Billing Manager

The Billing Department Manager is responsible for leading and planning the billing operations. The position is responsible for designing, implementing and enforcing policies and procedures, and streamlining effective billing processes across CEC and CESC.

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

Responsible for all staff members in the Billing Department. The scope of responsibility includes, but is not limited to, hiring, training, annual reviews, performance improvement, and progressive discipline. Develops and maintains all departmental policies and protocols as well as financial policies for patient accounting. Manages and oversees all collection and patient accounts activities for the clinic and surgery center. Manages and oversees all precertification and financial counseling activities for the clinic and surgery center. Develops and maintains all departmental policies and protocols as well as financial policies for patient accounting. Collaborates with other managers and supervisors over patient service areas to ensure accurate and comprehensive coding and charge capture. Maintains a Patient Financial Services dashboard report to track and trend key financial metrics including, but not limited to, total cash collections, AR days, point-of-service collections, billed charges, collection percentages, and claim denials. Conducts monthly Insurance Committee meeting for physicians to report key financial metrics and provide departmental updates. Co-manages all NextGen support, maintenance, and upgrade events with the Health Information Manager. Negotiates and maintains insurance contracts with private payors as well as private Medicare payors. Ensures compliance agreements and works with payor representatives to resolve disputes. Provides information as requested by CEO and physicians. Negotiates contracts with collection agency partners and ensures compliance with the Agreements. Institutes on-going customer service training for all staff members. Collaborates with Health Information Manager to ensure compliance with privacy laws. Collaborates with CFO to ensure proper handling of cash and cash posting. Conducts audits on a regular basis. Resolves patient complaints related to billing as needed. Provides assistance to the Lexington site manager as needed. Must comply with all HIPPA and safety policies, procedures, and regulations. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. To meet the business needs of the company duties, responsibilities, and activities may change at any time with or without notice.

EDUCATION AND EXPERIENCE

Bachelor’s degree in accounting or related field and 3 to 5 years’ experience or equivalent combination of education and experience required. Two years’ supervisory or management experience required.

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge of business management and basic accounting principles to direct the billing department. Competencies include excellent judgment, dependability, and diligence. High ethical standards and integrity. Strong organization skills with attention to detail, accuracy, and thoroughness. Ability to prioritize tasks. Monitors own work to ensure quality. Customer and patient service orientation: prompt response to patient needs and ability to manage difficult or emotional customer situations with tact, empathy, and diplomacy. Strong communication and interpersonal skills. Ability to work cooperatively in group situations; offers assistance and support to coworkers, actively resolves conflicts, inspires trust of others, and treats patients and coworkers with respect. Working knowledge of EHR and PM systems Proficient in Microsoft office products. Excellent communication and professional leadership skills. Personal qualities of integrity, credibility, and commitment. Flexible and able to multi-task; can work in a fast-moving environment.

WORKING CONDITIONS AND PHYSICAL EFFORT

Full-time position with a work schedule of Monday through Friday 8:00am to 5:00pm. Position operates in a professional office environment requiring minimal physical activity. Building meets required ADA standards and we will make reasonable accommodations to enable individuals with disabilities to perform the essential functions of the job. Physical demands include but are not limited to: The ability to sit, stand, walk, and use hands and fingers to operate a computer keyboard, mouse, and telephone to talk and hear. The ability to frequently sit and reach with hands and arms. The ability to occasionally lift and/or move up to 10 pounds. Manual dexterity for operating complicated equipment Must be able to utilize office equipment such as desktop/laptop computers, copiers, printers, scanners, telephones, and calculators. #J-18808-Ljbffr Columbia Eye Clinic