Medical Biller: Senior Billing Manager

Overview

The Senior Biller Manager reports to the Director of Operations. Responsible for managing client accounts to coordinate billing functions, maximize cash flow, and improve patient, physician, and other customer relations. Requires strong leadership and business office skills, including project management, critical thinking, and analytical skills. This is a full-time and in-person position only.

Qualifications

• Preferred 4+ years’ experience in a medical office reimbursement department
• Preferred a minimum of 3 years’ supervisory or management experience over staff
• Experience with EMR management software
• Strong background in accounts receivable
• Experience in CPT and ICD-10 codes, HCFA 1500 and UB04 claim forms
• Experience in billing and insurance regulations, medical terminology, insurance benefits and appeal processes
• Strong communication skills as you will be speaking with physicians, patients, insurance representatives, and/or medical billing staff on a weekly basis
• Proficient in Microsoft Office – Outlook, Word, Excel
• Must maintain HIPAA standards
• Ability to work in a fast-paced environment while remaining calm and professional
• Strong customer service orientation
• Excellent organizational skills and must be detail oriented
• Strong computer and typing skills
• Outstanding listening skills
• Positive, friendly, approachable disposition
• Ability to work with multiple priorities

Major Duties / Responsibilities

• Manages day-to-day tasks of client's medical billing services with members of the billing team, including claims submissions, payment postings, accounts receivable follow-up, and reimbursement management
• Manages billing and claims for accuracy, completeness, timely submission, and compliance with Federal, State, and payer regulations, guidelines and requirements
• Generates, analyzes, and/or manages daily, weekly, and monthly reporting, identifies trends impacting charges, denials, and collections for process improvements, identifies training needs and recommends process changes
• Ensures activities of professional billing operations are conducted in accordance with department and organizational protocols, policies, and procedures
• Participates in development and implementation of operating policies and procedures
• Meets with management team to discuss collection reports, develop opportunities to reduce denials, share carrier rule changes, and distribute information within the office
• Supervises professional and patient billing personnel, including work allocation, training, problem resolution; evaluates performance and satisfaction to achieve peak productivity
• Provides customer service on the telephone and in the office for all clients and authorized representatives regarding patient accounts; returns patient calls regarding accounts receivable within 1 business day
• Researches information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to physicians, managers, and subordinates
• Monitors reimbursement from managed care networks and insurance carriers to ensure reimbursement is consistent with contract rates
• Proficiency with EMR software system including patient registration, charge entry, insurance processing, advanced collections, reports and ledger inquiry
• Provides cross-coverage for Account Managers in their absence as required
• Maintains information regarding coding, insurance carriers, managed care networks and credentialing in an organized reference format
• Maintains an organized, efficient, and professional work environment
• Adheres to all practice policies related to HIPAA and Medicare Compliance

Physical Requirements

• Continuous sitting throughout the work shift
• Must be able to read small print
• Stooping and bending to files; mobility to complete tasks
• Repetitive movements of hands, fingers and arms for typing, writing, sorting during work shift
• Frequently lifts, carries or moves objects weighing 10-20 lbs
• Continuous use of the telephone to communicate with candidates and/or companies
• Ability to reach with hands and arms
• Must be able to handle stress
• Will view computer screens for long periods of time
• Must be able to use standard office equipment
• Hand dexterity for office machine operation

This is a great opportunity to get in with a tenured conglomerant of companies with great benefits and an environment that exudes a positive, respectful, and supportive culture. Competitive Compensation Package. Salary commensurate with experience.