Billing Operations Manager

4 weeks ago


Ukiah, California, United States Mendocino Community Health Clinic Full time
Job Description

Mendocino Community Health Clinic seeks a skilled Billing Operations Manager to oversee the daily operational management of the Billing Department. This role is responsible for maintaining patient billing record integrity and related functions.

The ideal candidate will possess expert knowledge of FQHC industry standards and trends, staying up-to-date with changes. They will collaborate with other departments to improve the revenue cycle, achieving revenue and reporting goals.

Key Responsibilities:

  • Manage billing procedures and staff productivity, ensuring services are billed accurately, promptly, efficiently, and consistently.
  • Work with the EMR Manager to maintain EMR/EPM procedures and diagnosis codes for claims and reporting purposes.
  • Maintain and develop EHR claims processes to meet payer needs.
  • Create processing goals for the billing team, monitor progress, and collaborate to identify and address obstacles.
  • Collaborate with other department staff to educate on proper revenue cycle processing, streamline existing processes, and develop new ones.
  • Review metrics and trend details with the CFO to identify and prioritize projects and training opportunities.
  • Lead and direct staff participation in revenue cycle initiatives, designing, developing, and implementing projects and programs.
  • Ensure credit balances and undistributed credits are resolved monthly.
  • Develop tools to track financial performance and outcomes, presenting to leaders to identify areas of opportunity.

Requirements:

  • A minimum of four years' experience in a healthcare setting, demonstrating an increase in scope of responsibilities.
  • Excellent oral and written communication skills.
  • Computer/PC literate: Excel, Window, MS Office environments.
  • Exceptional customer service skills.
  • Ability to define problems, collect data, establish facts, and draw valid conclusions.


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