Billing Manager
About The Position
Under the direction of the Director of Patient Revenue, the Billing Manager oversees and coordinates all functions of the medical, dental, and behavioral health billing and revenue cycle for all GFHC sites. Manages data entry, collection, insurance contract adherence, patient billing, correspondence, compliance, refunding/credit balances and AR follow-up and analysis. Promotes and maintains exceptional customer service while supporting timely reimbursement, active claim follow-up, effective accounts receivable management, clear interdepartmental communication, revenue-cycle performance, and collaboration with the Coding and Credentialing Manager. The position also provides coverage and operational support for the Coding and Credentialing Manager as needed. The Billing Manager acts as a liaison between Patient Revenue, clinicians, Informatics, clinical leadership, and other departments regarding claim denial trends, billed-visit write-offs, payer and insurance plan changes, and front-end revenue-cycle issues. This includes communicating trends, identifying workflow concerns, and supporting process improvements that promote billing accuracy, timely reimbursement, and overall revenue-cycle performance.
Requirements
- Bachelor’s Degree with minimum of two (2) years’ experience in management/supervisory capacity; or equivalent combination of education and management experience.
- Minimum four (4) years’ experience in medical billing and collections.
- Strong working knowledge of Medicaid and Medicare programs.
- Knowledge of insurance and medical terminology, ICD 10, CPT, coding, collections, and federal and state laws governing billing compliance.
- Ability to manage and utilize computerized medical records and billing data systems.
- Ability to manage and utilize electronic health records, practice management systems, payer portals, and billing data systems.
- Excellent organizational, analytical, communication, and problem solving skills with strong attention to detail.
Nice To Haves
- Experience with Federally Qualified Health Center (FQHC) coding and reimbursement preferred.
Responsibilities
- Billing Operations and Revenue Cycle Management
- Claims, Payments, and Denial Management
- Compliance, Reporting, and Process Improvement
- Leadership, Collaboration, and Administrative Responsibilities
Benefits
- 5 weeks of paid time off
- 9 paid holidays
- Medical, dental, vision and life insurance coverage
- 403(b) retirement savings plan with employer contribution
- Voluntary Life insurance
- Employee Assistance Program
- FSA & DCA options
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What This Job Offers
Job Type
Full-time
Career Level
Manager
