The Billing Manager is actively involved in problem-solving and conflict resolution with team members, customers, and insurance companies. Under the direct supervision of the Regional Vice President of Operations, this position requires a high level of timely, accurate, and complete analysis and oversight of the collection of revenue from the insurance companies, facility programs and patients, as well as the protection from loss of revenue.
Essential Job Duties and Responsibilities:
- Organize and assign daily workflow within the team.
- Read and evaluate healthcare receivables reports and identify trends.
- Crosstrain the billing staff for all job functions in the Billing office (i.e. insurance authorization, charge entry, electronic and paper claims submission, payment posting, accounts receivable follow-up, denials, and appeals).
- Ensure compliance of all rules and regulations of insurance carriers.
- Ensure all payments are processed timely and accurately.
- Work closely with the Director of Medical Surgical Operations to ensure timely month end close and reconciliation of collections posted to the bank.
- Identify and create solutions to problems relating to the timely processing of claims.
- Monitor claims submissions, payments, and denials to identify trends; report any issues to the Director of Medical Surgical Operations.
- Monitor charge posting for accurate insurance coding and timely processing.
- Develop procedures to ensure reconciliation of charge and payment posting.
- Respond to patient account inquiries, questions, and complaints when necessary.
Pay range: Min $30.41- Max $44.09
Benefits
USPI offers the following benefits, subject to employment status:
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave)
- 401k retirement plan
- Paid holidays
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance Program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance.
Required Skills
Education/Experience
- Associate's degree or equivalent to five years medical billing experience.
- Five years of successful practice/ASC/Anesthesia medical billing experience.
- Experience with practice management systems and clearinghouses; G-Med experience preferred.
- Certified Professional Coder preferred.
Qualifications
- Able to use personal computer, including word processing, spreadsheet, and e-mail/calendar functions for day-to-day activities.
- Superior communication skills both verbal and written
- Broad knowledge of medical billing operations and third-party billing policies and procedures.
- Outstanding customer service skills.
- Demonstrated ability to thrive in a fast-paced setting while managing competing demands.
- Demonstrated ability to work collaboratively with physicians and all medical professionals.
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Required Experience