Practice Billing Manager

1 month ago


Bergen County, United States COMPANY Full time
Job DescriptionJob Description

Practice Billing Manager-           Bergen County, NJ

1. **Leadership and Team Management:**

   - Provide strong leadership and direction to the billing department.

   - Supervise, train, and mentor billing staff to ensure high performance and professional development.

   - Conduct regular team meetings to communicate updates, address issues, and promote a collaborative work environment.

   - Evaluate staff performance, provide constructive feedback, and implement improvement plans as needed.

2. **Billing and Coding:**

   - Oversee the entire out of network billing process, including charge entry, claims submission, payment posting, and account receivables.

   - Ensure accurate coding of diagnoses, procedures, and services performed by healthcare providers in accordance with CPC standards.

   - Monitor and audit billing processes to ensure compliance with federal and state regulations, as well as payer requirements.

   - Resolve coding discrepancies and billing issues in a timely manner.

3. **Revenue Cycle Management:**

   - Manage the revenue cycle to optimize financial performance and cash flow.

   - Analyze billing data and generate reports to identify trends, opportunities for improvement, and potential areas of revenue leakage.

   - Implement best practices to improve billing efficiency, reduce denials, and expedite claims processing.

   - Collaborate with other departments, such as finance and clinical operations, to align billing practices with overall practice goals.

4. **Policy and Procedure Development:**

   - Establish, implement, and maintain billing policies and procedures to ensure consistency and compliance across the practice.

   - Continuously review and update policies and procedures to reflect changes in regulations, payer requirements, and best practices.

   - Ensure that all billing staff are trained and adhere to established policies and procedures.

5. **Follow-Up and Compliance:**

   - Implement strong follow-up procedures to ensure timely resolution of unpaid claims and outstanding balances.

   - Stay current with changes in billing regulations, coding guidelines, and payer policies.

   - Ensure that the billing department adheres to all compliance standards, including HIPAA.

   - Maintain accurate and up-to-date billing records, documentation, and coding manuals.

   - Conduct regular internal audits to verify compliance and accuracy of billing activities.

6. **Patient Relations:**

   - Address patient billing inquiries and concerns with professionalism and empathy.

   - Provide clear explanations of billing processes, insurance coverage, and payment responsibilities to patients.

   - Assist patients with resolving billing issues and setting up payment plans if necessary.

**Qualifications:**

- Certified Professional Coder (CPC) certification preferred .

- Bachelor's degree in healthcare administration, business, or a related field preferred.

- Minimum of 5 years of experience in medical billing and coding, within an OUT OF NETWORK environment with at least 2 years in a supervisory or managerial role.

- Strong knowledge of medical billing software, electronic health records (EHR), and practice management systems.

- Excellent leadership and team management skills.

- Strong analytical and problem-solving abilities.

- Excellent communication and interpersonal skills.

- Detail-oriented with a high level of accuracy in work.

- Ability to work independently and collaboratively in a fast-paced environment.

Contact Lynda Fombon at Professional Search Network for more details: lynda@prosearchnetwork.com

 



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