Medical Billing ManagerUnder direct supervision, assumes responsibility for all aspects of staffing, organization and prioritization of work, auditing, production and quality tracking, and communication to the assigned team.Education: Associate's degree in related field or equivalent work experienceLicensures/Certifications: AAPC CertificationExperience: 5 years experience in medical billing. 2 years experience in a leadership/management role.Skills:Knowledge of: standard code sets (e.g. CPT, ICD-9, HCPCS, Modifiers), medical terminology and anatomy, third-party payer policies and billing, procedures and requirements Medicare, BCBS and Medical Assistance policies, procedures and requirementsSkill in using basic computers and personal productivity applicationsSkill in written and oral communicationSkills in research, analysis and problem solvingSkill in goal setting and policy developmentAbility to develop and balance a budgetAbility to assess, analyze, and trouble-shoot workflows and processesAbility to contribute to the development of training materialAbility to manage many assigned tasks simultaneouslyPrincipal Duties and Responsibilities:Manages human resources within established productivity guidelines and the personnel budget. Facilitates training and development efforts.
Maintains employee competencies. Monitors and reviews work performance of the staff. Interviews and selects personnel.Reviews financial and operational reports to identify areas of success and improvement. Reassigns work as needed to maintain consistent levels of performance.
Conducts periodic audits of employee work to ensure quality performance.Ensures optimal revenue for all physician departments through collaborative efforts with Client Services and Operations.Monitors charges on a daily basis to maintain revenue. Monitors all open charge reports to ensure all charges are being closed/captured and keeps practice managers informed of providers that are not closing/signing notes.Works closely with Compliance department to review audits with the practice managers and physicians. Provides additional training to physicians regarding the results of audits to ensure improvement.Works with Compliance to keep abreast of any coding updates throughout the year as well as the yearly AAPC updates.Holds meetings with provider groups to provide training and coding updates on individual department levels. Works closely with onboarding physicians to go over coding rules and regulations as well as new practices during the onboarding process.Assists the Applications Trainer in developing training documentation relevant to the assigned team/area.
Look for additional opportunities for coding staff to develop and enhance coding skills.Researches coding related issues and works with compliance to enhance charge entry processes for all departments.Works with the Epic team to provide information on new CPT codes, charge edits, and new providers. Provides information on fee changes when necessary.All roles must demonstrate GBMC Values:RespectTreats others with fairness, kindness, and respect for personal dignity and privacyListens and responds appropriately to others' needs, feelings, and capabilitiesExcellenceMeets and/or exceeds customer expectationsActively pursues learning and self-developmentPays attention to detail; follows throughAccountabilitySets a positive, professional example for othersTakes ownership of problems and does what is needed to solve themAppropriately plans and utilizes required resources for various job dutiesReports to work regularly and on timeTeamworkWorks cooperatively and collaboratively with others for the success of the teamAddresses and resolves conflict in a positive waySeeks out the ideas of others to reach the best solutionsAcknowledges and celebrates the contribution of othersEthical BehaviorDemonstrates honesty, integrity and good judgmentRespects the cultural, psychosocial, and spiritual needs of patients/families/coworkersResultsEmbraces change and improvement in the work environmentContinuously seeks to improve the quality of products/servicesDisplays flexibility in dealing with new situations or obstaclesAchieves results on time by focusing on priorities and manages time efficientlyPay Range$61,955.01 - $105,323.51Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.Equal Employment OpportunityGBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.