Posted Feb 28, 2024 502 views
We are seeking a Full-Time Medical Billing Manager to provide supervisory oversight and management of all facets of the billing department including claims processing, revenue monitoring, and quality improvement initiatives. Works cooperatively with other managers and administration to ensure timely billing, reporting, and patient account management.
Responsibilities and Duties
- Performs overall revenue management including satisfying timely filing requirements maximizing billing revenue and collections, and resolution of denied/rejected claims.
- Submits claims and supervises submission by billing specialists.
- Monitors reports to ensure clean claims submissions.
- Monitors monthly aging reports conducts follow-up on unpaid claims and takes appropriate action to correct and re-bill for reimbursement.
- Identifies, researches, and resolves system issues through direct contact with payors and software vendors.
- Provides technical expertise to ensure accurate billing including billing for new services and staying informed of regulatory, compliance, and best practices.
- Develops, implements, and maintains the organization's revenue cycle standard operating procedures (SOPs).
- Researches and maintains billing compliance and regulations, primarily for Federally Qualified Health Center (FQHC) Medicare and Medicaid.
- Performs regular audits of daily billing reports to identify coding and billing errors. Work with billing clerk and other staff to address; notify on-site management of problems and troubleshoot as needed.
- Monitors A/R ageing and payment reports monthly to identify trends and underpayments; investigates causes and takes appropriate steps toward resolution using professional judgment.
- Provides monthly updates of revenue cycle status including reports, metrics, and presentations. Works with CFO and Staff Accountant as needed to accomplish.
- Works closely with the Practice Management System vendor to identify and work to resolve systemic issues.
- Provides training as required to on-site staff regarding billing and other revenue cycle-related tasks, and standard operating procedures (SOPs).
- With other members of the management team, develop continuous processes and priorities for quality improvement to improve revenue cycle outcomes.
- Handle and be knowledgeable of all software utilized in the management of operations-related revenue for the organization, including an understanding of pertinent service contracts.
- Maintain professional and technical knowledge by attending educational workshops, and other activities such as: reviewing professional publications; establishing personal networks; and participating in professional societies.
- Performs special projects and other duties as requested.
Qualifications and Skills
- A certified Chartered Accountant.
- Minimum of five years with managing a team.
- Proficiency with QuickBooks and other accounting software.
- Proficiency in healthcare industry regulations, such as HIPAA, and experience maintaining compliance with financial policies and procedures.
- Proficiency in the use of billing software applications and general MS Office applications.
- Experience working with all types of third-party payers and understanding of FQHC billing requirements.
- Excellent communication and organizational skills.
- Demonstrates accountability, integrity, professionalism, openness, receptivity to change, creativity, and innovation.
Skills
Job Details
Horizon Technologies
Horizon Technologies is an established IT services company having years of experience providing high-quality and cost-effective web development, IT Support and Surveillance solutions. Our expertise lie in Custom Web, mobile & Software Development, Surveillance (CCTV), Time Attendance and Access Control, IT consultancy & infrastructure, BPO & contact center work along with recruitment & IT Maintenance services. We are an one stop IT & office automation service provider where all your IT & business augmentation requirements are met under one umbrella of Horizon Technologies.
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