Billing Director

Job Description

Job Description

JOB TITLE : Billing Director

DEPARTMENT : Integrated Health Services

FLSA : Exempt

DURATION : Open Until Filled

 

Position Purpose

 

The Billing Director will oversee the preparation and billing of all third-party claims and ensure the appropriate payers are timely and accurately within reimbursement guidelines. This role will provide one-on-one and group training to faculty physicians, advanced practitioners, and billing and coding staff as well as ensure the organization complies with federal and state regulations and laws, and other third-party payor billing guidelines. Promptly process all payments received and document all receivable data for general ledger reporting purposes. Assist the Accounting department during month-end close and train the accounting staff on how to use the billing system.

 

Essential Duties and Responsibilities

 

· Identifies training needs and ensures proper training is developed, provided, and implemented for their staff.

· Promote the mission, vision, and values of the organization.

· Lead the billing team in the creation of best practices for billing documentation.

· Overseeing the billing and coding staff to ensure that billing and coding standards are being adhered to.

· Maintain updated written billing procedures and innovation of billing documentation.

· Manage the update and verify patient Billing Reports.

· Develop and monitor the systems to ensure the accuracy of billing data.

· Oversee administration and maintenance of electronic billing and remittance software.

· Ensure billing reports are reviewed, and appropriate corrective actions are taken if necessary.

· Ensure that written front desk and coding policies and procedures are followed and updated to ensure adherence to HIPPA, Medicare, Medicaid, FQHC, HRSA, and state and federal guidelines and regulations.

· Ensure that all claims, write-offs, and denials are recorded and processed in time for the month-end close.

· Provide the Accounting Manager with a monthly billing revenue, receivable accrual, and write-off report that ensures proper and accurate month-end close.

· Ensure that a system exists to a) track claims billed versus paid and b) follow up on, investigate, and resubmit denied claims.

· Evaluate and cross-train all billers. Ensure billers stay current on regulations, coding, and procedures governing billing from Medicaid, Medicare, private insurers, and state and federal agencies.

· Assist Accounting with collection reconciliation and invoicing to ensure money received represents what patients paid or should have paid. Ensure that the FMC LOG receipts and the EMR system balance.

· Provide Accounting with all third-party billing information.

· Work with Medical Assistants to ensure providers’ notes and procedure codes match and are in line with all payee requirements and company policy and procedures.

· Store and maintain all billing records for audit purposes.

· Assist clinic staff, grantors, vendors, and auditors upon request.

· Ensure that the sliding fee is administered in accordance with HRSA guidelines.

· Ensure that payments to all third parties are accurate and timely.

· Other duties as assigned by the CHOO.

 

Qualifications

 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

 

EDUCATION and/or EXPERIENCE: Bachelor's degree in Business, Education, Finance, Accounting, Management, or Business Administration.

5+ years as Billing Manager and/or Billing Supervisor

 

OTHER SKILLS AND ABILITIES: Must have good organizational skills and the ability to perform numerous tasks simultaneously in a fast-paced office environment. Good analytical and accounting skills, be detail oriented and have a sense of personal responsibility for your work performance.

 

HIRING RANGE : $85,000 - $110,000/annually

 

BENEFITS :

· Medical

· Dental

· Vision

· 403b Retirement

· Paid Time Off

· 10 Paid Holidays (including birthday)

 

EQUAL OPPORTUNITY EMPLOYER

OIC, Inc. is an equal opportunity employer. OIC, Inc. offers equal opportunities to applicants and employees and makes all employment-related decisions based exclusively on job-related qualifications. Our policies and hiring practices ensure non-discrimination based on any protected characteristics.

DIVERSITY STATEMENT

OIC, Inc. is committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our board members, customers, clients, and patients are essential to fulfilling OIC, Inc.’s vision and goals.

 

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Due to the volume of applications received, please do not contact the OIC Human Resources Department to check the status of an application, as we will be unable to provide this information over the phone. All applicants will be reviewed and those deemed most qualified will be contacted for an interview.

Thank you for your interest in employment with OIC, Inc.