Please send your resume to manager.mohs@gmail.com or fax: 404-446-3201 Attn: Practice Manager
General Description: To direct and oversee all the medical billing and collection activities of the corporation including preparation of pertinent financial reports as well as summaries and forecasts for future business growth and general collections outlook. Works with leadership in development of new Billing/Coding and Collection Standard Operating Procedures in accordance with physician's development plans. Provides financial estimates to patients and education regarding their insurance benefits in order to manage their expectations and minimize any financial loss to the practice. Maintains and negotiates all Payer Contracts as well as coordinates PHO relationship with practice. Monitors A/R daily to maintain constant active status of all claims. Motivates, educates and monitors the output of billing support staff. Acts as liaison between the practice and Third Party IT Company to ensure that all IT issues are resolved correctly and efficiently. Reports any/all billing trends to upper management in an effort to streamline productivity of the billing functions. Serves as Compliance Office for practice's Compliance Program.
Charge Submissions
•Responsible for ensuring that all claims were processed by Clearinghouse and correcting any rejections which may have kept the claim from making it to the insurance carrier.
•Training staff to minimize clearinghouse rejections.
Payment processing
•Daily non-Medicare checks and Explanation of Benefit's
Patient Balances & Refunds
•Providing patient estimates of financial responsibility prior to scheduled appointment in order to manage patient expectations.
•Negotiating payment plans where appropriate
•Handling of any patient disputes
•Archival of all pertinent information
•Review refund requests and determine correct amount
Reporting : Participate in daily, monthly, and yearly reporting for billing department
Administrative
•Manage and negotiate insurance contracts for the office and ASC in coordination with the practice manager.
•Maintain regulatory compliance program for coding, fees, government agencies, etc.
•Maintain all fee schedules for correctness and adjust as necessary.
•Create and maintain all billing and collection SOPs
Other responsibilities as assigned
•PQRI/ERX Review
•Collections Management
•Billing/IT RM/QAPI review/maintenance
Supervisory
•Supervises front office support staff to include training and disciplinary action.
•Oversees Medicare billing/payment functions performed by Front Desk Supervisor to ensure accuracy and compliance with all policies and procedures.
Compliance Officer for Compliance Program
•Responsible for monitoring industry rules/regulations and ensuring that the practice is in compliance
•Yearly review/update of compliance program and communication thereof to all staff members.
IT Manager
•Acts as liaison between the practice and Third Party IT Company for any/all information technology issues.
•Responsible for tracking all computer/server downtime.
Emergency Situations Roles : Actively participates in practice disaster preparedness program and code and fire drills
Lectures : Responsible for performing essential lectures on a yearly basis
The Billing Manager is a high level exempt position. We offer very competitive salary (with bonus potential), 100% matched 401k and Profit Sharing plans, and 100% paid medical benefits.
Knowledge/Skills/Abilities:
Technical: Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites; knowledge and use of Microsoft Products: Outlook, Word, Excel. Knowledge of eCliniclWorks and Navicure is preferred.
Personal: Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure
General Description: To direct and oversee all the medical billing and collection activities of the corporation including preparation of pertinent financial reports as well as summaries and forecasts for future business growth and general collections outlook. Works with leadership in development of new Billing/Coding and Collection Standard Operating Procedures in accordance with physician's development plans. Provides financial estimates to patients and education regarding their insurance benefits in order to manage their expectations and minimize any financial loss to the practice. Maintains and negotiates all Payer Contracts as well as coordinates PHO relationship with practice. Monitors A/R daily to maintain constant active status of all claims. Motivates, educates and monitors the output of billing support staff. Acts as liaison between the practice and Third Party IT Company to ensure that all IT issues are resolved correctly and efficiently. Reports any/all billing trends to upper management in an effort to streamline productivity of the billing functions. Serves as Compliance Office for practice's Compliance Program.
Charge Submissions
•Responsible for ensuring that all claims were processed by Clearinghouse and correcting any rejections which may have kept the claim from making it to the insurance carrier.
•Training staff to minimize clearinghouse rejections.
Payment processing
•Daily non-Medicare checks and Explanation of Benefit's
Patient Balances & Refunds
•Providing patient estimates of financial responsibility prior to scheduled appointment in order to manage patient expectations.
•Negotiating payment plans where appropriate
•Handling of any patient disputes
•Archival of all pertinent information
•Review refund requests and determine correct amount
Reporting : Participate in daily, monthly, and yearly reporting for billing department
Administrative
•Manage and negotiate insurance contracts for the office and ASC in coordination with the practice manager.
•Maintain regulatory compliance program for coding, fees, government agencies, etc.
•Maintain all fee schedules for correctness and adjust as necessary.
•Create and maintain all billing and collection SOPs
Other responsibilities as assigned
•PQRI/ERX Review
•Collections Management
•Billing/IT RM/QAPI review/maintenance
Supervisory
•Supervises front office support staff to include training and disciplinary action.
•Oversees Medicare billing/payment functions performed by Front Desk Supervisor to ensure accuracy and compliance with all policies and procedures.
Compliance Officer for Compliance Program
•Responsible for monitoring industry rules/regulations and ensuring that the practice is in compliance
•Yearly review/update of compliance program and communication thereof to all staff members.
IT Manager
•Acts as liaison between the practice and Third Party IT Company for any/all information technology issues.
•Responsible for tracking all computer/server downtime.
Emergency Situations Roles : Actively participates in practice disaster preparedness program and code and fire drills
Lectures : Responsible for performing essential lectures on a yearly basis
The Billing Manager is a high level exempt position. We offer very competitive salary (with bonus potential), 100% matched 401k and Profit Sharing plans, and 100% paid medical benefits.
Knowledge/Skills/Abilities:
Technical: Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites; knowledge and use of Microsoft Products: Outlook, Word, Excel. Knowledge of eCliniclWorks and Navicure is preferred.
Personal: Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure