Medical Billing Manager
1 month ago
Are you looking to join a friendly and professional administrative and billing team in a management-level position for a growing outpatient mental health clinic? Our 15-clinician-strong practice is within walking distance of the downtown St. Charles area, a vibrant community offering extensive retail, dining, and nightlife options.
As a Billing Manager with a minimum of three years in medical billing, you will apply your knowledge and experience of best practices in outpatient mental health billing using our state-of-the-industry electronic health record system and supporting technologies. The position offers up to three days of working remotely. This opportunity becomes available under a proven record of full-time, in-person revenue cycle operations and customer support, all meeting or exceeding quality and productivity benchmarks. Approval of proposed remote work performance metrics and schedule by the Billing Manager is at the discretion of the clinic’s Medical Director and senior management staff members.
Our clinic advocates cross-training, providing the Billing Manager with the opportunity to mentor administrative staff members in their support of various aspects of revenue management. This approach enables close collaboration between billing, admin, and clinical staff for routine operations and, more importantly, when working with patients to proactively resolve billing-related issues.
Job Description
Reporting directly to the Practice Manager, the Billing Manager is responsible for overall functions of practice billing and coding to ensure maximization of cash flow while striving to continuously improve patient, provider, and other customer relations. Job responsibilities and duties include, but are not limited to:
· Accurately and efficiently manages all operations of billing, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-ups, internal and external collections, patient payment programs, and reimbursement management.
· Works with clinical staff about patient high balances and strategy for collection.
· Monitors and benchmarks reimbursement rates and collaborates with the Practice Manager on annual renegotiation with in-network insurance.
· Analyzes clinician coding and claims for errors, accuracy, and completeness; submit claims to proper insurance entities and follow up on any issues.
· Maintains, prepares, and analyzes accounts receivable reports, and weekly and monthly financial reports in concert with the Practice Manager; presents or communicates such reports as appropriate to the Medical Director and senior management.
· Collects and compiles accurate statistical reports and reviews procedures to improve efficiency in billing and collections operations.
· Monitors trends impacting charges, coding, collection, and accounts receivable and takes appropriate action to realign staff and revise policies and procedures.
· Keeps up to date with carrier rule changes and distributes the information within the practice.
· Understands and remains updated with current coding and billing regulations and compliance requirements.
· Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
· Maintains a library of information/tools related to documentation guidelines and coding.
· Guides front desk staff and providers regarding billing operations.
· Coverage of front desk when needed and other duties as assigned.
Working hours are Monday through Friday, eight hours per day. Starting pay ranges from $22 - $26 per hour depending upon experience as well as an annual bonus based on performance. Benefits include 401K account management and PTO (paid time off) after minimum enrollment requirements are met.
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