Revenue Cycle Billing Manager

2 weeks ago

Cullman, Alabama, United States Cullman Internal Medicine PC Full time
Job Title: Revenue Cycle Billing Manager

Cullman Internal Medicine PC is seeking a highly skilled Revenue Cycle Billing Manager to join our team. As a key member of our revenue cycle team, you will be responsible for supervising a team of billing specialists, patient registration clerks, and the patient advocate. This role will report directly to the physicians and practice administrator.

Responsibilities:
  • Supervise the billing and patient registration department operations, including charge entry, payment posting, reimbursement management, insurance verification, and accounts receivable follow-up.
  • Ensure claims are filed with appropriate CPT codes, ICD-10 codes, and modifiers.
  • Review claim notes to ensure appropriate documentation for claims.
  • Review claims submission batches and reconcile errors.
  • Review automated submission of patient statements.
  • Ensure timely filing and collections.
  • Schedule tasks to ensure practice timelines are met.
  • Complete necessary month-end and year-end tasks, including working with the Business Office Manager and Practice Administrator on verification of data accuracy, balancing, key performance indicators (KPIs), report-generation, etc.
  • Carry out analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing staff.
  • Carry out audits of current procedures and processes, discover billing/registration operations areas to improve efficiency and accuracy of data input.
  • Train, allocate work, and resolve problems among billing office personnel.
  • Carry out performance evaluation of personnel and recommend necessary actions.
  • Provide motivation to employees to achieve their best performance and high degree of productivity.
  • Ensure strong team building and protocol in the billing and registration department by holding monthly staff meetings, adjusting the frequency as needed.
  • Ensure quality and appropriate trainings are provided to newly hired and existing billing/registration staff through effective supervision and coordination of the training process, and by adhering to established company policies and procedures.
  • Coordinate time away requests of team members to ensure the daily functions of the department are not negatively affected.
  • Collaborate with other departments to get and analyze additional information about patients to be able to record and process billing effectively.
  • Ensure the billing/registration department carries out all its activities in accordance with its overall protocol, and also that they complied with payer, State, and Federal requirements, regulations, and guidelines.
  • Remain updated on HIPAA and all other health information management issues and regulations.
  • Give report of all concerns and issues at the department to the Practice Administrator for prompt necessary action.
  • Work with the Patient Advocate to review and send collection letters to patients monthly.
  • Assist the Patient Advocate in research and handling return checks for the group.
  • Ensure designated staff is timely in researching and correcting bad addresses from return mail and statements.
  • Answer and handle account calls concerning patient and insurance balances, insurance changes, patient information updates, refile insurance information, etc., in an efficient and timely manner.
  • Research credit balances for refunds due to the patient or the insurance company and report these refunds to the office manager.
  • Other duties as assigned by physicians or management.
Requirements:
  • Minimum five years of experience in billing insurance and patient collections, primary care experience preferred.
  • Minimum of three years working in a supervisory or management position.
  • Candidate must be a Certified Professional Coder through AAPC.
  • Strong proficiency in the use of Word, Outlook, Excel, OneNote, and other Microsoft Office tools.
  • Ability to organize processes and tasks.
  • Strong ability to communicate effectively, verbally and in writing, and establish and maintain good working relationships with patients, physicians, and coworkers.
  • Possess profound knowledge and understanding of rules and regulations affecting medical billing and insurance verification.
  • Deep knowledge and understanding of revenue cycle, collections, and payment posting, medical billing, Medicare and Medicaid, and third-party payers.
  • Thorough knowledge and working experience of CPT and ICD-10 codes, UB04 claim forms, HCFA 1500, HIPAA, insurance benefits, medical terminology, appeal processes, and billing, collections, and insurance regulations.
  • Solid knowledge of basic accounting principles and business management to be able to effectively give direction to the billing office and assist the Business Office Manager and Practice Administrator.
  • Strong negotiation skills to be able to effectively deal with patients and payers to secure payment, as well as to be able to discuss the finances of patients.
  • Possess current knowledge of technologies in the health information sector and their applications.
  • Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees.
  • Detail-oriented with the ability to work under pressure and frequent interruptions from staff and patients without being distracted.
  • Strong ability to display exceptional initiative and work under little or no supervision.
Benefits:
  • 401(k)
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Long-term disability insurance
  • Paid vacation and sick time
  • Paid holidays per company policy
  • Continuing education reimbursement
  • Paid MGMA local and state membership
  • Paid AAPC membership
  • CEU reimbursement as stated per company policy

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