Patient Accounts/Billing Mgr

FAMILY HEALTH CARE CENTER OF KALAMAZOO•Kalamazoo, MI

About The Position

The Patient Accounts/Billing Manager coordinates and directs accounts receivable, payer enrollment, medical billing, and collections. The role assists the Director of Finance in overseeing revenue cycle operations and maintaining effective standards, systems, and processes. It provides ongoing guidance on revenue cycle performance and expertise on revenue compliance and enhancement initiatives. The manager answers questions about billing procedures, diagnosis codes, and payment posting, and oversees third-party accounts receivable and correspondence related to patient accounts. The manager directly supervises employees and consultants in the Patient Accounts/Billing Department, including responsibility for hiring, training, work assignments, performance reviews, and resolving complaints and problems. The role manages receivables, payer relationships, billing and collection procedures, patient account data, reporting, and daily ledger balancing. It also collaborates with providers and revenue cycle participants, responds to patient inquiries, supports the Director of Finance with financial and statistical analysis, and develops policies and procedures that support quality improvement.

Requirements

CPC certification is required within six months of employment.
Associate’s degree required.
At least three years of supervisory experience in health care.
Comprehensive knowledge of medical coding and billing, CPT, ICD-9, ICD-10, HCPCS coding books, and federal and state regulations.
Ability to use electronic health records software to manage patient account information for billing.
Intermediate knowledge of Microsoft Office, including Excel spreadsheet and word processing software.
Ability to write reports and business correspondence and present information effectively to groups of managers, clients, customers, and the public.
Ability to deal with problems involving several concrete variables in standardized situations.

Nice To Haves

Ability to speak Spanish.
Bachelor’s degree in business administration, finance, accounting, or healthcare administration.
A combination of progressive experience and education may be considered.

Responsibilities

Directly supervise Patient Accounts/Billing Department employees and consultants, including interviewing, hiring, training, assigning and directing work, appraising performance, and resolving complaints and problems.
Manage accounts receivable and identify accurate payments in accordance with contractual terms, regulatory requirements, and other conditions.
Maintain database integrity and the practice management system to support effective patient financial services.
Identify and manage payer issues, work with payers to improve collections and reduce accounts receivable days, reconcile remittance statements, and update payer information.
Collaborate with revenue cycle participants and providers on the development, execution, and follow-up of revenue cycle activities.
Meet or exceed monthly cash goals and work within established productivity guidelines.
Prepare and distribute accounts receivable and revenue cycle reports for timely decision-making.
Maintain current information on community health center and nonprofit best practices and applicable state and federal laws.
Oversee daily balancing of the accounts receivable ledger, including charges, payments, and adjustments.
Oversee and, when necessary, code and enter encounter and charge data, CPT and ICD codes, and patient demographic data into the patient accounting system accurately and promptly.
Oversee billing and collection procedures for insured and uninsured accounts with assistance from Patient Account Representatives and the Director of Finance.
Respond to and follow through on patient inquiries to support patient satisfaction.
Develop and implement policies and procedures that support quality improvement.
Provide financial and statistical support to the Director of Finance, including analysis of receivable ratios, coding variances, rejection tracking, and departmental reports.
Review third-party payer reimbursements to ensure payments use appropriate codes.
Attend assigned in-service sessions, training seminars, and departmental meetings.
Promote safety and security measures for staff and patients and follow data security guidelines, including appropriate use of electronic medical record systems and IT resources.