Under the direction of the Controller, the Billing Manager works collaboratively with the Accounting Department to provide Revenue Cycle Training, Registration Support, Claims Processes including billing, collections & patient Insurance processing. Integrity of Patient Accounts, Accounts Receivable, Practice management system file maintenance, and third-party revenue cycle vendors are the responsibility of this position.
DUTIES AND RESPONSIBILITIES:
Monitors timeliness and effectiveness of activities, ensuring that outstanding patient accounts and accounts receivables is no more than the agreed upon limit and that bad debt is within budgeted target.
Oversee medical coding, medical billing and banking.
Monitor key performance metrics in the revenue cycle daily, such as unbilled, uncoded, and address issues in a timely manner to maximize cash flow.
Track, trend and analyze payer rejects, denials and correspondence to enable further automation and process improvements.
Tracks and monitors all revenue including managing the third-party payer contracts.
Analyze, measure, and monitor data requirements and develop metrics and benchmarks for Billing and A/R, as well as creating benchmarks and metrics for measuring "front-end" accuracy and completeness of data capture.
Works closely to train staff, as well as define and implement procedures on front-end processes such as data collection, point of service client collections, and insurance verification.
Identifies problem sources and develops action plans for continuous improvement.
Ensures staff are adequately trained as to their specific internal control responsibilities.
Comprehensive knowledge of CPT and ICD-9 Coding.
Monitors effectiveness of collection efforts and maintains insurance billings are current within the established time frame specified in the department policy.
Processes patients’ complaints related to front office or revenue cycle management issues by explaining company policies and guidelines.
Assist Controller with year-end audits with public accounting firms and third-party auditors as they relate to A/R operations. Mediate and resolve conflicts regarding public accounting firms, third-party auditors, and investigative parties.
Perform periodic audits of patient records for accuracy quality control.
Provide billing and collection reports to Executive Director periodically
Knowledge and experience of the NextGen is highly preferred.
ADDITIONAL DUTIES AND RESPONSIBILITIES:
Must participate in Quality Improvement activities.
Maintain patient confidentiality in all matters and provide patients with needed information.
Maintain a positive professional relationship with all programs, agencies and intra-agency personnel.
Attends meetings, seminars, workshops and conferences, as needed.
Adheres to all agency policies and procedures.
Promotes and maintains awareness of agency programs, services and activities.
Performs other duties as assigned.
Three years experience in processing electronic medical claims. Certified coder preferred. BA/BS degree preferred. Billing manager should have familiarity with billing concepts, practices, and procedures. Proven managerial and team building skills.
Established in 1978, Asian Human Services is the largest multi-cultural and multi-lingual health and social services organization in the Metropolitan Chicago areas. Its mission is to provide client -centered, quality, and compassionate services to Asian immigrants and other underserved communities so that they can fully participated in society, prosper and thrive. Specialized in healthcare, educat...ion, and employment, its professional staff is fluent in more than 28 languages and serves more than 28,000 clients throughout Illinois each year.