Medical Billing Manager

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Medical Billing Manager plans and manages medical billing processes to ensure timely, accurate, and efficient billing operations. Develops policies, procedures, and controls to ensure medical billing operations are compliant with industry standards and regulations. Being a Medical Billing Manager validates patient billing and insurance information to verify coverage and ensure accurate calculation of charges. Continuously evaluates and optimizes processes to control department costs and adhere to budget. Additionally, Medical Billing Manager prepares routine reports to summarize revenue cycles, payments, overdue balances, and other billing metrics for management insight. Remains knowledgeable and compliant with proper medical and insurance claim processes. Needs to be familiar with ICD-10, CPT, and/or HCPCS Coding Systems as well as claim forms such as CMS-1500 and UB-04. May require a bachelor's degree. Typically reports to a director. The Medical Billing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Billing Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes.