Assistant Medical Billing Manager

BASIC FUNCTION:

Under the direction of the Medical Billing Manager, the Assistant Medical Billing Manager will serve as a working team lead for Business Office staff. Helping to develop the potential of team members by assisting, coaching and training billing staff as directed by policies or procedures. This position will perform duties associated with the billing process and help manage workflow while adhering to HIPAA. An understanding of Accounts Receivable, A/R aging, denial management, credit balances and payment posting is necessary to help ensure financial goals are being met.   

GENERAL RESPONSIBILITIES:

1. Helps to create and maintain established policies, procedures, objectives, quality assurance and safety.
2. Assists in implementing appropriate billing and collection procedures, insuring that accounts receivable records are kept in accordance with established procedures.
3. Monitors activities with Third Party Payers and stays abreast of changes in all reimbursement and billing procedures for third party and private insurance payers.
4. Investigates and reports on all current reimbursement developments on the state and federal level.
5. Proactively identifies trends and initiates recommendations for change to the Medical Billing Manager.
6. Maintains own assigned billing duties to current status.
7. Spot checks work for accuracy, efficiency and uniformity.
8. Exercises judgment to make decisions for select methods and techniques for obtaining solutions.
9. Mentors, trains and coaches team members.
10. Responds to staff questions ensuring they fully understand how to perform their duties.
11. Has general knowledge of Business Office positions to act as back-up if need arises.
12. Participates in professional activities and maintains professional affiliations as appropriate. Enhances professional growth and development through educational programs, seminars, etc. to keep abreast of trends/changes in the field.
13. Participates and completes all mandatory staff meetings, trainings and in-services.
14. Follows all policies and procedures of the department, Seneca Nation, and Seneca Nation Health System.
15. Works to promote cooperative staff efforts to provide and maintain high quality service to patients, physicians, and other staff.
16. Assures confidentiality of information according to the privacy Act of 1974 (HIPAA).
17. Maintains a positive teamwork environment to ensure quality patient care.

KNOWLEDGE, SKILLS, & ABILITIES:

• Must have thorough knowledge of third party reimbursement/regulations, forecasting and planning skills, and must be knowledgeable with ICD-9, ICD-10 and CPT-4 coding.
• Must be familiar with medical terminology and must be able to interpret provisions of health plans.
• Must be proficient in Microsoft Office, and be able to help develop policies to increase the productivity of the revenue cycle.

QUALIFICATIONS:

• Bachelor’s degree in Business Administration related field with three to five years of experience in health care finance.
• Two years of supervisory or management experience desired.
• Experience in a large hospital, academic medical center, outpatient health care setting, or Indian Health Service (IHS)/tribal health, preferred.

Salary : $24