Job title: Billing Manager Reports to: Chief Executive Officer Supervises: Patient Billing Representatives, Charge Entry Staff, Payment Entry Staff and Coders Classification: Exempt Job Summary: The Medical Billing Manager is a professional leader who manages the daily operations of the billing department. Responsibilities include administrative direction and supervision of all billing staff and tasks related to the successful completion of all billing department activities. Promotes collaboration among physicians and staff members in an effort to meet the accounts receivable needs of our clinic. Essential Duties and Responsibilities: Understands all of the Payer Insurance Contracts, Rules, Regulations that impact the revenue flow for the organization. Updates Insurance Grids. Communicates Payer changes/challenges. Is a resource for all of the departments in the organization. Applies Best Practice methodologies to the oversite and management of the billing and collection department. o Charge entry turnaround at 48 hours o Payment entry turnaround at 48 hours o Aged days at 40 and maintained o Benchmark for credit balances 1% of total open accounts o A/R >120 below 20% o Turn over accounts to collection by 144 days o Surgery coding entered within 48 hours of receiving op report Appropriately audits various areas to ensure that the organization is in compliance with billing practices and to ensure that the organization is following best practices o Audit of charge entry to ensure that charges are being released based on established protocols o Audit of surgery op reports to ensure that all operations are entered timely o Audit of A/R to ensure that accounts are being worked timely and accurately o Audit of front desk registration o \Audit of DME to ensure profitability o Audit of injectables to ensure profitability o Audit of MRI to ensure they are billing appropriately for TC Medicare. o Audit of write-offs to ensure that accounts are being worked appropriately. o Audit of open claims to identify unpaid trends o Audit monthly statement processing o Audit the file rejected buckets Meets monthly with physicians to review coding, revenue and trends Meets monthly with department staff Manages the procedure code, department, fee schedule and FC data base in Centricity Month end reporting and analysis. Work with the Finance Director, Site managers and CEO to ensure proper balancing and cash controls. Attends annual revenue/billing/CHUG conference to continually expand knowledge Follows payor notifications/list servs to stay current on changes that can impact the revenue of the organization Ad hoc reporting, analysis and special projects as requested by the CEO or the partners
- 1+ year as a Medical Billing Supervisor - Leadership skills INTERESTED CANDIDATES: email your resume in a Word doc to firstname.lastname@example.org and email@example.com ***This is not a remote position.
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