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Billing Manager Job in Warrenton, Virginia

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Job Title: Billing Manager

Employer:Piedmont Pediatrics
Specialties:Pediatrics, Primary Care
Required Certifications:CPC
Preferred Certifications:CPMA
Required Experience:3 to 4 years
Preferred Experience:5 to 7 years
Location: Warrenton 20186, VA, US
Date Posted:4/1/2019
• Plans, directs and supervises billing staff to ensure timely, accurate and complete processing of billing services. • Plans and directs quarterly financial meetings with practice owners and administrator. • Runs month end financial reports and provides financial information to administrator and accountant. • Performs bi-annual chart audits on all providers. • Manages the collection process by working with the collection agency, preparing accounts for collection, monitoring collection efforts for payments, contacting patients by phone and resubmitting claims to third party payers. • Manages medical records and HEDIS charts. • Monitors reimbursement patterns and implements changes in reimbursement procedures. • Keeps current with CPT and ICD coding updates by adding and deleting codes as well as effectively communicating changes to all providers and billing staff. • Maintains reimbursement profiles from third party payers and compares with office fees. • Maintains File Maintenance and Patient Portal with regards to NextGen EPM/EHR database. • Updates staff on participating insurance company policy changes. • Communicates with insurance payer representatives regarding payer reimbursement and contract. • Resolves patient billing complaints. • Answers billing questions from patients, staff and insurance companies. • Leads efforts for various insurance program incentives (ie Meaningful Use, MACRA, PQIP) • Creates a schedule for the Billing Department staff and processes requests for days off. • Fills in for staff as needed. • Participates in educational activities. • Conducts self in accordance with the Practice’s employee manual. • Maintains strictest confidentiality; adheres to HIPAA guidance/regulations. • Other duties as assigned by Practice Administrator.


Susan Johnson Practice Administrator sjohnson@piedmontpediatrics.com

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