The Billing Manager will provide financial, administrative and clerical services and assist in ensuring accuracy and efficiency of billing services. Position will process and monitor incoming payments and secure revenue by verifying and posting receipts; and track and process accounts and incoming payments in compliance with financial policies and procedures. Will facilitate swift payment of invoices due to the organization by sending bill reminders and making collection calls to outstanding accounts. Position will monitor physicians/providers encounters ensuring receipt of encounters within 72 hours of services rendered and reports to the Finance Director.
Other responsibilities include:
Verifying patients' insurance coverage
Handling collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments and following up with patients if or when there is a lapse in payment.
Working directly with the insurance company, the patient, and the healthcare provider, to get a claim processed and ultimately paid.
Managing the facility's Account Receivable reports.
Reviewing and appealing denied and unpaid claims.
Using coded data provided by the medical coders to produce and then submit claims to insurance companies for payment.
Answering any questions patients may have about billing.
Getting in touch with collection agencies, figuring out if legal options should be pursued and testifying in hospital court cases, if needed.
Knowledge of insurance guidelines especially Medicaid and Medicare.
Call insurance companies regarding any discrepancies in payments, if necessary.
If applicable, submit secondary billing in a timely manner with appropriate supporting documentation.
Review patient bills for accuracy and completeness and obtain any missing information.
Manages the bill queue on a daily basis.
Understanding CPT and ICD9 and ICD10 coding.
Know several difference coding systems; including Level 1 HCPCS and Level 2 HCPCS.
Ability to credential Providers
Must be great with time management and have excellent documentation skills, attention to details, knowledge of organizing information, and general math skills. Must be able to work closely with staff to identify, resolve, and share information regarding payer trends, guidelines and any new updates. Also, the ability to multitask, prioritize, and a problem solver. Must also understand and adhere to HIPPA and PHI guidelines, have excellent customer service skills, and be familiar medical terminology and medical insurance codes.
Experience working with electronic health record programs, such as NextGen and proficient in using computer and MS Office applications; including Outlook, Word, and Excel. Also, requires knowledge of medical terminology and coding.
The Health Center is an equal opportunity employer.