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Billing Manager/Supervisor
2 months ago
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 Supervisor/Manager with a minimum of 20 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 auto insurance and/or medical billing processes, PIP (personal injury protection) collections and 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 20 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, collections, 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 similar managerial backgrounds to apply.
