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Practice Billing Manager
2 months ago
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