Billing Manager

Oversee the financial operations

Oversee the financial operations of the billing department, ensuring accuracy and efficiency in claims processing, payment collection, and revenue cycle management. Has a good understanding of all positions within the team and able to cover if necessary.

Supervising Staff

• Managing and mentoring medical billers, coders, and other related staff.

Claims Processing

• Oversee the accurate and timely submission of insurance claims, including electronic claims and appeals.

Payment Posting and Collections

• Manage the posting of payments, reconciliation, and collections of outstanding balances from patients and insurance companies.

Financial Reporting

• Prepare and analyze billing reports to track key metrics and identify areas for improvement.

Compliance and Regulations

• Create and maintain billing policies and procedures to streamline operations and ensure compliance.

Revenue Cycle Management

• Manage the entire revenue cycle from claim submission to payment posting, optimizing the collections process.

Contract Negotiation

• Tracks and participates in the negotiations of EHR billing and insurance contracts and manages relationships with insurance companies.

EHR and Equipments

• Update Athena with new coding changes, fee schedules, increased fees, etc.
• Manages and implements new credit services as needed.
• Runs reports to ensure financial monitoring, including missing payments.

Training and Development

• Provide training and support to providers and staff.

Money Handling

• Prepares and submits deposits to the bank.
• Requests refund checks from AP when no automatic recoupment will be done by payor.
• Posts and mails patient/insurance refund checks when received from AP.
• Distributes petty cash.

Qualifications

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience

• Required: High School diploma and 5 years of Medical Office Billing experience
• PREFERRED: Degree or Certificate in Medical Office Billing

Required

• Billing/Coding Certification (Preferred Certifications: CPC, CPB, CPMA, CPCO)

Language Ability

• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine reports and correspondence.
• Ability to speak effectively before groups of customers or employees of organization.

Math Ability

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Reasoning Ability

• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to deal with problems involving several concrete variables in standardized situations.

Computer Skills

• To perform this job successfully, an individual should have extensive knowledge of Microsoft Word, Microsoft Excel, Microsoft Outlook and Google Docs.

Certificates and Licenses

• Valid Driver's License

Equipment

• Multi-line telephone
• Fax machine
• Copier
• Postage meter
• Calculator
• Computer
• Printer