Medical Billing Manager

Empire Management Group Inc•Bakersfield, CA

4h•$30 - $35

About The Position

The Medical Billing Manager provides tactical leadership to the account representatives in the billing department. The manager coordinates the day-today operational aspects of the billing department including: reviewing accounts, collecting payments, and verifying all information and documentation necessary for timely billing of patient accounts.

Requirements

High School graduate or equivalent technical training with some additional education (i. e. computer training, communication classes, etc.)
Demonstrate a positive demeanor
Excellent verbal and written skills
Must demonstrate strong interpersonal skills
Thorough understanding of insurance billing requirements for all federal, state and local agencies and third party submissions
Basic knowledge of medical terminology
Typing, data entry, 10-key, and word processing
Knowledge of ICD-10 and CPT coding.
Experience with facility billing and coding
Basic knowledge of accounting procedures and computer based accounts receivable systems

Nice To Haves

Medical billing and/or coding certification or degree, preferred
3-5 years computerized medical billing or medical office experience, preferred
1 year supervisory or management experience, preferred
Knowledge of Medicare and Medi-Cal reimbursement processes, preferred
Thorough understanding of HCFA 1500 and UB-04 billing and basic understanding of coding, preferred

Responsibilities

Submitting primary, secondary, and tertiary claims to insurance carriers.
Resolving insurance claim denials.
Reviewing and monitoring insurance reimbursement for consistency with contracts.
Processing monthly statement billing for patient balances.
Posting payments from insurance carriers and patients.
Applying co-payments, co-insurance, and deductible amounts to patient accounts.
Responding to physician, patient, and insurance carrier questions and requests for information.
Evaluating patient demographics for accuracy and completeness.
Process patient phone payments.
Monitor and resolve financial discrepancies.
Creates and provides billing staff weekly revised work schedules as needed and executes scheduling changes as necessary
Holds regular billing staff meetings
Participates in work groups, teams, task forces and committees to support ongoing improvement in billing operations
Approves/denies staff requests for time off with pay/without pay
Executes all new or revised policies and procedures
Addresses patient complaints, prepares incident reports, prepares unusual occurrence reports, prepares other billing reports as requested, and any matter requiring attention in the billing department