Billing Manager

Busy multi-specialty practice is seeking a full time Billing Manager to join our team.  This is a full time onsite position from Monday to Friday.

Duties and Responsibilities:

• Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management. 
• Serves as the practice expert and go to person for all coding and billing processes.
• Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.
• Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.
• Follow up on claims using various systems.
• Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
• Prepares and analyzes accounts receivable reports, weekly and monthly financial reports, and insurance contracts in concert with the Practice Administrator. Collects and compiles accurate statistical reports.
• Audits current procedures to monitor and improve efficiency of billing and collections operations.
• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
• Participates in the development and implementation of operating policies and procedures.
• Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
• Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
• Keep up to date with carrier rule changes and distribute the information within the practice.
• Performs physician credentialing actions.
• Understands and remains updated with current coding and billing regulations and compliance requirements.
• Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
• Maintains library of information/tools related to documentation guidelines and coding.
• Supervises billing office personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
• Provides, oversees, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.
• Coordinates team member time off in a manner that does not negatively impact necessary daily functions
  

EPIC system knowledge a plus.

NextGen billing software a plus

3+ years billing experience