What are the responsibilities and job description for the Director of Billing position at Diagnostic Pathology Medical Group, Inc.?
Diagnostic Pathology Medical Group (DPMG) an independently owned, multispecialty pathology group, has been a leader in delivering quality services to hospitals, clinical laboratories, research institutions and other physician specialties for over 80 years.
The Director of Billing will oversee the overall policies, objectives, and initiatives of DPMG’s revenue cycle activities. Reviews, designs, and implements processes surrounding billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that DPMG’s revenue cycle is effective and properly utilized. The Director of Billing manages the department’s staff and activities including billing, claims management, and collaborating with contracted partners (insurance carriers, managed care plans, IPA, etc.) to assure timely receipt of revenue related to services rendered.
Essential Duties and Responsibilities: include the following:
• Manages the revenue cycle process from patient requisition to final payment.
• Balances all digital patient transactions and reports month end statistics for financial reporting.
• Processes weekly transfer files between reporting and billing systems.
• Performs monthly bad debt /collections process and forwards accounts to outside collection agency.
• Contact person for resolving billing errors or discrepancies with all insurance carrier issues.
• Updates fee schedules, adds new service codes and fees.
• Stays up-to-date on CPT and ICD10 code changes and makes necessary requests to update codes within the operating systems.
• Reconciles quarterly capitated reporting.
• Produces system generated reports and spreadsheets as requested by the Practice Administrator.
• Processes overpayments, refund checks and credits accounts to patients and insurances.
• Reviews and proposes new insurance contracts, as needed.
• Coordinates the addition of new pathologists to each insurance contract.
• Provide support and training to staff regarding revenue cycle processes.
• Oversees billing department staff and coordinates daily responsibilities, as required, to optimize work flow.
• Responsible for Administrative requirements for the billing department (Payroll portal transactions and timesheets).
• Works closely with pathologist assigned to MIPS program to ensure compliance and data completion.
• Stays up-to-date with changes in healthcare regulations and insurance policies.
• Maintains the security and privacy of protected health information in accordance with the HIPAA Privacy Rule.
• Other duties may be assigned.
Supervisory Responsibilities: Directly supervises employees in the Billing department.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: Degree in Accounting Finance, Business or Healthcare preferred with 5 years of progressive management and experience in a pathology, radiology or healthcare setting preferred.
Computer Skills: Experience using Office Suite (Required), Powerpath, Cortex and Waystar is preferred.
Other Skills and Abilities:
• Strong knowledge of healthcare management and medical billing processes.
• Proficient in using revenue cycle management software and electronic health record systems.
• Excellent attention to detail and ability to analyze complex data
• Strong problem-solving skills and ability to resolve billing issues effectively
• Excellent communication skills, both written and verbal
• Ability to concentrate and work independently within time constraints
Exact compensation may vary based on several factors, including skills, experience, and education.
How to Apply:
Submit a cover letter, resume and 3 professional references to hr@dpmginc.com.
DPMG is an equal opportunity provider. We are committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity or expression, veteran status, or any other legally protected status. DPMG is also committed to complying with all applicable laws regarding nondiscrimination.