Billing Manager

Position Summary

Responsible for ensuring a smooth operation of the daily billing department operations. Ensures billing practices and procedures adhere to county, state and federal guidelines. Oversees the work of all billing associates. Ensures compliance with company policies and regulations and assures work is performed under moderate supervision.

Job Functions

The primary purpose is to supervise in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Billing Manager gathers reports and brings together information as requested from Corporate accounts receivable.

DUTIES AND RESPONSIBILITIES

1. Ensures a smooth operation of the department functions
2. Designs work schedule for department staff
3. Responds to correspondences relating to billing
4. Insures credentialing of new physician providers
5. Reconciles daily deposits from Facilities, Patients and Insurance
6. Reviews, reconciles and approves invoices from subcontractors for payments and submits to accounts payable.
7. Oversees processing of customer credit card payments
8. Ensures billing accuracy and efficiency to avoid unapproved claims for continuous cash flow.
9. Distributes month-end accounts receivable aging reports and other related data as requested from management.
10. Trains staff on billing rules including proper claims submission, collection and appeal process required by payers with open communication.
11. Reviews all refunds for appropriateness and insures contract negotiations.
12. Assists management in billing resolutions and related disputes
13. Performs other related duties as assigned.

Education:

High school diploma or general education degree (GED) or four to six years related experience and/or training; or equivalent combination of education and experience.

Specialized Training:

• Understand medical terminology
• Two years medical billing experience
• Minimum of 3 years supervisory experience preferred
• Understands CPT and ICD9 coding
• Experience with x-ray and/or portable x-ray billing preferred
  
• Accredited course in the medical field preferred