Medical Billing Manager

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: Overseeing 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. Prepare and analyze billing reports to track key metrics and identify areas for improvements.
• Compliance and Regulations: Create and maintain billing policies and procedures to streamline operations and ensure compliance.
• Revenue Cycle Management: Managing 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 managing relationships with insurance companies.
• EHR and Equipment: 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 the providers and staff. Prepares and submits deposits to the bank. Requests refund checks from AP when no automatic recoupment will be done by payor. Post and mail patient/insurance refund checks when they are received from AP. Managing and distributing 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 organisation.

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, postage meter, calculator, computer, printer.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.