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Medical Billing Manager
NPAworldwide Recruitment Network
NPAworldwide Recruitment Network
 
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Job Location: West Palm Beach, FL
JOB DESCRIPTION

Job #: 35545
Title: Medical Billing Manager
Job Location: West Palm Beach, Florida - United States
Employment Type:
Salary: $90,000.00 - $125,000.00 - US Dollars - Yearly
Other Compensation: Possible Bonus
Employer Will Recruit From: Regional
Relocation Paid?: Negotiable

WHY IS THIS A GREAT OPPORTUNITY?

Working with quite literally some of the most professional and genuinely nice folks in the industry. The company is growing like crazy and this is a chance to put your personal stamp on the role. Our client will relocate someone to West Palm with a 10K sign-on bonus. No snow or state income tax in Florida!

JOB DESCRIPTION

is seeking a Billing Manager to monitor billing and collections by payor. The candidate must have a proven track record managing all aspects of the billing function, including: claims submittal, payment posting, denial management and patient collections. As well as leadership experience with teams of 20+ billers working with commercial, governmental, and workers comp payors.

The Billing Manager position reports to the Director of Business Services and will be expected to collaborate on improvement of Revenue Cycle Management processes, report on Billing KPIs by payor, hire and train billing team members, remain updated on payor changes that affect billing processes, raise necessary concerns and issues with leadership, etc.

Primary Responsibilities

Manage day-to-day functions of the Billing department

Oversee and streamline billing and collections processes

Develop and implement written policies and procedures that govern billing functions

Plan and implement quality assurance for all processes

Conduct routine staff meetings by functional group within the department

Support standardization of methods in which work will be accomplished

Assist in preparing financial and statistical reports as directed

Develop and utilize EMR system reports and output

Monitor accounts receivable by payor and manage to avoid any risk of timely filing and reduce denial rates

Support the accounting month-end close process by ensuring that all payments have been posted, claims submitted, and errors on claims resolved on the final day of each month

Oversee accuracy and completeness of data entry on all patient charges and refunds

Responsible for keeping in contact with payors as it relates to recurring denials requiring appeals for a large volume of claims

QUALIFICATIONS

Required Skills, Knowledge and Abilities

Strong experience of medical insurance/healthcare billing and collections work in a health system or medical practice

Possess profound knowledge and understanding of rules and regulations affecting medical billing and insurance verification

Considerable number of years working in a supervisory or management position

Deep knowledge and understanding of revenue cycle, collections and payment posting, medical billing, Medicare and Medicaid, and third party payers

Thorough knowledge and working experience of CPT and ICD9 codes, UB04 claim forms, HCFA 1500, HIPAA, medical terminology, appeal processes, billing and insurance regulations, and insurance benefits

Solid knowledge of basic accounting principles and business management to be able to effectively give direction to the billing and coding office

Profound knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external)

Strong negotiation skills to be able to effectively deal with customers and secure payment, as well as to be able to discuss the finances of patients

Possess current knowledge of technologies in the health information sector and their applications

Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees

Strong skills in carrying out every part of the work process, i.e. development, implementation, and administration, effectively

Detail-oriented with the ability to work under pressure and frequent interruptions from staff and patients without being distracted

Strong ability to communicate effectively with staff, colleagues, patients, physicians, and insurers in person, over the telephone, and in writing

Strong proficiency in the use of Word, Outlook, Excel, and other Microsoft Office tools

Strong ability to display exceptional initiative and work under little or no supervision

Strong ability to train and supervise the work of employees; effectively organize, prioritize, and schedule tasks to ensure practice timelines are met

Strong ability to handle problems consisting of multiple variables in an organized manner.

Education & Experience

Five (5) + years of management experience within Medical Billing

Bachelors degree in accounting, business administration or related healthcare field

Knowledge of professional fee billing, reimbursement and third party payor regulation and medical terminology is required

Experience billing within E-Clinical Works EHR system is preferred, but not required

Education:
University - Bachelor`s Degree/3-4 Year Degree




How to Apply:


 
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