Personal Injury Billing Manager
2 days ago
Job Title: Personal Injury Billing Manager
Job Summary:
Sterling Medical Group is seeking a highly skilled and experienced Personal Injury Billing Manager to join our team. 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.
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.
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