Billing Manager

Park Place Behavioral Healthcare•Kissimmee, FL

About The Position

SUMMARY: Oversees the staff responsible for the billing and collection of insurance claims and patient fees. ESSENTIAL DUTIES AND RESPONSIBILITIES: The Duties and Responsibilities reflect the general details considered necessary to describe the principal functions of the job and shall not be construed as a detailed description of all related work assignments that may be inherent to the job. Supervise Business Office staff (remote, in office, and hybrid) and billing related operations/systems. Responsible for billing and collection processes for insurance claims and patient fees. Resolve issues affecting billing and/or collections by communicating with other department managers, Business Office staff, insurance companies, etc. Find and implement timely and logical solutions. Conduct monthly staff meetings. Coordinate cross-training of staff; each duty should be able to be performed by at least two staff. Responsible for timely review of EHR data to ensure accurate reporting of revenue by the Controller on a monthly basis. Responsible for maintenance of EHR for billing related items (payers, fee schedules, billing rules, provider co-signatures, billing provider, etc.) Stay current on billing requirements as set by Medicaid, Medicare, and other insurance payers. Proactively implement new processes or procedures prior to effective date. Keep Controller informed of day-to-day operations including accomplishments, problems and solutions, and staff issues. Maintain no more than a 5% annual accrual in overtime hours. Maintain departmental budget. Performs other duties as required by supervisor

Requirements

Associate’s degree or equivalent experience in related field.
Certification in Medical Billing and Coding.
Working knowledge of CPT codes, HCPCS codes, HCFA 1500 and UB-04 billing forms, 837I and 837P electronic billing formats, Medicaid, Medicare, and Commercial insurance billing rules for inpatient and outpatient behavioral health claims.
Maturity and sensitivity to the special needs of those who have a co-occurring mental health and/or substance use disorder.
Ability to utilize and navigate an electronic health record.
Knowledge of Agency values, approach and services
Ability to give directions, instructions and information to staff members.
Communicate effectively with clients and other employees.
A valid Class E Drivers’ License for positions that require driving personal or Agency vehicle on Agency business.
Must maintain a minimum Bodily Injury & Property Liability insurance limit of at least $50,000 for positions that require driving personal own vehicle (POV) on Agency business.
PPBH is a 24/7 Agency. All employees must be available as needed when required.

Responsibilities

Supervise Business Office staff (remote, in office, and hybrid) and billing related operations/systems.
Responsible for billing and collection processes for insurance claims and patient fees.
Resolve issues affecting billing and/or collections by communicating with other department managers, Business Office staff, insurance companies, etc.
Find and implement timely and logical solutions.
Conduct monthly staff meetings.
Coordinate cross-training of staff; each duty should be able to be performed by at least two staff.
Responsible for timely review of EHR data to ensure accurate reporting of revenue by the Controller on a monthly basis.
Responsible for maintenance of EHR for billing related items (payers, fee schedules, billing rules, provider co-signatures, billing provider, etc.)
Stay current on billing requirements as set by Medicaid, Medicare, and other insurance payers.
Proactively implement new processes or procedures prior to effective date.
Keep Controller informed of day-to-day operations including accomplishments, problems and solutions, and staff issues.
Maintain no more than a 5% annual accrual in overtime hours.
Maintain departmental budget.
Performs other duties as required by supervisor