Medical Billing Manager

Overview

This is a management position that is responsible for directing and coordinating the overall functions of the billing and coding office.  This position requires strong managerial, leadership and business office skills, including critical thinking and the ability to produce and present detailed billing activity reports.

Responsibilities

• Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up and reimbursement management.
• Will serve as the “go to” person for all coding and billing processes.
• Plans and directs patient insurance documentation, workload coding, billing/collections and data processing to ensure accurate billing and efficient account collection.
• Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow-up on any issues.
• Follow-up on claims using various systems.
• Prepares and analyzes accounts receivable reports as well as weekly and monthly financial reports.
• Audits current procedures to monitor and improve efficiency of billing and collections operations.
• Develops and implements operating policies and procedures.
• Keeps up to date with carrier rule changes and distributes the information appropriately.
• Supervises billing office personnel.
• Provides, oversees and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards and techniques.
• Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.
• Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times.
• Reacts positively to change and performs other duties as assigned.

Qualifications

• Associate’s or Bachelor’s Degree required.
• Minimum 3 years of leadership experience preferred.
• 3 years of billing experience preferred.
• Contract negotiations experience preferred.
• Credentialing knowledge preferred.
• Ability to work under minimum supervision and demonstrate strong initiative.
• Must have strong communication skills, both written and verbal.
• Must be able to multi-task and change priorities promptly when asked.
• Must have a thorough understanding of medical billing, collections and payment posting, revenue cycle, third-party payers, Medicare/Medicaid and State and Federal regulations.
• Working knowledge of CMS regulations and changes, codes, claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes.
• Knowledge of business management and basic accounting principles.
• Possesses excellent negotiating skills.
• Must be deadline driven and be able to work within tight deadlines.
• Proficient in Microsoft Office Suite; NextGen experience helpful.
• Must be willing to travel up to 25% of time.

We will only employ those who are legally authorized to work in the United States. Any offer of employment is conditional upon the successful completion of a background investigation and drug screen.

We are an equal opportunity employer.

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