Billing Manager

Job Summary and Duties

A Billing Manager is responsible for the operations of the billing functions of the office. They ensure the office is running smoothly by supervising the resolution of billing complaints, submitting billing claims and following up with insurance companies to resolve any discrepancies on previous submissions. The Billing Office Manger must have an in depth knowledge of insurance claims processing procedures, Medicare and Medicaid rules, Social Security disability rules, patient privacy law and rights, as well as familiarity with medical terminology, medical coding and medical web portals.

Duties and Role
A medical office manager is responsible for training office staff, addressing staff issues, conducting performance reviews, as well as directly supervising and actively participating in the proper functioning of the office. They will ensure the facility is clean and oversees the selection of equipment used in the facility and ensures that it is working properly. A Medical Office Manager also supervises the selection and ordering of supplies. They will oversee the financial aspects of the business, such as billing, banking and accounting. She also ensures that her staff uses the correct coding when designating the diagnosis or results of procedures used. It may also be necessary for the medical office manager to use contractors and vendors for their services, such as billing agencies and accounting services.

Responsibilities Include

· Assists directors and upper level management

· Monitoring project and activity status and ensuring matters are brought to satisfactory conclusion.

· Oversee billing, coding, and collections: Oversee billing, coding, and collections Submit claims to insurance, process company's response to claims/appeals and submit billing statements to patients

· Aiding with the material and medication inventory management

· Prior authorization, intake and pre-determination management

· Insurance verification

· Assists with the development and implementation office policies and procedures

· Collaborates with interdisciplinary team to ensure patients receive quality care

· Assist with third party vendor contracts

· Ensures matters between members, employees, payers, providers and community relations are maintained.

· Routinely interacts with clients and maintains direct reports

· Routinely interacts with outside organizations (physician practices, professional, non-profit, philanthropic, etc.

· Supervise medical billers and coders, reporting to other senior managment

· Aid in reconciliation of account information

· Maintaining communication between patients, provider, payers and 3rd party agencies.

Essential Skills:

· Reliability and discretion: you will often learn of confidential matters

· Adaptability

· Communication, negotiation and relationship-building skills

· Organizational skills

· IT skills

· Problem solving skills

· Initiative

· Leadership and the ability to ‘make things happen’

· Budgeting skills

· Attention to detail

· Scan data into a computer and save it to a HIPAA compliant database

· Electronically filing health insurance claims

· Maintain confidentiality of client records while following HIPAA guidelines.

· Ability to work independently under minimal supervision while coordinating with other office staff.

· Commitment to providing excellent customer service in all job-related interactions.

· Flexibility when dealing with changes in priority and work-related interruptions.

· Ability to maintain a professional demeanor when dealing with difficult and/or tedious assignments.

· Ability to communicate effectively verbally and in writing.

· Familiar with Microsoft Office and Google Suites.

Requirements

· Language Skills: Requires excellent verbal and written skills, and an ability to proofread and edit work from all levels and functions of the organization. Ability to read and interpret financial and billing reports, business documents, operating and maintenance instructions, and procedure manuals.

· Ability to write reports and correspondence whether verbally or in writing.

· Draws on corporate knowledge and an awareness of activity within the organization in order to participate in and accurately produce records of proceedings or discussions, understanding the broader context within which such events occur.

· Knowledgeable of medical terminology and acronyms commonly used in day to day communication of staff, policymakers and others involved in the medical system.

· Ability to speak effectively before groups of other office staff in organization.

· Reasoning Ability: Ability to apply common sense understanding to carry out written or oral instructions

· Ability to define problems, collect data, establish facts, and draw valid conclusions, involving a few concrete variables in standardized situations.

· Mental Demands: While performing the duties of this job, the employee is continuously required to be alert, remember a significant amount of details, concentrate, exercise judgment, read, write, reason, and take initiative to start and complete tasks, and exercise patience.

· The employee is occasionally required to be persuasive and negotiate.

· Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals, and calculate figures and amounts such as percentages. Must be able to routinely create and maintain database and spreadsheet files.

· Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

· Physical Demands: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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.

· The staff member must occasionally lift and/or move up to 25

Job Type: Full-time

Pay: From $16.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday
• Weekend availability

Experience:

• Medical: 1 year (Required)

Work Location: One location