Billing Systems Manager

Responsibilities

• Oversee the billing operations of service coding, charge entry, claims submissions, payment postings, accounts receivable follow-up, collections, and reimbursement management.
• Audits current procedures to monitor and improve efficiency of billing and collections operations.
• Ensures that billing activities are conducted consistently with MHS protocol, Federal, State and local regulations as well as payor guidelines and requirements.
• Analyzes trends impacting charges, coding, collection, and accounts receivable and takes appropriate action to revise policies and procedures.
• Provides training to new and existing billing staff on applicable operating policies, systems and procedures, standards, and techniques.
• Ensures all MHS Billers enter service claims daily.
• Reviews daily billing receipts to monthly system reports.
• Affords assistance to MHS Billers with charge correction/denials, checks billing logs for completion/errors, coordinates billing reconciliation process with MHS Billers, generates data reports required monthly by MHS' Accounting Department and the Program Manager to ensure reimbursement by the Insurance for services rendered.
• Collaborates with programs to monitor billing procedures and conducts utilization review.
• Attends Fiscal meetings as assigned by supervisor and communicates with fiscal staff regarding billing units and productivity.
• Performs word processing, spreadsheet operations, and database operations using an MS Windows compatible computer format and MS Office software.

Qualifications

• Experience with Medi-Cal, Short/Doyle or ODS-DMC Medi-Cal billing.
• Advanced knowledge of county funder service claim entry systems.
• One year experience in County Behavioral Health billing systems and policies.
• One year experience in management.
• Administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
• Experience with CPT and ICD Coding.
• Typing at 50 wpm.
• Complete basic computer skills using MS Windows operating system, including file back-up and problem troubleshooting.
• Word processing skills utilizing MS Word.
• Resourcefulness, initiative, and the ability to work with minimal direction and supervision.

Physical Requirements

• Seeing
• Hearing
• Speaking
• Stooping/Bending
• Working in cramped spaces
• Moving around facility
• Moving between offices/clients
• Driving
• Climbing
• Lifting/carrying heavy items
• Pushing/pulling/dragging items
• Sitting for long periods
• Working outside/underground
• Using hands/fingers
• Sitting for long periods

Other Duties

• This job description isn't a comprehensive list of activities, duties or responsibilities required for this job.
• Duties, responsibilities and activities may change at any time with or without notice.