Medical Biller & Collections Manager

Job Description

Job Description

Position Summary :

This position reviews charges, submits charges to the clearinghouse, reviews denials, posts payments and attempts to collect outstanding patient balances.

Essential Position Functions :

Welcomes patients in a friendly and professional manner.

Answers patient questions regarding their bill in the office and over the phone.

Runs patient balance report weekly.

Contacts patients regarding their outstanding balances to collect.

Offer payment plans to patients with high balances to collect to help the patient not go to the collections agency.

Add bankruptcy information to the patient's account and update it as we get more information.

Assist with various paperwork and / or miscellaneous tasks.

Audits patient accounts, assess accuracy and collectability of accounts receivable balances, and initiate appropriate collection actions.

Processes patient payments received in the mail (credit card payments and checks).

Send out final notices to patients for unpaid balances.

Transfer balances to the collection agency for non-paid balances after 4 straight months.

Respond to collection agency emails regarding patient disputes and requested information.

Send updates to the collection agency when patients make payments on their collection balance.

Review payment plan accounts to ensure we are receiving payments.

Reviews the unallocated accounts to allocate payments correctly on the patients accounts.

Posts Medicaid remittance and works the denials.

Works denials on aging report.

Communicates with other departments regarding patients as needed.

Accepts ownership and accountability for successful completion of assigned functions and achievements of goals.

Communicates with Manager & Practice Administrator of issues / concerns that arise in payments.

Competencies :

Accuracy Ability to perform work accurately and thoroughly.

Communication Ability to communicate effectively verbally and in writing.

Computer SkillsProficient ability to use a computer and electronic medical record.

ConfidentialityMaintain patient, team member, employer confidentiality. Comply with all HIPPA regulations.

Customer Service Oriented Friendly, cheerful, and helpful to patients and others. Ability to meet patients and others needs while following office policies and procedures.

Detailed Oriented Ability to pay attention to the minute details of a project or task.

Flexibility Ability to adapt easily to changing conditions and work responsibilities.

Multitask Ability to handle more than one task at one time.

Positivity Display a positive attitude and is a positive agent for change.

TeamworkWork as part of a team and collaborate with co-workers.

Working under pressure Ability to complete assigned tasks under stressful situations.

Education and Experience :

High school education or GED equivalent.

Minimum two years of medical office experience.

Minimum two years of experience in medical billing.

Strong organizational skills including the ability to prioritize and manage multiple tasks in a dynamic environment.

Strong analytical skills : ability to quickly identify problems and find effective solutions.

Ability to make independent decisions.

Ability to understand and interpret financial data.

Working knowledge of contracted insurance plans.

Knowledge of various insurance plans / payers (HMO, PPO, Medicare, Medicaid) is required.

Good verbal and written communication skills.

Good telephone communication skills.

Demonstrated ability to use a computer with Microsoft Word, Outlook and EMR software.

Excellent customer service is required.

Ability to maintain confidentiality and thorough knowledge of HIPPA policies and procedures.

Ability to establish and maintain effective relationships with staff, patients, and families.

Willingness to take responsibility for actions, act positively upon feedback from others.

Must be dependable and able to work with minimal supervision.

Work Environment & Physical Demands :

Environmentally controlled medical office environment

Fast paced environment with occasional high-pressure situations

Frequent interaction with a diverse population including providers, patients, insurance companies and other members of the public.

Frequent sitting, writing, typing, grasping, and speaking.

Occasional standing, walking, reaching, bending, stooping, lifting, and carrying.

Lifting, carrying, pushing, and pulling up to 25 pounds.

Frequent use of computer, keyboard, copy and fax machine, and phone.