Medical Billing Manager

Overview
To be successful in this role, candidates should have a strong background in medical billing and coding, with a deep understanding of healthcare billing regulations and compliance. Excellent organizational and leadership skills are essential, as the role involves managing a team responsible for various billing processes such as charge entry, payment posting, AR follow-up, and patient phone calls

Additionally, candidates should have the ability to analyze and resolve billing discrepancies efficiently. Experience in handling escalations and complex billing issues is also important. Collaboration with other departments to streamline billing processes and improve efficiency is a key aspect of the role

Key Responsibilities:

• Prepare and submit billing data and medical claims to insurance companies.
• Prepare bills and invoices, documenting amounts due for medical procedures and services.
• Ensure compliance with anti-kickback and anti-fraud laws, including proper documentation and reporting
• Manage a team responsible for charge entry, payment posting, AR follow-up, and patient phone calls
• Manage escalations and complex billing issues.
• Collaborate with other departments to streamline billing processes and improve efficiency.
• Verify patients' insurance coverage.
• Review medical documents for accuracy and completeness.
• Manage collections and unpaid account balances.
• Achieve maximum reimbursement for services provided.
• Track the status of claims, denials, and appeals to ensure timely payment.
• Contact insurance companies regarding denied claims and submit appeals with appropriate documentation.
• Respond to billing inquiries from patients, staff, customers, and insurance companies, and resolve complaints.
• Conduct audits and Medicare reviews to ensure accuracy and compliance.
• Ensure that each patient’s medical information is accurate and up to date.
• Oversee billing processes and ensure accuracy in coding and billing.

Qualifications:

• High school diploma or equivalent; additional certification in medical billing is a plus.
• 5-7 years of experience in medical billing or a related field.
• Strong understanding of medical billing procedures, insurance policies, healthcare billing regulations and compliance.
• Excellent communication and interpersonal skills.
• Proficiency in using billing software and electronic medical records (EMR) systems.
• Strong organizational, leadership and time management skills.
• Experience in medical billing and coding.
• Excellent organizational and leadership skills.
• Ability to analyze and resolve billing discrepancies.

Preferred Qualifications:

• Certification in medical billing or coding.
• Experience working in a healthcare setting.
• Knowledge of Medicare and Medicaid billing regulations.

Benefits

• Position is eligible for employer sponsored benefits: Medical, Vision, dental and 401(k).

Job Type: Full-time

Pay: $25.00 - $32.68 per hour

Expected hours: 40 per week

People with a criminal record are encouraged to apply

Work Location: In person

Salary : $25 - $33