Billing Manager

Description

• Responsible for the overall management and day to day operations of the client account and support staff.
• Assure integrity and compliance with payer, state and federal guidelines.
• Adhere to all billing policies and procedures as outlined by the company and client. Supervise and facilitate all processes, policies and procedures, workflow, quality, productivity, overall team motivation and effectiveness, professional development and training.
• Promote corporate values and maintain confidentiality of client / patient information.
• Create procedures for all tasks required to meet the expectations of the client. Prepare written policies and procedures where needed throughout the organization and as it applies to the client account.
• Maintain written policies and procedures so they are current, clear and accessible. Create forms to accompany procedures if needed.
• Develop training processes to use with externs, new hires and existing staff. This includes webinars, group training, individual training and observation within each work group. Provide written procedures with training along with a computer checklist to ensure training is complete. Spot check work for accuracy and efficiency. Provide re-training where needed. Organize cross training throughout the year for ensured coverage 100% of the time.
• Monitor staff’s work regularly to ensure staff are performing their assigned tasks properly and have the resources and tools needed to perform their jobs.
• Be sure current fee schedules and billing manuals are being used for all payers billed. Stay current with changes in coding and payer requirements.
• Adhere to timely filing guidelines for payers. Prioritize efforts as needed to avoid denials. Assign projects as needed for urgent needs.
• Delegate work with specific guidelines to include turnaround times.
• Ensure payments are posted with the highest accuracy and integrity.
• Monitor aged accounts daily/weekly. Work with A/R staff to address oversights or problems within their payers. Ensure staff follow the process to work unpaid claims and backlogs are reported to the manager promptly. Be sure appeals are done timely. Establish accounts for bad debt write off.
• Ensure we possess access to websites to perform daily functions. Introduce sites as needed.
• Assist in enforcing company rules. Issue performance evaluations when due. Track staff’s adherence to company policies.
• Work alongside the HR Department. Issue verbal and written warnings as warrant
• Work with HR regarding termination matters.
• Ensure the highest quality of customer service with clients and patients. Place strict guidelines on telephone etiquette. Provide training for staff of do’s and don’ts when on the phone.
• Prepare billing reports as needed or when asked. Obtain A/R reports from the A/R staff and use them to review the status of claims. Track payer issues until the issue is resolved and payment is received.
• Work on special projects and overtime as needed.
• Meet all established deadlines and goals.
  
  

Minimum 5-10 years’ experience in a medical office environment. Experience with Windows applications, proficient use of computers, Microsoft Word and Microsoft Excel. Strong communication, verbal and written and interpersonal skills. Ability to analyze and solve problems with limited assistance. Ability to maintain confidentiality.

Requirements

• Supports an ethical standard which complies with a code of conduct free of conflicts of interest.
• Supports the mission and values of the company.
• Adheres to confidentiality of all data, including patient, employee and operations data.
• Compliance with all regulatory requirements and quality assurance.
• Compliance with current law and policy to provide a work environment free from sexual harassment and all illegal and discriminatory behavior.
• Supports and participates in common teamwork.
• Cooperates and works together with all coworkers; plan and complete job duties with minimal supervisory direction, including appropriate judgment.
• Use tactful, appropriate communications in sensitive and emotional situations.
• Follows up as appropriate with supervisor and co-workers regarding reported complaints, problems and concerns.
• Promotes positive public relations with patients, physicians and site staff.
• Basic math skills.
• Critical thinking, analytical and problem-solving skills.
• Role is located on-site in East Haven, CT
• US-based applicants only