Insurance Billing/Office Manager

Description

The Insurance Billing/Office Manager oversees the daily operations of the billing and administrative functions within the healthcare office. This role is responsible for ensuring accurate and timely insurance billing, managing office workflows, supervising office staff, and maintaining compliance with all relevant regulations and procedures.

Key Responsibilities:

Insurance Billing and Coding

Oversee the entire billing cycle, including claim submissions, payment posting, denial management, and collections.

Ensure accurate coding practices that comply with regulatory requirements (e.g., ICD-10, CPT).

Review and verify patient insurance coverage; work with insurers to resolve claim issues.

Monitor accounts receivable and conduct follow-ups on outstanding claims.

Office Management

• Manage day-to-day office operations, including scheduling, patient registration, and record-keeping.
• Supervise, train, and evaluate office and billing staff.
• Develop, implement, and update office policies and procedures.
• Oversee the ordering of office supplies, equipment maintenance, and facility needs

• Financial Oversight

  • Monitor and manage office budget and expenses.
  • Generate financial reports related to billing, revenue, and collections.
  • Collaborate with leadership on financial planning and analysis.

• Customer Service

  • Address patient inquiries regarding billing, insurance, and payment options.
  • Facilitate a positive patient experience through effective communication and problem-solving.
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Compliance and Documentation

Ensure compliance with healthcare regulations (e.g., HIPAA) and insurance guidelines.

Maintain organized, up-to-date billing records and documentation.

Stay informed on industry changes and implement necessary adjustments in billing practices.

Team Leadership

Provide guidance and support to office staff, promoting a collaborative team environment.

Set performance goals and hold staff accountable to meet those objectives.

Qualifications

Qualifications:

Education: Associate or bachelor’s degree in healthcare administration, business administration, or a related field preferred.

Experience: Minimum of 3-5 years of experience in medical billing, coding, and office management.

Certification: Certified Medical Reimbursement Specialist (CMRS) or Certified Professional Biller (CPB) preferred.

Skills:

Proficiency in medical billing software and office management systems.

Strong knowledge of insurance regulations, medical terminology, and coding standards.

Excellent organizational, interpersonal, and communication skills.

Ability to manage multiple tasks and work under pressure.