What are the responsibilities and job description for the Medical Billing Account Manager position at South Lake Gastroenterology, INC?
Benefits:
- 401(k)
- Paid time off
Job Description
The Medical Billing Account Manager is responsible for managing the full billing cycle for assigned client accounts, ensuring accurate claim submission, timely collections, and compliance with healthcare regulations. This role involves direct client interaction, team leadership, and continuous process improvement to optimize revenue cycle efficiency.
This is a full-time and In-person position only
Qualifications
-
Preferred 4 years’ experience in a medical office reimbursement department - Preferred a minimum of 3 years’ supervisory or management experience over staff.
- Experience with EMR Management software eclinicalworks
- Strong background in Accounts Receivable
- Experience in CPT and ICD10 codes, HCFA 1500 and UB04 claim forms
- Experience in billing and insurance regulations, medical terminology, insurance benefits and appeal processes
- Strong communication skills as you will be speaking with physician’s, patients, insurance representatives, and/or medical billing staff on a weekly basis
- Proficient in Microsoft Office – Outlook, Word, Excel
- Must maintain HIPAA standards
- Ability to work in a fast-paced environment while remaining calm and professional
- Strong customer service orientation
- Excellent organizational skills and must be detailed oriented
- Strong computer and typing skills
- Outstanding listening skills
- Positive, friendly, approachable disposition
- Ability to work with multiple priorities
Additional Information
MAJOR DUTIES/RESPONSIBLITIES:
- Manages the day to day tasks of client's medical billing services with associates of the billing team, including; claims submissions, payments postings, accounts receivable follow-up and reimbursement management.
- Manages billing and claims for accuracy, completeness, timely submission and compliance with Federal, State, and payer regulations, guidelines and requirements.
- Generate, analyze and/or managing daily, weekly and monthly reporting, identifying trends impacting charges, denials and collections for process improvements, identifying training needs and recommending process changes
- Ensures that the activities of the professional billing operations are conducted in a manner that is consistent with overall department and organization protocols, policies and procedures.
- Participates in the development and implementation of operating policies and procedures.
- Meet with management team to discuss collection reports, and develop opportunities to reduce denials, share carrier rule changes and distribute the information within the office.
- Supervises professional and patient billing personnel, which includes work allocation, training and problem resolution; evaluates performance, associate satisfaction to achieve peak productivity and performances.
- Provide customer service on the telephone and in the office for all clients and authorized representatives regarding patient accounts in accordance with practice protocol. Patient calls regarding accounts receivable should be returned within 1 business days to ensure maximum patient satisfaction.
- Research information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to physicians, managers and subordinates.
- Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.
- Proficiency with all facets of the EMR software system including patient registration, charge entry, insurance processing, advanced collections, reports and ledger inquiry.
- Provide cross coverage for Account Managers in their absence as required to ensure efficient and professional practice operation.
- Maintain information regarding coding, insurance carriers, managed care networks and credentialing in an organized easy to reference format.
- Maintain an organized, efficient and professional work environment.
- Adhere to all practice policies related to HIPAA and Medicare Compliance.