Billing Manager

POSITION SUMMARY:

The Billing Manager manages the Billing Office by overseeing and performing responsibilities related to processing insurance claims for patients, billing patients for balances due, processing accounts receivable, managing collections and payment arrangements, and handling financial statement reporting, according to Health Center practices and procedures.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Designs, implements and monitors policies and procedures for the Billing Office, including recording and reporting requirements.

2. Oversees the processing of patient insurance claims, billing patients for balances due, and collection of accounts; works with insurance carriers to resolve issues.

3. Responsible for the oversite of outsourced Certified Coder.

4. Responsible for oversight of outsourced provider’s insurance credentialing, re-credentialing, enrollment and disenrollment and CAQH data updates.

5. Reviews accounts receivable on a daily basis to ensure timely reimbursement from all carriers.

6. Assists employees with daily problem resolution.

7. Audits PAR’s productivity and efficiencies

8. Tracks data and prepares reports for the CFO as required.

9. Performs daily office work including typing letters and memos, faxing, filing, copying, making and receiving telephone calls, etc.

10. Fills in as back up for all billing staff positions as needed, so claim and payment processing is not interrupted during billing staff PTO .

11. Performs the usual duties of a manager, including hiring, scheduling, supervising, delegating, training, developing and evaluating subordinate staff; resolves human resource issues; maximizes employee performance and morale; keeps staff informed on goals, expectations and issues.

NON-ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. May provide backup for other Health Center functions as needed.

2. Performs other duties as assigned.

GENERAL EXPECTATIONS:

1. Be committed to the mission of the Bucksport Regional Health Center.

2. Work as a member of the Finance team in the performance of duties.

3. Be punctual for scheduled work and use time appropriately.

4. Work in harmonious relationships with all staff, patients, vendors and others.

5. Perform duties in a conscientious, cooperative manner.

6. Perform required amount of work in a timely fashion with a minimum of errors.

7. Be neat and maintain a professional appearance.

8. Maintain confidentiality and protect the Center by keeping information concerning Operations, patients and employees confidential.

9. Participation in community activities as a representative of Bucksport Regional Health Center.

PHYSICAL REQUIREMENTS:

The physical requirements described here are representative of those that must be met by the Incumbent to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel, including operation of a standard computer keyboard; reach with hands and arms and talk, see and hear; prolonged sitting required. Eye hand coordination and manual dexterity required. The employee must occasionally lift/move up to 25 pounds, bend, stoop, stretch or crouch. Specific vision abilities required by the job include close vision, distance vision, and the ability to adjust focus.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those the incumbent encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work is performed primarily in an office setting. Noise level is usually quiet.

Experience and Skill Requirements: The following experience and skills are considered essential:

• At least five years of experience in a Business Office, including bookkeeping or accounting, required.
• Supervisory experience required.
• Computer experience using Microsoft Windows and Microsoft Office software products required; knowledge and experience with Peachtree Accounting software preferred.
• Ability to establish and maintain effective working relationships with other employees and the public.
• Ability to communicate and present information.
• Ability to read, interpret, and apply clinic policies and procedures.
• Ability to identify problems and recommend solutions.
• Ability to establish priorities and coordinate work activities.

Education Requirements: The following education requirements are considered essential:

• High School diploma or equivalent with emphasis on office and business skills including, bookkeeping/accounting, keyboarding, filing, and multi-tasking, required.
• A two-year Associate's degree from an accredited college or university in a related field, or the equivalent in education and experience, is preferred.

** All requirements and skills are considered to be essential, unless otherwise indicated. **