Medical Billing Manager

Team Leadership

Supervise and coordinate the workload of the billing staff to ensure all tasks are completed accurately and in a timely manner. Define and communicate current and new billing tasks and definitions of the billing team. Recommend and report billing issues of concern or accommodation to the clinic manager for action. Run, work, and manage reports for the purpose of verifying quality and completeness of various data entry and other functions in EPIC. Communicate with NHC staff about missing and erroneous data and ensure the completion and correction of the same. Work collaboratively with other members of the organization to maximize accuracy, efficiency, and promptness of the claim life cycle. Troubleshoot other problems in various billing processes and document to resolution problems discovered. Maintain and control documentation of billing processes. Execute quality control processes to ensure consistent billing and collection. Monitor third party coverage contracts, ensuring that current contractual terms are understood and applied correctly.

Billing Subject Matter Expert

Study and evaluate new and changing billing requirements and recommend solutions. Work directly with managers to revise processes and resolve issues. Document significant billing changes and methods for management awareness. Monitor changing standards and methods in billing to ensure NHC methods and processes are current.

Organizing and Performing Other Tasks

Manage and coordinate the billing team’s work results for quality, accuracy, and timeliness. Oversee and review the transmission of claims in EPIC as well as other electronic and paper claim processing. Following up on unpaid claims within standard billing cycle timeframe. Oversee payment processing for accuracy and compliance. Provide customer service to patients enquiring about their accounts and process requests for refunds. Provide ongoing orientation and training to staff.

Requirements

• Computer literacy in internet use and Windows environment, including Outlook, Word, and Excel with keyboarding skills of at least 45 wpm.
• Advanced skills in math.
• High level of attention to detail.
• Able to handle a large volume of work in an efficient manner.
• Effective communication abilities for contacts with insurance payers, patients, and NHC staff to resolve issues.
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
• Able to triage priorities, delegate tasks if needed, and handle conflicts in a reasonable fashion.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
• Able to cultivate and develop inclusive and equitable working relationships with co-workers and community members.
• Able to serve as an advocate for individuals of all ethnicities, genders, ages, and backgrounds.
• Associate’s degree in medical billing and coding preferred or a combination of education and experience.
• Minimum of five years’ progressive billing experience required, including supervisory duties.
• FQHC experience.
• Mastery of insurance basics and practices.
• Mastery of medical billing terminology.
• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Familiarity with CPT and ICD-10 coding.
• Working knowledge of NHC’s practice management system, EPIC.
• Certified coding certificate or comparable experience required.
• Ability to work without constant supervision and adhere to policies and procedures.
• Ability to work remotely via a home office set up with access to secure Internet connection.
• Ability to read, write, speak, and comprehend English fluently.
• Vaccines as required.

Physical requirements of the Job

• Sitting or standing (often for prolonged periods)
• Carrying or lifting objects up to 20 pounds

Equal Opportunity Employer

NeighborHealth Center is an Equal Opportunity Employer, including disability and veterans. NHC is dedicated to building a culturally diverse staff committed to serving a diverse patient population.