Medical Billing Manager

Cornerstone Staffing Solutions is looking to hire an experienced Medical Billing Manager who shares a passion for providing outstanding service to patients! Provide leadership and supervision to the Medical Billing and Authorization Departments. Develop, implement, and oversee policies and procedures to ensure efficiency and accuracy. This position is a Direct Hire Opportunity and located in Las Vegas, NV.

*Must have Billing Managerial experience and radiology coding experience.

*Medical billing and coding certification is required, CPC or RCC.

Yearly Salary $60k DOE, Hours 40 a week.

This is not a remote position it is 100% in Office in Las Vegas, NV.

MINIMUM REQUIREMENTS

-Medical billing and coding certification is required, CPC or RCC.

-Three years previous experience as a Billing Manager in a healthcare setting.

-Two years previous experience researching unpaid and denied insurance claims.

-Familiarity with Medinformatix EHR software a plus.

-Knowledge of reimbursement and billing to include CPT, ICD10, insurance verification, and obtaining prior authorizations.

-Must be able to run financial reports and ensure monthly balancing.

-Possess the ability to approach situations with an innovative mindset and think outside of the box.

-Must have familiarity with secondary billing, appeals and contractual adjustments.

-Ability to understand, write, speak and follow English instructions. Bilingual abilities preferred.

MENTAL AND EMOTIONAL REQUIREMENTS

-Must be able to exercise judgment and make decisions independently.

-Ability to use excellent communications skills.

-Ability to use problem solving skills effectively.

-Ability to manage stress appropriately.

-Ability to manage time efficiently.

-Ability to handle multiple projects and prioritizes effectively.

-Possesses common sense understanding to carry out instructions/guidelines furnished in oral and written form.

ESSENTIAL FUNCTIONS

Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. The following are the essential functions of the job.

Duties:

1. Responsible for the overall direction of the billing and prior authorization departments.

2. Maintain training manual and train staff members on all aspects of their position.

3. Stay abreast of insurance rules pertaining to billing and prior authorizations, as well as ensuring the staff is aware and trained.

4. Balance department monthly and work with the Controller to resolve any discrepancies.

5. Review the entire billing and authorization processes, the effectiveness of the protocols, and assess staff roles to improve the overall productivity of both departments.

6. Work with insurance companies and adjusters to resolve problem accounts, re-file and reopen claims, and file appeals.

7. Work with staff to handle questions and issues regarding charges, payments, and denials, and follow up to ensure they get resolved.

8. Complete monthly productivity reports to ensure departments are meeting company standards.

9. Evaluate insurance contracts and update fee schedules accordingly.

10. Conduct audits on encounters, coding, and payments for accuracy.

11. Analyze reimbursement procedures and accounts to obtain maximum reimbursement.

12. Produce monthly reports for various accounts and turn into the Controller/CEO.

13. Perform other duties and special projects as assigned.

ANALYSIS OF PHYSICAL DEMANDS

This position requires the below Physical Demands-

-Occasionally - Standing, Lifting Carrying, Pushing and Pulling.

-Frequently- Walking, Handing, Climbing, Bending, Balancing, Bending and Stooping.

-Consistently – Sitting, Reaching, Speaking, Hearing, Seeing Depth, Perception and Color Vision.

-Rarely- Kneeling, Crouching and Crawling.

This position occasionally requires lifting objects such as office supplies weighing up to 15 lbs.

Apply Today !!!

Cornerstone Staffing Solutions, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment.