Billing Manager - Pediatric Practice

Description

Summary

Working on the direction of the CFO, the Billing Manager is responsible for providing leadership to the billing/intake department to ensure optimal cash flow, as well as improved relations with physicians, patients and other customers. The Billing Manager will design, execute and ensure policies and procedures adhere to the effective process of the revenue cycle within the practice. This position is the expert and go-to person for all processes related to coding and billing as well as insurance documentation and data processing.

Responsibilities:

•  Perform as a practice expert in department on all issues relating to billing and intake processes
• Supervise the billing/intake department operations; perform duties such as charge entry, payment posting, reimbursement management, referral intake and insurance verification, claim submissions, and accounts receivable follow-up
• Carry out audits of current procedures and processes, discover billing/intake operations areas to improve on and effect the necessary actions
• Train, allocate work, and resolve problems among billing office personnel
• Carry out performance evaluation of personnel and recommend necessary actions
• Provide motivation to employees to achieve their best performance and high degree of productivity
• Ensure quality and appropriate trainings are provided to newly hired and existing billing/intake staff through effective supervision and coordination of the training process, and by adhering to established company operating policies, procedures and systems, protocols, techniques, and standards
• Coordinate time away requests of team members to ensure the daily functions of the department is not negatively affected
• Carry out analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing staff
• Collaborate with other departments to get and analyze additional information about patients to be able to record and process billing effectively
• Ensure the billing/intake department carries out all its activities in accordance with its overall protocol, and also that they complied with payer, State, and Federal requirements, regulations, and guidelines
• Remain updated on HIPAA and all other health information management issues and regulations
• Ensure strong team building and protocol in the billing and intake department by holding bi-weekly staff meetings

Requirements

Additional Requirements

• Minimum 5 years medical insurance/healthcare billing and collections work in a health system or medical practice
• Understanding of rules and regulations affecting medical billing and insurance verification
•  Deep knowledge/understanding of revenue cycle, collections and payment posting, medical billing, Medicare and Medicaid, and third party payers
• Thorough knowledge and working experience of CPT and ICD10 codes, UB04 claim forms, HCFA 1500, HIPAA, medical terminology, appeal processes, billing and insurance regulations, and insurance benefits
• Strong negotiation skills to be able to effectively deal with customers and secure payment, as well as to be able to discuss the finances of patients
• Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees
• Detail-oriented with the ability to work under pressure and frequent interruptions from staff and patients without being distracted
• Strong ability to communicate effectively with staff, colleagues, patients, physicians, and insurers in person, over the telephone, and in writing
• Strong proficiency in the use of Word, Outlook, Excel, and other Microsoft Office tools
• Strong ability to train and supervise the work of employees; effectively organize, prioritize, and schedule tasks to ensure practice timelines are met

THIS IS AN ON-SITE POSITION

Monday-Friday - 8:30-5pm