Billing Systems Manager manages the daily operations of the billing system. Ensures the operations and associated procedures of billing systems are efficient and effective for billing delivery. Being a Billing Systems Manager develops and implements new billing solutions to improve departmental efficiency and accuracy. Helps develop strategies for system integration of future technology. Additionally, Billing Systems Manager may require a bachelor's degree. Typically reports to a head of a unit/department. The Billing Systems 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 Billing Systems 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. (Copyright 2024 Salary.com)
Responsible to: Chief Operating Officer
Position Description- Manage billing processes, manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence. Assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely to maximize revenues. Other important duties include credentialing, enrollment processing, and reporting.
Job Requirements: Knowledge of medical billing / collection practices required.
• Strong keyboard skills. • Works well in environment with firm deadlines; results oriented. • Perform multiple tasks effectively. • Able to work both independently and as part of a team. • Strong analytical skills required. • Capable of making timely, independent decisions.
Education: Previous medical billing experience including knowledge of billing related reporting; 3 - 5 years’ experience in health-care billing & collection practices, preferably with an FQHC, • Experience working with medical payers including Medicare, Medicaid, and commercial insurance, • Working knowledge of medical billing systems, particularly eClinicalWorks, • Experience with Medicaid’s State Eligibility System, • Working knowledge of CPT and ICD-9 & ICD-10 coding systems; Coding certification preferred, • An Associate Degree from an accredited university with credentials in billing / coding preferred, • Excellent organizational skills, and • Proficiency in Microsoft Office Suite
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