Job Title : Medical Billing (Manager) - Las Vegas, NV - Relocation Bonus Offered !!!
Job type - Full-Time
REQUIRED SKILLS :
Medical billing and coding certification is required, or it must be obtained within 6 months of hire.
Three years previous experience as a Billing Manager in a healthcare setting.
Two years previous experience researching unpaid and denied insurance claims.
Knowledge of reimbursement and billing to include CPT, ICD10, insurance verification, and obtaining prior authorizations.
Responsibilities :
Responsible for the overall direction of the billing and prior authorization departments.
Maintain training manual and train staff members on all aspects of their position.
Stay abreast of insurance rules pertaining to billing and prior authorizations, as well as ensuring the staff is aware and trained.
Balance department monthly and work with the Controller to resolve any discrepancies.
Review the entire billing and authorization processes, the effectiveness of the protocols, and assess staff roles to improve the overall productivity of both departments.
Work with insurance companies and adjusters to resolve problem accounts, re-file and reopen claims, and file appeals.
Work with staff to handle questions and issues regarding charges, payments, and denials, and follow up to ensure they get resolved.