity across different levels of the organization.

Share your experience with specific billing software and how they've improved efficiency, accuracy, and workflow within your teams. Mention any relevant metrics or successes demonstrated due to adopting these tools, emphasizing technological adeptness.

Discuss the importance of listening to the practice’s concerns, analyzing the data, and working collaboratively to reach a resolution. Emphasize your negotiation skills and how you strive for a win-win outcome by fostering a strong partnership.

In your response, articulate how you leverage data to make informed decisions, drive improvements in billing practices, and support testimony. Discuss specific examples of actionable insights you've extracted from data analysis to enhance overall performance.