Medical Biller Manager

2 weeks ago


Murrieta, United States Pacific Heart Medical Group Full time

Responsibilities and Duties:

- Manage, supervise and oversee 6 medical billers
- Create a harmonious and structured work environment
- Manager, oversee and participate in the following duties with the team:

- Analyzing accounts receivable reports to identify problems on accounts, research accounts/trends and take appropriate actions to promote reimbursement
- Understanding and use of best medical billing practices and strict adherence to regulations
- Knowledge of CPT, ICD-10, and HCPCS codes, as well as appropriate modifier usage
- Familiar with billing all major medical insurances, including Medicare and commercial payers
- Ability to work independently and collectively toward team goals
- Efficient and effective multitasking
- Ability to communicate effectively and congenially with patients and staff members in person and over the phone
- Ability to accept supervision and feedback
- Review medical documentation and billing for errors, to ensure a clean claim is submitted the first time
- Follow up on unpaid and denied claims
- Post Payments
- Comply with all company policies and procedures found in the employee handbook.
- Oversee automated billing processes within billing software, including managing remittance and postings, follow-up on denials, correcting claims within hold status and reviewing accounts receivable, aging and collections reports.
- Submit documentation as needed for appeals.
- Submit timely claims after provider encounters, review documentation, coding, authorization, and insurance eligibility before submissions
- Performs regular reconciliation and correction of remittance records, missing slips, and other billing tasks
- Performs regular billing of no-shows, inpatient encounters, and non-face-to-face encounters

Education & Experience Requirements:

- Ten years of experience in billing, coding, and collections in a healthcare setting
- Graduated from an accredited Billing Program
- Certified Coding Specialist preferred
- Experience with Advanced MD preferable
- Experience With Practice Fusion preferable

Knowledge and Abilities:

- Up-to-date knowledge of medical billing principles and practices, as well as relevant laws and regulations.
- Knowledge of electronic health record (EHR) systems; Practice Fusion experience is a plus.
- Ability to manage a team with Independent decision-making; ability to exercise independent judgment.

Working Environment:
1. Work in an office, where the climate is controlled

Pay: $28.00 - $30.00 per hour

**Benefits**:

- 401(k) matching
- Health insurance
- Paid time off
- Paid sick pay

Schedule:

- 8 hour shift
- Monday to Friday In Person At Office Location

Work setting:

- Private practice

Work Location: In person

**Job Types**: Full-time, Part-time

Pay: $28.00 - $30.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k) matching
- Health insurance
- Paid time off

Schedule:

- 8 hour shift
- Monday to Friday

Work Location: In person


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