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, provider enrollment with payers, medical billing, and collections. The role assists the Director of Finance in overseeing revenue cycle programs and maintaining effective standards, systems, and processes. It provides 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 patient-account correspondence. The position directly supervises Patient Accounts/Billing Department employees and consultants. It manages accounts receivable, payer relationships, practice-management system data integrity, billing and collection procedures, and the timely, accurate handling of encounter, charge, coding, and demographic data. The manager collaborates with providers and revenue cycle participants, monitors cash goals and productivity, prepares reports and financial analyses, supports the Director of Finance, responds to patient inquiries, and develops policies and procedures that support quality improvement. The role also promotes safety, security, and appropriate use of electronic health records and IT resources.

Requirements

CPC certification is required within six months of employment.
Associate’s degree required.
Minimum of three years of supervisory experience in health care; a combination of progressive experience and education may be considered.
Comprehensive knowledge of medical coding and billing, CPT, ICD-9, ICD-10, HCPCs coding books, and federal and state regulations.
Ability to effectively 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.
Ability to present information effectively and respond to questions from managers, clients, customers, and the general public.
Ability to deal with problems involving several concrete variables in standardized situations.

Nice To Haves

Bachelor’s degree in business administration, finance, accounting, or healthcare administration is desired.
Ability to speak Spanish is highly desirable.

Responsibilities

Directly supervise department employees and consultants, including interviewing, hiring, training, assigning and directing work, appraising performance, and addressing complaints and performance issues.
Manage accounts receivable and ensure payments are accurate and consistent with terms and regulatory requirements.
Maintain database integrity and the practice management system for effective patient financial services.
Identify and manage payer issues, improve collections and 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 to support timely decision-making.
Maintain current knowledge of community health center and nonprofit best practices and 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 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 reporting.
Review third-party payer reimbursement to ensure proper use of codes.
Attend assigned in-service sessions, training seminars, and departmental meetings.
Promote safety precautions and security measures for staff and patients, and follow data security guidelines for EMR systems and IT resources.