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Medical Billing and Coding Manager Job in Eugene, AA

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Job Title: Medical Billing and Coding Manager

Employer:Sterling Vision
Specialties:Ophthalmology, Cataract, Optometry
Required Certifications:CPC
Preferred Certifications:COPC,OCS
Required Experience:3 to 4 years
Preferred Experience:5 to 7 years
Location:1550 Oak St Eugene 97401, AA, US
Date Posted:7/14/2020

Billing Office Manager – Administration


Job Summary

Sterling Vision is seeking a full-time Manager for its Administration Department. The Billing Office Manager assumes responsibility and accountability for managing billing functions for Sterling Vision. The manager collaborates with CFO to set departmental goals, measure process effectiveness and productivity, and identify any need for updated policies and procedures.


Responsibilities and Duties

It is the duty and responsibility of the CBO Manager to:

·         maintain responsibility of the timely submission of all claims; follow-up, denials and cash management & credit balances while managing compliant application of departmental and organizational policies, procedures, and standards;

·         track the status of all unbilled claims, all claims held for edits and all claims being held waiting additional information from program leaders;

·         maintain the internal tracking tool by extracting data for reports, training and educating staff on pending claims or claims held for various edits or information;

·         provide direction and support to billing management staff by adhering to an established educational plan to ensure quality and productivity standards are met;

·         gathers and assemble documentation related to billing, edit and information request trends and root causes for committee meetings and regular check-ins with revenue cycle leadership;

·         meet with various revenue-generating departments to communicate root causes of bill holds (i.e., discrepancies in patient account information, documentation, clinical edits and holds, etc.) and provides direction to mitigate billing delays in the future;

·         act as the primary liaison between the billing management vendor and the organization;

·         have primary responsibility for resolving problems and rectifying inefficiencies related to billing management;

·         execute excellent customer service and professionalism when interacting with staff, vendor representatives, payers, patients, and families to ensure all are treated with kindness and respect;

·         ensure, through leadership and by example, that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements;

·         perform additional assignments and maintains current knowledge of the billing management field by independently following industry trends, as well as by completing any required ongoing training and instruction;

·         act in accordance with Odyssey House mission and values;

·         ensure departmental staff members adhere to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA) as well as facility-specific guidelines; and Develop quantifiable goals and metrics for the department. Manage, hire, train, develop, coach and support staff. 

·         perform all other duties as assigned.

Qualifications and Skills


Minimum qualifications include the following:

·         Minimum three years of management experience

·         Minimum five years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management

·         Working knowledge of system reports and the ability to analyze system information to determine the impact of possible changes

·         Ability to take initiative by identifying problems, conceptualizing resolutions, and implementing change

·         Possesses efficient time-management skills and proven ability to multitask under tight deadlines

·         Demonstrates excellent leadership, conflict-resolution, and customer service skills

·         Exceptional writing and communication skills

·         Strong comfort level with computer systems


Compensation and Benefits

Competitive Compensation, bonus structure, relocation assistance and Benefits package


Qualified candidates should send cover letter and resume to adammen@provectusteam.com

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