Medical Billing Manager - Ophthalmology

Vision Integrated Partners (Midwest)•Overland Park, KS

7d•Onsite

About The Position

At Heart of America Eyecare, we work hard to make sure our patients have the latest in treatment options. Our commitment is to provide the highest quality of comprehensive eye care! This position is an ON-SITE position, no remote or hybrid work setting is available. Previous E-Clinical Works (ECW) experience is required With our success, comes a great team to assist us in successfully achieving our goal. We are currently seeking a Medical Billing Manager to join our team. We are a busy ophthalmology practice; therefore, the ideal candidate must have at least one (3) years of prior experience in medical billing management. Essential functions include, but not limited to: 1. Financial Responsibility Reconciles all cash transactions daily. Formulates bank deposits on an as needed basis. Prepares and distributes monthly financial and patient reports to the Practice Administrator. Posts all insurance payments on a daily basis. Maintains a monthly account of receivables over 30, 60 and 90 days, seeing that over-due accounts are addressed within the policy and procedures. Runs all patient statements bimonthly with the appropriate notation. Based on patient need, makes recommendations to Practice Administrator regarding write off bad debt. Oversees the collection process. Reconciles credit card balance daily. Remedies any previously approved insurance claim that has subsequently been denied. Handles all patient complaints regarding billing in a timely and consistent manner. Coordinates all patient and insurance refunds. Coordinates billing collections and deposits. 2. Computer System Responsibilities Enters all charges and credits daily. Transmits all insurance claims as instructed by supervisor. Backs-up computer files daily. Oversees day-to-day operation of in-house computer system; obtains repairs and maintenance as required to stay “up and running” efficiently. 3. Printing of Forms Coordinates the printing of all daily superbills, insurance forms, and patient bills. Prints monthly reports and distributes them to the proper personnel. 4. Payroll Tracks attendance and approves timecards for all members of the department. 5. Personnel Ensures accurate communication of schedules and holidays. Verifies employment as needed. Provides ongoing training, support, and education to all team members regarding insurance requirements, billing, and accurate collection of co-payments and co-insurance. Management of the revenue cycle team and oversight of department performance. 6. Other Distributes mail. Maintains current credentials for every doctor and assists in reviewing all insurance contracts. Routinely reviews and updates master fee schedule (minimum of annual review) to ensure that charges are fully captured. Periodically reviews provider billing for accuracy and maximization of charges (minimum of annual review) and provides guidance to providers on any discrepancies in billing. Participates in leadership and management team meetings. Other duties as assigned.

Requirements

High School Diploma or GED preferred
3+ years of supervisory or management experience in a medical office.
5+ years of experience in in medical billing.
Knowledge of medical billing/collection practice
Knowledge of business office procedures
Knowledge of basic medical coding and third-party operating procedures and practices
Ability to operate a computer, computer software, and basic office equipment
Ability to operate a multi-line telephone system
Skill in answering a telephone in a pleasant and helpful manner
Ability to read, understand, and follow oral and written instructions
Must be well organized and detail-oriented

Nice To Haves

Ophthalmology experience STRONGLY preferred, but not required.

Responsibilities

Financial Responsibility
Reconciles all cash transactions daily.
Formulates bank deposits on an as needed basis.
Prepares and distributes monthly financial and patient reports to the Practice Administrator.
Posts all insurance payments on a daily basis.
Maintains a monthly account of receivables over 30, 60 and 90 days, seeing that over-due accounts are addressed within the policy and procedures.
Runs all patient statements bimonthly with the appropriate notation. Based on patient need, makes recommendations to Practice Administrator regarding write off bad debt.
Oversees the collection process.
Reconciles credit card balance daily.
Remedies any previously approved insurance claim that has subsequently been denied.
Handles all patient complaints regarding billing in a timely and consistent manner.
Coordinates all patient and insurance refunds.
Coordinates billing collections and deposits.
Computer System Responsibilities
Enters all charges and credits daily.
Transmits all insurance claims as instructed by supervisor.
Backs-up computer files daily.
Oversees day-to-day operation of in-house computer system; obtains repairs and maintenance as required to stay “up and running” efficiently.
Printing of Forms
Coordinates the printing of all daily superbills, insurance forms, and patient bills.
Prints monthly reports and distributes them to the proper personnel.
Payroll
Tracks attendance and approves timecards for all members of the department.
Personnel
Ensures accurate communication of schedules and holidays.
Verifies employment as needed.
Provides ongoing training, support, and education to all team members regarding insurance requirements, billing, and accurate collection of co-payments and co-insurance.
Management of the revenue cycle team and oversight of department performance.
Other
Distributes mail.
Maintains current credentials for every doctor and assists in reviewing all insurance contracts.
Routinely reviews and updates master fee schedule (minimum of annual review) to ensure that charges are fully captured.
Periodically reviews provider billing for accuracy and maximization of charges (minimum of annual review) and provides guidance to providers on any discrepancies in billing.
Participates in leadership and management team meetings.
Other duties as assigned.