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Medical Billing Manager

West Palm Beach, FL · Healthcare
Our client is a rapidly growing health organization that is seeking an experienced Billing Manager in West palm Beach.

The ideal candidate will monitor billing and collections by payor.   The candidate must have a proven track record managing all aspects of the billing function, including: claims submittal, payment posting, denial management and patient collections.  As well as leadership experience with teams of 20+ billers working with commercial, governmental, and workers’ comp payors.


The Billing Manager position reports to the Director of Business Services and will be expected to collaborate on improvement of Revenue Cycle Management processes, report on Billing KPIs by payor, hire and train billing team members, remain updated on payor changes that affect billing processes, raise necessary concerns and issues with leadership, etc.


Primary Responsibilities

•             Manage day-to-day functions of the Billing department

•             Oversee and streamline billing and collections processes

•             Develop and implement written policies and procedures that govern billing functions

•             Plan and implement quality assurance for all processes

•             Conduct routine staff meetings by functional group within the department

•             Support standardization of methods in which work will be accomplished

•             Assist in preparing financial and statistical reports as directed

•             Develop and utilize EMR system reports and output

•             Monitor accounts receivable by payor and manage to avoid any risk of timely filing and reduce denial rates

•             Support the accounting month-end close process by ensuring that all payments have been posted, claims submitted, and errors on claims resolved on the final day of each month

•             Oversee accuracy and completeness of data entry on all patient charges and refunds

•             Responsible for keeping in contact with payors as it relates to recurring denials requiring appeals for a large volume of claims


Required Skills, Knowledge and Abilities

•             Strong experience of medical insurance/healthcare billing and collections work in a health system or medical practice

•             Possess profound knowledge and understanding of rules and regulations affecting medical billing and insurance verification

•             Considerable number of years working in a supervisory or management position

•             Deep knowledge and understanding of revenue cycle, collections and payment posting, medical billing, Medicare and Medicaid, and third party payers

•             Thorough knowledge and working experience of CPT and ICD9 codes, UB04 claim forms, HCFA 1500, HIPAA, medical terminology, appeal processes, billing and insurance regulations, and insurance benefits

•             Solid knowledge of basic accounting principles and business management to be able to effectively give direction to the billing and coding office

•             Profound knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external)

•             Strong negotiation skills to be able to effectively deal with customers and secure payment, as well as to be able to discuss the finances of patients

•             Possess current knowledge of technologies in the health information sector and their applications

•             Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees

•             Strong skills in carrying out every part of the work process, i.e. development, implementation, and administration, effectively

•             Detail-oriented with the ability to work under pressure and frequent interruptions from staff and patients without being distracted

•             Strong ability to communicate effectively with staff, colleagues, patients, physicians, and insurers in person, over the telephone, and in writing

•             Strong proficiency in the use of Word, Outlook, Excel, and other Microsoft Office tools

•             Strong ability to display exceptional initiative and work under little or no supervision

•             Strong ability to train and supervise the work of employees; effectively organize, prioritize, and schedule tasks to ensure practice timelines are met

•             Strong ability to handle problems consisting of multiple variables in an organized manner.


Education & Experience

•             Five (5) + years of management experience within Medical Billing

•             Bachelor’s degree in accounting, business administration or related healthcare field

•             Knowledge of professional fee billing, reimbursement and third party payor regulation and medical terminology is required

•             Experience billing within E-Clinical Works EHR system is preferred, but not required

Contact information:
Max Populi, LLC
4628 Bayard Street, #207
Pittsburgh, PA 15213-2750
Tel: (412) 567-5279
Fax: (412) 567-5198
e-mail: jobs@maxpopuli.com
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