Medical Billing Manager

Description

COME JOIN OUR TEAM

At Empire Management Group, we currently offer the following benefits:

• •Health insurance
• •Dental insurance
• •Vision insurance
• •Supplemental Insurance Plans
• •401(k) with matching
• •Flexible spending account
• •Paid time off
• •Company Perks

Postion Summary

The Medical Billing Manager provides tactical leadership to the account representatives in the billing department. The manager coordinates the day-today operational aspects of the billing department including: reviewing accounts, collecting payments, and verifying all information and documentation necessary for timely billing of patient accounts.

Essential Functions

An individual must be able to perform each essential function satisfactorily with or without accommodation. The requirements listed below are representative, but not all inclusive, of the knowledge, skill, and/or ability required

Responsibilities

• •Submitting primary, secondary, and tertiary claims to insurance carriers.
• •Resolving insurance claim denials.
• •Reviewing and monitoring insurance reimbursement for consistency with contracts.
• •Processing monthly statement billing for patient balances.
• •Posting payments from insurance carriers and patients.
• •Applying co-payments, co-insurance, and deductible amounts to patient accounts.
• •Responding to physician, patient, and insurance carrier questions and requests for information.
• •Evaluating patient demographics for accuracy and completeness.
• •Process patient phone payments.
• •Monitor and resolve financial discrepancies.

Administrative Duties

• •Creates and provides billing staff weekly revised work schedules as needed and executes scheduling changes as necessary
• •Holds regular billing staff meetings
• •Participates in work groups, teams, task forces and committees to support ongoing improvement in billing operations
• •Approves/denies staff requests for time off with pay/without pay
• •Executes all new or revised policies and procedures
• •Addresses patient complaints, prepares incident reports, prepares unusual occurrence reports, prepares other billing reports as requested, and any matter requiring attention in the billing department

Reports to

Provider & Credentialing Manager

Classification

Full-time position

Salary

$30-35 per hour starting wage depending on experience, with opportunity to move to salary

Empire Management Group, Inc. is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

Applicants will be required to pass a post offer background check and credit check.

Requirements

Qualifications

• •High School graduate or equivalent technical training with some additional education (i. e. computer training, communication classes, etc.)
• •Medical billing and/or coding certification or degree, preferred

Knowledge/Skills/Abilities/Talents

• •Demonstrate a positive demeanor
• •Excellent verbal and written skills
• •Must demonstrate strong interpersonal skills
• •Thorough understanding of insurance billing requirements for all federal, state and local agencies and third party submissions
• •Basic knowledge of medical terminology
• •Typing, data entry, 10-key, and word processing
• •Knowledge of ICD-10 and CPT coding.
• •Experience with facility billing and coding
• •3-5 years computerized medical billing or medical office experience, preferred
• •1 year supervisory or management experience, preferred
• •Knowledge of Medicare and Medi-Cal reimbursement processes, preferred
• •Basic knowledge of accounting procedures and computer based accounts receivable systems
• •Thorough understanding of HCFA 1500 and UB-04 billing and basic understanding of coding, preferred

Physical Demands

• •Regularly required to sit, stand, walk, speak and hear
• •Sufficient hand dexterity to use a computer keyboard and be capable of reading a computer screen
• •Occasionally lift and/or move up to 20 pounds