Medical Billing Manager

We are hiring Billing Office Supervisor/Manager to manage our Billing Office. This position responsible for directing and coordinating the overall functions of the medical billing and coding. Billing Office Supervisor ensures maximization of cash flow while improving patient, physician, and other customer relations. Requires strong managerial, leadership, accounting and business office skills, including critical thinking and the ability to produce and present detailed billing activity reports.

ESSENTIAL FUNCTIONS/MAJOR RESPONSIBILITIES:

1. Oversee the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.

2. Serve as go to person for all coding and billing processes.

3. Plan and direct patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.

4. Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.

5. Follow up on claims using various systems.

6. Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.

7. Prepare and analyze accounts receivable reports, weekly and monthly financial reports, and insurance contracts in concert with the Practice Administrator. Collects and compiles accurate statistical reports.

8. Audit current procedures to monitor and improve efficiency of billing and collections operations.

9. Ensure that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.

10. Participate in the development and implementation of operating policies and procedures.

11. Review and interpret operational data to assess need for procedural revisions and enhancements; participate in the design and implementation of specific systems to enhance revenue and operating efficiency.

12. Analyze trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.

13. Keep up to date with carrier rule changes and distribute the information within the practice.

14. Oversee physician/medical provider credentialing actions.

15. Understand and remain updated with current coding and billing regulations and compliance requirements.

16. Maintain a working knowledge of all health information management issues such as HIPAA and all health regulations.

17. Supervise billing office personnel, which includes work allocation, training, and problem resolution; evaluate performance and make recommendations for personnel actions; motivate employees to achieve peak productivity and performance.

18. Provide, oversee, and/or coordinate the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.

19. Coordinate team member time off in a manner that does not negatively impact necessary daily functions.

20. Perform other miscellaneous job-related duties as assigned.

QUALIFICATIONS: High School diploma or equivalent required. Bachelor’s degree preferred. Medical Billing and Coding Certification is mandatory. Experience on accounts receivable and medical billing office management is must

Job Type: Full-time

Work Location: In person