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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.
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
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Hard Skills & Tools
Medical BillingCPT CodingICD-10 CodingQuality Control ProcessesData Entry VerificationClaims ProcessingFinancial AuditingCost ReportingBilling DocumentationThird Party Coverage Monitoring
Soft Skills
CommunicationProblem-SolvingCollaborationTraining and OrientationCustomer Service
Certifications
Certified Coding Certificate