Billing Director

Opportunities Industrialization Centers•Rocky Mount, NC

1d•$85,000 - $110,000

About The Position

The Billing Director will oversee the preparation and billing of all third-party claims and ensure the appropriate payers are timely and accurately within reimbursement guidelines. This role will provide one-on-one and group training to faculty physicians, advanced practitioners, and billing and coding staff as well as ensure the organization complies with federal and state regulations and laws, and other third-party payor billing guidelines. Promptly process all payments received and document all receivable data for general ledger reporting purposes. Assist the Accounting department during month-end close and train the accounting staff on how to use the billing system.

Requirements

Bachelor's degree in Business, Education, Finance, Accounting, Management, or Business Administration.
5+ years as Billing Manager and/or Billing Supervisor
Must have good organizational skills and the ability to perform numerous tasks simultaneously in a fast-paced office environment.
Good analytical and accounting skills, be detail oriented and have a sense of personal responsibility for your work performance.

Responsibilities

Identifies training needs and ensures proper training is developed, provided, and implemented for their staff.
Promote the mission, vision, and values of the organization.
Lead the billing team in the creation of best practices for billing documentation.
Overseeing the billing and coding staff to ensure that billing and coding standards are being adhered to.
Maintain updated written billing procedures and innovation of billing documentation.
Manage the update and verify patient Billing Reports.
Develop and monitor the systems to ensure the accuracy of billing data.
Oversee administration and maintenance of electronic billing and remittance software.
Ensure billing reports are reviewed, and appropriate corrective actions are taken if necessary.
Ensure that written front desk and coding policies and procedures are followed and updated to ensure adherence to HIPPA, Medicare, Medicaid, FQHC, HRSA, and state and federal guidelines and regulations.
Ensure that all claims, write-offs, and denials are recorded and processed in time for the month-end close.
Provide the Accounting Manager with a monthly billing revenue, receivable accrual, and write-off report that ensures proper and accurate month-end close.
Ensure that a system exists to a) track claims billed versus paid and b) follow up on, investigate, and resubmit denied claims.
Evaluate and cross-train all billers. Ensure billers stay current on regulations, coding, and procedures governing billing from Medicaid, Medicare, private insurers, and state and federal agencies.
Assist Accounting with collection reconciliation and invoicing to ensure money received represents what patients paid or should have paid. Ensure that the FMC LOG receipts and the EMR system balance.
Provide Accounting with all third-party billing information.
Work with Medical Assistants to ensure providers’ notes and procedure codes match and are in line with all payee requirements and company policy and procedures.
Store and maintain all billing records for audit purposes.
Assist clinic staff, grantors, vendors, and auditors upon request.
Ensure that the sliding fee is administered in accordance with HRSA guidelines.
Ensure that payments to all third parties are accurate and timely.
Other duties as assigned by the CHOO.