Medical Billing Manager

5 Days Old

Principal Duties And Responsibilities

Complete monthly billing within five (5) business days for all entities and locations.

Manage 10+ member billing team performance including setting regular goals, setting productivity standards, carrying out performance evaluations and recommend necessary actions.

Run weekly staff meetings.

Supervise the billing operations:

  • Insurance eligibility and authorization
  • Preparing claim for submission (including coding)
  • Address and resolve coding-related billing issues by consulting with other departments (techs, nurses, clients) to clearly understand patient's records
  • Train, allocate work, and resolve problems among billing personnel
  • Submit billing to insurance and facilities
  • Posting payments
  • Responsible party billing
  • Rejections, denials, appeals, resubmissions
  • Reimbursement management
  • Identify opportunities for insurance credentialing
  • Related to medical record request and CERTs

Work closely with All-Stat's Finance Dept to project go-forward staffing needs

Conduct new employee interviews.

Spearhead cross-training of billing employees

Carry out analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing staff

Carry out audits of current procedures and processes, billing operations improvements and coordinate necessary actions

Ensure quality and appropriate trainings are provided to newly hired and existing billing staff through effect supervision and coordination of the training process, and by adhering to established company standard operating procedures

Collaborate with other departments (including Client Services and Operations) to get and analyze additional information about patients to be able to record and process billing effectively and spearhead opportunities for process improvements

Ensure the billing activities follow payer, State, and Federal requirements, regulations, and guidelines

Remain updated on billing and coding standards and regulations

Remain updated on HIPAA and all other health information management issues and regulations

Comply with medical billing and coding policies and guidelines

Report all department concerns and issues to the Director of Revenue for prompt necessary action.

Partner with Compliance Department over all billing activities including participating in internal and external audits.

Work Experience Requirements

Experience with radiology billing

Proven ability to perform strategic planning and priority setting for a billing department

Proven track record for improving process efficiencies and solving problems

Strong leadership skills with an ability to motivate 10+ direct reports

Detail oriented.

Excellent communication skills both written and verbal, and internal personal skills.

Excellent analytical and problem-solving skills.

Ability to manage multiple projects concurrently

In-office position, this is a non-remote role

Preferred:

  • Experience with Mobile Radiology billing
  • Experience invoicing both Medicare part A and part B

Compensation: (Based on experience): Range from $65k - $75k

Benefits:

  • Medical, Dental, 401k Benefits Package
  • PTO
  • Long-Term Disability and Life Insurance
  • Overtime Opportunities
Location:
Skokie

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