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Revenue Cycle Manager
2 months ago
An established, growing family practice clinic in SW Houston seeks a Billing Manager with a strong practice management background, Medicare, Medicaid, and Commercial knowledge, and an understanding of rules and regulations. The billing manager will assist in the clinic's revenue cycle process by following acceptable billing and collection principles relating to health care and the clinic's operation. The Billing Manager is delegated with administrative authority, responsibility, and accountability necessary for carrying out these duties:
Administrative Functions:
1. Assist in implementing the day-to-day functions of the outpatient billing.
2. Implement written policies and procedures that govern the billing and collections functions of the clinic.
3. Assure that patient information records are appropriately completed.
4. Ensure that payments received are recorded in the appropriate EMR areas.
5. Coordinate the accurate posting of payments to the appropriate patient’s account.
6. Coordinate accurately posting charges to the appropriate patient’s account.
7. Coordinate the preparation and mailing of patient statements.
8. Generate reports/recommendations to the Office Manager concerning billing and collection activities and status.
9. Perform secretarial functions as necessary or directed.
10. Assist in reconciling patient statements as directed.
11. Assist in standardizing the methods by which billing and collections activity will be accomplished.
12. Assist in preparing financial and statistical reports as directed.
13. Assist in preparing and implementing changes in the billing and collection processes as necessary or directed.
14. Monitor and collect all aged accounts receivables.
15. Report delinquent accounts to the Office Manager.
16. Assist in preparing monthly financial statements, including monthly revenue reports, as required or directed.
17. Perform computer/data-process functions on all patient charges and refunds.
18. Responsible for computer billings, mailing, recording, and collection.
19. Maintain billing and payment log and complete all crossover billing as necessary or directed.
20. Responsible for completing all medical claim forms and back-up information as required.
21. Responsible for keeping in contact with the responsible parties involved as to payments due and the status of their accounts.
22. Maintain the CONFIDENTIALITY of all patient information.
Expectations:
Sits, stands, bends, lifts, and moves intermittently during work hours. Is subject to frequent interruptions. We are involved with patients, family members, personnel, visitors, etc. Communicate with the medical staff, providers, and other department Supervisors. Attends and participates in continuing education programs. It is subject to hostile and emotionally upset patients, family members, personnel, visitors, etc.
Educational Requirements:
Must possess, as a minimum, a High School Diploma.
Experience
You must have at least three (3) years’ experience in revenue cycle management and hold a current CPC certification. Medicare Part B Medical billing experience is required.
