Billing Manager

Northeast Community Clinic•Alhambra, CA

16h•Hybrid

About The Position

The Billing Manager oversees the Billing Department. This position supervises all claims (HCFA, UB92’s) on a weekly basis, reviews claims for completeness or errors, and fixes all minor errors, such as missing CPT codes and ICD-9. Requires extensive knowledge in medical billing, HMO encounter data, and CHDP reporting. May perform other clerical and billing duties as assigned by the Controller or Executive Director.

Requirements

Microsoft Office/Word/Excel/Outlook
Excellent Communication Skills, with the ability to interpret medical billing issues
Excellent Customer Service Skills
Knowledge of Medi-Cal reimbursement guidelines preferred
Bi-lingual Spanish/English (preferred)
Ability to relate well to the cultural and ethnic characteristics, as well as, the population served by the organization
Excellent Leadership Skills
Reliable transportation
Must be able to travel from facility to facility
Bachelor’s Degree in healthcare, finance, or related field or equivalent work experience
Minimum of three years’ experience in medical billing and coding experience
Must have at least one year experience as a Medical Billing Manager
Diploma in Health Claims Examiner/Medical Biller
Commitment to goals and philosophy of Northeast Community Clinic
Valid State Identification

Nice To Haves

Bi-lingual Spanish/English

Responsibilities

Supervise and oversee the Medical Billing Supervisor, Medical Billing Lead, Medical Billers, and the Medical HCC Coder.
Review all claims for completeness and errors and correct them accordingly.
Monitor the submission of encounter data (HCFA 1500) to the appropriate health plans.
Review all denials for complexity, make corrections, and resubmit claims within 30 days of the denial received date.
Monitor the billing of the BCDP, CHDP, Medi-Cal, CPSP, PPP, EAPC, HMO, Medicare, and other funding sources.
Responsible for running all billing reports, researching reports for re-bills, and maintaining report books by funding source.
Assist with pulling all required medical billing documents needed for site sites for all clinics and administrative audits.
Review weekly “billed” report with department manager.
Inform clinic managers of “unbilled” or “go-backs” claims on a daily/weekly basis.
Generate weekly revenue report status to management team.
Other duties assigned by the Controller or Finance Director.