Progressive Spine and Orthopaedics is seeking a MEDICAL BILLING MANAGER to join our team.

MUST HAVE EXPERIENCE IN ORTHOPEDIC MEDICAL BILLING MANAGEMENT.

DUTIES AND RESPONSIBILITIES:

• Follow up on claims using various systems, practice management and Coordinates the insurance billing function of the business office, and sees to the proper application of patient, insurance, and other payments.
• Prepares weekly and monthly reports on billings, accounts pending diagnoses, and late charges.
• Ensures the timely submission of claims to insurance companies either electronically or on paper.
• Responsible for assisting staff with resolution of specific account issues, claims submission issues, and specific payer problems.
• Create efficiencies by improving processes and identifying best practices in customer service while actively seeking methods to demonstrate a commitment to continuous improvement and efficiency.
• Handles escalated issues with patients, attorneys, clinical locations, carriers, agents and/or insurance agencies.
• Engage, coach and train new team members to insure the achievement of company, success of agent and department goals.
• Responsible for providing necessary additional training for existing employees and assessing training needs.
• Ensures staff are trained and evaluated on their knowledge of and adherence to compliance policies and procedures specific to their jobs.
• Trouble shoots and researches process and/or payer issues for leadership as needed.
• Manages daily operating activities of assigned collection units and makes necessary adjustments in work assignments.
• Assist staff with any unresolved issues.
• Performs other duties as assigned by management.

SUPERVISORY RESPONSIBILITIES:

• Oversees the daily workflow of the department.
• Trains, evaluates, and initiates disciplinary action for supervised employees.
• Ensures employees report to work on time and completes timesheets.