Epix Healthcare Associates

Medical Billing Manager

Job Locations US-GA-Martinez
Posted Date 5 months ago(2/11/2020 3:26 PM)
Job ID
2020-1342
# of Openings
1
Category
Management

Overview

The Medical Billing Manager is a full-time position responsible for overseeing the billing, coding staff & call center staff and making day-to-day decisions.  This position is responsible for directing and coordinating the overall functions of the billing and coding office to ensure maximization of cash flow while improving patient, physician, and other customer relations. The Medical Billing Manager position requires the ability to produce and present detailed billing activity reports.

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.  Reports to the VP of Revenue.

 

  • 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, i.e. practice management and clearinghouse.
  • Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
  • Prepares and analyzes accounts receivable reports, and weekly and monthly financial reports in concert with the VP of Revenue.
  • 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.
  •  Understands and remains updated with current coding and billing regulations and compliance requirements.
  • Maintains library of information/tools related to documentation guidelines and coding.
  • Supervises billing office personnel, which includes work allocation, training, and being available for staff needs; motivates employees to achieve peak productivity and performance
  • Performs all duties and responsibilities in an efficient, team-oriented manner.
  • Accountable for reviewing daily schedules for estimates, authorizations and 3rd party billing.
  •  Conducts self in a manner that reflects a positive representation of the company, and encourages others to do the same.
  •  Observes strict patient confidentiality in dealing with patients.
  • Other duries as assigned or requested.
  • Accountable for being knowledgeable and understanding of all aspects of the billing and coding staff duties to include:
    • Verifying patient eligibility and benefits for upfront collection on unmet deductibles and
    • co-insurance
    •  Enter charges accurately according to insurance payors/contracts
    •  Submitting clean claims by attaching necessary documentation for payment
    •  Follow-up on electronic claims and paper claims
    • Posting insurance payments to patient accounts
    • Submit all secondary claims when necessary
    •  Refund money owed to patient or insurances

Qualifications

  1. Education: College degree in related field or business management preferred but not required; or equivalent blend of experience and education.
  2. Licensure and Certifications: NA
  3. Work Experience: Experience in anesthesia billing including management experience.
  4. Skills and Abilities: Advanced organization skills and office administration abilities. Demonstrated ability to: communicate effectively in English both orally and in writing with people from diverse professional, educational and lifestyle backgrounds; document information accurately in writing and/or on computer; organize work, prioritizing and managing multiple tasks; effectively make decisions and solve problems; work closely with clinical and non-clinical staff, remain calm and professional in stressful situations and focused during interruptions in a fast-paced environment.

Epix is an Equal Opportunity Employer. As an EOE Epix does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, veteran or any other protected status.  DFW.

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