Patient Accounts/Billing Mgr

FAMILY HEALTH CARE CENTER OF KALAMAZOO•Kalamazoo, MI

3d•Onsite

About The Position

Coordinate and provide direction, supervision, and monitor performance of accounts receivable, provider enrollment with payers, and medical billing and collections. Assist the Director of Finance in overseeing revenue cycle operation programs that establish and maintain standards, systems, and processes that are effective. Provide ongoing guidance and feedback for issues surrounding revenue cycle performance. Provide expertise on the organization’s revenue compliance and revenue enhancement initiatives. Answers questions about billing procedures, diagnosis codes, and payment posting. Oversees the handling of accounts receivables for third-party billing and correspondence related to patient accounts.

Requirements

CPC certification within 6 months of employment required.
Ability to deal with problems involving several concrete variables in standardized situations.
Must be able to effectively utilize electronic health records software to manage the patient account information for billing purposes.
Intermediate level knowledge of Microsoft Office utilizing Excel Spreadsheet software and Word processing software.
Ability to write reports and business correspondence.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Associate’s degree required.
Comprehensive knowledge of medical coding, billing, CPT, ICD-9, ICD-10, HCPC’s coding books, and federal/state regulations is requisite.

Nice To Haves

Ability to speak Spanish is highly desirable.
Bachelor’s degree in business administration, finance, accounting or healthcare administration desired.
Minimum of three years supervisory experience in health care.
A combination of progressive experience and education would be considered.

Responsibilities

Directly supervises employees and consultant(s) in the Patient Accounts/Billing Department. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
Responsible for managing accounts receivable including identifying accurate payment in accordance with terms, regulatory requirements, and conditions.
Maintain database integrity, including maintenance of practice management system for optimum patient financial services utilization.
Identify and manage payer issues, working with each payer to improve collections and reduce accounts receivable days, including reconciling remittance statements and updating payer information.
Educate and participate collaboratively with revenue cycle participants and providers in the development, execution, and follow-up of revenue cycle activities.
Meet or exceed monthly cash goals and works within pre-established productivity guidelines.
Prepare and distribute a variety of accounts receivable and revenue cycle reports to provide for timely information for decision-making.
Maintain up to date information on community health center/non-for-profit best practices and state and federal law.
Oversees daily balancing of accounts receivable ledger (i.e. Charges, payments, and adjustments).
Oversees and, if necessary, codes and enters encounter and charge data, CPT and ICD codes, and patient demographic data into patient accounting system in a timely and accurate manner.
Oversees collection and billing procedures on all insured and non-insured accounts with the assistance of the Patient Account Representatives and Director of Finance.
Responds to and follows through on patient inquiries to assure patient satisfaction.
Develops and implements policies and procedures that support quality improvement.
Provides financial and statistical support to the Director of Finance which includes, but is not limited to, analyzing receivable ratios, coding variances, rejections tracking, and preparing necessary department reports.
Reviews reimbursement from third party payers to ensure payment through proper use of codes.
Attends in-service, training seminars, and departmental meetings as assigned.
Promotes safety precautions and security measures to ensure the safety of both staff and patients.
Adheres to data security guidelines, including appropriate use of EMR systems and IT resources.