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Medical Billing Manager
NeighborHealth CenterBilling Manager responsible for leading a billing team, ensuring timely billing and collections for NeighborHealth Center. Requires coordination and expertise in medical billing and coding with remote aspects.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and coding, with a strong focus on team leadership, quality control, and compliance with insurance guidelines. Proficient in managing billing processes and ensuring timely collections while fostering professional growth within the billing team.
Highest-signal resume keywords
Billing Team LeadershipMedical Billing Terminology MasteryEPIC Practice Management SystemInsurance Guidelines KnowledgeCertified Coding Certificate
ATS Keywords
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Hard Skills
Medical BillingCPT CodingICD-10 CodingQuality Control ProcessesData Entry VerificationClaims ProcessingFinancial AuditingCost ReportingBilling DocumentationThird Party Coverage Monitoring
Soft Skills
CommunicationProblem-SolvingCollaborationTraining and OrientationCustomer Service
Tools & Technologies
EPICPractice Management Systems
Certifications & Qualifications
Certified Coding Certificate
Industry Keywords
FQHC ExperienceInsurance BasicsHMO/PPOMedicareMedicaid
About the role
Key responsibilities & impact- Responsible for the billing team leadership, subject matter expertise, and organizing and performing a variety of regular tasks to ensure timely and comprehensive billing and collections for services rendered by NHC providers;
- Supervise and coordinate the workload of the billing staff to ensure all tasks are completed accurately and in a timely manner.
- Define and communicate current and new billing tasks and definitions of the billing team.
- Recommend and report billing issues of concern or accommodation to the clinic manager for action.
- Run, work, and manage reports for the purpose of verifying quality and completeness of various data entry and other functions in EPIC.
- Communicate with NHC staff about missing and erroneous data and ensure the completion and correction of the same.
- Work collaboratively with other members of the organization to maximize accuracy, efficiency, and promptness of the claim life cycle.
- Troubleshoot other problems in various billing processes and document to resolution problems discovered.
- Maintain and control documentation of billing processes.
- Execute quality control processes to ensure consistent billing and collection.
- Monitor third party coverage contracts, ensuring that current contractual terms are understood and applied correctly.
- Assist accounting with reconciling EPIC monthly deposit reports to the general ledger deposits.
- Assist CFO in completion of the annual cost reports, financial audit, annual UDS report, and any other required annual governmental reporting.
- Create and foster an environment that encourages professional growth of billing specialists.
- Other duties as assigned.
- Study and evaluate new and changing billing requirements and recommend solutions.
- Work directly with managers to revise processes and resolve issues.
- Document significant billing changes and methods for management awareness.
- Monitor changing standards and methods in billing to ensure NHC methods and processes are current.
- Manage and coordinate the billing team’s work results for quality, accuracy, and timeliness.
- Oversee and review the transmission of claims in EPIC as well as other electronic and paper claim processing.
- Follow up on unpaid claims within standard billing cycle timeframe.
- Oversee payment processing for accuracy and compliance.
- Provide customer service to patients enquiring about their accounts and process requests for refunds.
- Provide ongoing orientation and training to staff.
Requirements
What you’ll need- Associate’s degree in medical billing and coding preferred or a combination of education and experience.
- Minimum of five years’ progressive billing experience required, including supervisory duties.
- FQHC experience.
- Mastery of insurance basics and practices.
- Mastery of medical billing terminology.
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
- Familiarity with CPT and ICD-10 coding.
- Working knowledge of NHC’s practice management system, EPIC.
- Certified coding certificate or comparable experience required.
- Ability to work without constant supervision and adhere to policies and procedures.
- Ability to work remotely via a home office set up with access to secure Internet connection.
- Ability to read, write, speak, and comprehend English fluently.
- Vaccines as required.
Benefits
Comp & perks- N/A 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score