Billing and Coding Manager

ProspectBlue Chicago, Illinois
billing manager billing medical insurance patients regulations management team health procedures manager coordinate
December 13, 2022
ProspectBlue
Chicago, Illinois

ProspectBlue has partnered with a client to add an experienced Billing and Coding Manager to to their team!


The Billing Manager will supervise and coordinate third-party billing and the application of payments for the business office.


Education and Experience:

� Bachelor's degree

� Must have at least five years of experience

� Certified Coder a plus


Required Skills/Abilities:

� Strong experience in medical insurance/healthcare billing and collections work in a health system or medical practice

� Possess profound knowledge and understanding of rules and regulations affecting medical billing and insurance verification

� A considerable number of years working in a supervisory or management position

� Deep knowledge and understanding of revenue cycle, collections and payment posting, medical billing, Medicare and Medicaid, and third-party payers

� Thorough knowledge and working experience of CPT and ICD10 codes, HCFA 1500, HIPAA, medical terminology, appeal processes, billing and insurance regulations, and insurance benefits

� Solid knowledge of basic accounting principles and business management to be able to give direction to the billing and coding office effectively

� Profound knowledge of company policies and procedures to be able to provide the correct answers to inquiries from all customers (both internal and external)

� Strong negotiation skills to be able to deal with customers and secure payment effectively, as well as to be able to discuss the finances of patients

� Possess current knowledge of technologies in the health information sector and their applications

� Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees

� Strong skills in carrying out every part of the work process, i.e., development, implementation, and administration, effectively

� Detail-oriented with the ability to work under pressure and frequent interruptions from staff and patients without being distracted

� Strong ability to communicate effectively with staff, colleagues, patients, physicians, and insurers in person, over the telephone, and in writing

� Strong proficiency in the use of Word, Outlook, Excel, and other Microsoft Office tools

� Strong ability to display exceptional initiative and work under little or no supervision

� Strong ability to train and supervise employees' work; effectively organize, prioritize, and schedule tasks to ensure practice timelines are met.


Responsibilities:

� Perform as a practice expert at the department on all issues relating to billing and processes

� Supervise the billing department operations; perform duties such as charge entry, payment posting, reimbursement management, referral, insurance verification, claim submissions, and accounts receivable follow-up

� Carry out audits of current procedures and processes, discover billing operations areas to improve on, and effect the necessary actions

� Train, allocate work and resolve problems among billing office personnel

� Carry out performance evaluation of personnel and recommend necessary actions

� Motivate employees to achieve their best performance and a high degree of productivity

� Ensure quality and appropriate training are provided to newly hired and existing billing staff through adequate supervision and coordination of the training process and by adhering to established company operating policies, procedures, systems, protocols, techniques, and standards

� Coordinate time away requests of team members to ensure the daily functions of the department is not negatively affected

� Carry out analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing staff

� Collaborate with other departments to get and analyze additional information about patients to be able to record and process billing effectively

� Ensure the billing department carries out all its activities in accordance with its overall protocol, and also that they comply with payer, State, and Federal requirements, regulations, and guidelines

� Remain updated on HIPAA and all other health information management issues and regulations

� Ensure strong team-building and protocol in the billing department by holding bi-weekly staff meetings

� Report all concerns and problems at the department to the CFO and COO for prompt necessary action.


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