Billing Manager/Supervisor

2 weeks ago

Winter Park, United States Sterling Medical Group Full time
Job DescriptionJob Description

Sterling Medical Group is a dynamic and rapidly growing personal injury Chiropractic and Specialty healthcare organization committed to delivering exceptional services to our clients. With a focus on innovation and excellence, we are seeking a highly skilled and experienced Billing Manager to join our dedicated team.

Position Overview:
We are looking for a seasoned PERSONAL INJURY Billing Manager with a minimum of 10 years of experience in managing billing operations, specifically in the context of Personal Injury Protection (PIP). The ideal candidate will possess in-depth knowledge of billing processes, reimbursement systems, and a strong background in ensuring compliance with PIP regulations. The Billing Manager will play a crucial role in ensuring accurate and timely billing, compliance with regulatory requirements, and the implementation of efficient billing practices in the realm of personal injury.

Responsibilities:

  • Billing Strategy and Oversight:
  • Develop and implement effective billing strategies aligned with industry best practices.
  • Oversee the end-to-end billing process, ensuring accuracy and efficiency
  • Review and verify medical billing information for accuracy and completeness
  • Prepare and submit claims to insurance companies electronically or by mail
  • Follow up on unpaid claims and denials, and resubmit as necessary
  • Research and resolve billing discrepancies or issues
  • Communicate with patients, insurance companies, and healthcare providers regarding billing inquiries or disputes
  • Maintain patient confidentiality and adhere to all HIPAA regulations
  • Personal Injury Protection (PIP):
  • Utilize extensive PIP experience to identify and prevent billing errors and fraudulent activities related to personal injury claims.
  • Collaborate with cross-functional teams to implement and optimize PIP initiatives.
  • Compliance and Regulatory Adherence:
  • Stay abreast of industry regulations and compliance requirements related to PIP and personal injury protections.
  • Implement and monitor processes to ensure adherence to PIP regulatory standards.
  • Team Leadership:
  • Lead and mentor the billing team, fostering a culture of accountability and continuous improvement.
  • Conduct regular training sessions to keep the team updated on PIP regulations, industry changes, and best practices.
  • Performance Analysis and Reporting:
  • Implement key performance indicators (KPIs) to measure billing performance in the context of PIP.
  • Generate regular reports for management, highlighting areas for improvement and success.
  • Collaboration:
  • Collaborate with other departments, such as, operations, and IT, and human resources to streamline processes and resolve issues.

Qualifications:

  • Bachelor's degree in Accounting, Finance, or a related field preferred
  • Minimum of 10 years of experience in billing, with a focus on Personal Injury Protections (PIP).
  • Proven experience in a managerial or leadership role within billing operations.
  • Strong knowledge of PIP regulations, compliance requirements, and reimbursement systems.
  • Excellent analytical and problem-solving skills.
  • Exceptional communication and interpersonal skills.
  • Proficient in using medical billing software and electronic health records (EHR) systems
  • Knowledge of medical coding systems (such as CPT, ICD-10, HCPCS)
  • Familiarity with insurance guidelines and reimbursement processes
  • Strong attention to detail and accuracy in data entry and record keeping
  • Excellent communication skills, both written and verbal
  • Ability to work independently and prioritize tasks effectively

Sterling Medical Group is an equal opportunity employer and welcomes candidates from all backgrounds to apply.

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