Professional Billing Manager

Professional Billing

Position Summary

Under the supervision of the Director of Hospital and Professional Billing, the Professional Billing Manager will have responsibility for the Professional Billing Department. This position will provide guidance and work heavily with Professional Billing staff to ensure timely processing of claims, re-billing, write-offs, payment posting, referrals and prior authorizations, and refunds. This position will also be point of contact for analyzing/researching why specific accounts remain unpaid; working with health plan representatives and other employees to resolve problematic claims. The Manager will facilitate continued education and training of staff. They will also be responsible for creating a positive work environment for the department

Responsibilities

• Maintain an efficient A/R billing operation and a high-quality staff by recruiting, selecting, training, scheduling, supervising, and evaluating all personnel.
• Oversees staff while maintaining a positive work environment.
• Manages and inspires the team relating to their confidence and discipline towards their goals.
• Communicate and provide oversight to staff on core job functions: charge entry, payment posting, reimbursement management, claim submissions and A/R follow up.
• Carry out audits of current procedures and processes, discover billing/intake operations area to improve on and effect the necessary actions.
• Carry out analysis of trends affecting coding, charges, A/R and collections.
• Monitor claim submission reports, rejections, denials and aging reports.
• Provide support to all members on the team.
• Identify barriers that create delays and coordinate acceptable resolutions.
• Train new team members on systems and team specific role/responsibilities and ensure competency.
• Provide payer information updates to staff as needed.
• Assists with financial audits and other claim related audits.
• Monitor and ensure accuracy, compliance, and uniformity in financial operations.
• Manage performance of individuals through regular communication and feedback.
• Manage and ensure corporate billing and collections policies and procedures are maintained.

Requirements

• Read, write, and follow verbal or written directions.
• Ability to operate various office machines including a Personal Computer, fax, copier, etc
• Strong proficiency in the use of Word, Outlook, Excel and other Microsoft Office tools
• Strong experience of medical insurance/healthcare billing and collections work in a healthcare setting
• Strong ability to communicate effectively with staff, colleagues, patients, physicians, and insurers in person, over the phone and in writing
• Analytical ability to detect and resolve problems
• A minimum of 2-3 years’ experience in healthcare billing collections field
• A minimum of one (1) year experience in a supervisory position

Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors protected by law.