Medical Billing Administrator

TCC Health•Dunkirk, NY

6d•Onsite

About The Position

Oversees an organization's medical billing and coding department. They oversee that clean claims are sent out in a timely manner and denials are corrected. They provide effective leadership to the billing staff, reconcile accounts, enforce compliance with financial regulations, health care regulations and insurance guidelines. This position also helps develop strategies to optimize revenue and claim submissions.

Requirements

Associate or Bachelor's degree in medical billing/coding, healthcare administration, or finance.
Minimum of 3-5 years of experience in medical billing preferably at a FQHC
Solid understanding of medical terminology, ICD-10, CPT, CDT, and HCPCS coding systems
Knowledge of revenue cycle, collections and payment posting, medical billing, Medicaid and Medicare billing, and third-party payers.
Experience with managing and resolving complex billing issues
Must be reliable and extremely trustworthy.
Must be proficient in Microsoft Office Suite or related programs.
Must be able to learn other accounting software systems.
Excellent organizational skills and attention to detail.
Ability to maintain confidential and meticulous records.

Nice To Haves

Prior supervisory or management experience preferred
Experience with Athena and Dentrix a plus

Responsibilities

Performs overall revenue cycle management including accurate and timely submission of claims to insurance carriers, ensuring proper coding and documentation to avoid denials, maximizing billing revenue and collections, posting payments is timely, and resolution of denied/rejected claims.
Research and maintain billing compliance and regulations, primarily for FQHC Medicare and Medicaid.
Performs regular audits of billing reports to identify coding and billing errors, track collections, improve processes and identify trends.
Track's the organization's A/R and work towards keeping days in AR low and improving net collection rates to maintain healthy revenue cycle.
Collaberate with billing staff and other staff to address problems and troubleshoot as needed.
Develop and enforce billing policies and procedures to ensure adherence to industry standards and regulations.
Participate in meetings and communicate with management and stakeholders to provide updates on billing operations, Challenges and achievements.
Train, allocate work, and resolve problems among billing office personnel, in addition to providing motivation.
Maintain confidentiality of patient records and sensitive billing information ensuring compliance with HIPAA regulations.
Work closely with EMR and EDR vendors.
Work closely with CFO and CMO on appropriate coding/billing
Other related duties as assigned.