Billing Manager

The Billing Manager oversees the Billing Team, which is critical to sustain the company's financial responsibilities through proper collections of billed payments by healthcare Providers. The manager ensures the timely submission of accurate medical claims to insurance companies for immediate payment.

PRIMARY DUTIES & RESPONSIBILITIES

• Manage Reconciliation, Claims, and Payment reference materials
• Approves/ disapproves Paid Time-Off (PTO) requests of the billing team staff
• Handles any team concerns presented for escalation
• Approves timecard of the Billing Team’s hourly staff
• Manage the phone queue to ensure smooth handling of inbound and outbound calls
• Assist the Business office Manager in mapping the Billing Team workflow
• Assist in attaining successful performance goals of the billing team staff and the billing team in general.
• Ensures that the following team responsibilities are properly handled:

Accounts Receivables

1. Responsible for prompt collection of all monies due to the practice.

2. Timely filing of all insurance claims (no less frequently than twice weekly).

• Electronic filing of all claims that can be received electronically.
• Prompt follow-up of denials and partial payments.
• Response to insurance inquiries within three days of receipt.
• Timely appeal (no longer than 5 working days) of claims paid or denied incorrectly.
• Prompt posting of all payments and daily reconciliation of batches.
• Proper instruction to all staff members who give information by phone, assuring proper patient education regarding financial policies.
• Payment at time of service for all deductibles, copays, and non-covered services.
• Payment at time of service in full for patients who do not have insurance with which the practice is contracted.
• Proper instruction to all collection personnel, assuring that the appropriate amounts are collected from patients at the time of service.
• Payment at time of service for all deductibles, copays, and non-covered services.
• Verification of insurance benefits prior to the patient visit.
• Payment at time of service in full for patients who do not have insurance with which the practice is contracted.
• Changes in co-pay amounts or payment trends by carriers.
• Create and act upon monthly reports that track collection efforts:
• Aged accounts receivable.
• Percentage of collections.
• Average number of days outstanding for claims.
• Unpaid claims.
• Total collections for the month.
• Others as directed by the physician(s) or accountant
• Maintain accurate fee schedules for Medicare and other payers. Assure that plans are paying according to the fee schedules.
• Inform the business office manager of any significant findings regarding collections or payment trends.
• Follow the practice financial policy for tracking and processing delinquent patient accounts.
• Send patient statements no less frequently than monthly
• Call patient when a statement has not been paid on time, ask for credit card payment or commitment for rapid payment.
• Send collection letter according to time schedule established by practice financial policy.
• Refer account to collection after clearance by business office manager.
• Assist patients with inquiries regarding accounts.
• Treat all patients and other staff members with respect.
• Other duties as assigned by the business office manager or physician(s).
• This job description may change as the needs of practice change.

Medical Records

• Assures, along with the physician(s) and clinical personnel, that all information is placed appropriately in the record.
• Creates and maintains, along with clinical personnel, a system of tracking all outstanding medical record information such as transcription and laboratory results

PHYSICAL/MENTAL DEMANDS

Work is confined to an office setting. May include flexible hours to work in the office or from home. Stressful situations are inherent to this position. Work may occasionally require traveling to various locations for training purposes or more. Must be able to sit or stand for extended periods answering phones, performing keyboarding, computer work, electronic filing, copying, faxing and other administrative work. Must possess general manual dexterity to operate computer, office machines, perform filing or other office functions; and reach with hands or arms. Must be able to handle stressful situations. Must possess mental acuity for attention to accuracy and detail. Must see in the normal visual range with or without correction. Must hear in the normal range with or without correction.

Hybrid Location:

The candidate MUST be local to San Antonio, TX. This job will be performed 50% remote and 50% on site. The location information will be discussed in the initial interview to ensure it is a good fit.

Job Type: Full-time

Pay: $50,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Medical billing: 3 years (Required)
• Management: 1 year (Required)

Ability to Commute:

• San Antonio, TX 78218 (Required)

Ability to Relocate:

• San Antonio, TX 78218: Relocate before starting work (Required)

Work Location: In person

Salary : $50,000