This position is responsible for managing the revenue cycle and acts as the expert and go-to person in the department for all processes relating to coding and billing. The billing manager’s role also involves plan...Job Requirements
Education and/or Experience
High school diploma or GED
Minimum of three (4) years of progressively responsible management experience in healthcare
CPC certification or equivalent management experience.
Bachelor’s Degree in Business, Accounting or related discipline from an accredited college or university
Skills, Knowledge and Abilities 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 the essential functions.
Experience with medical billing computer programs.
Experience managing a department and supervising staff.
Strong proficiency in the use of Word, Outlook, Excel, and other Microsoft Office tools
Strong oral and written communication skills.
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
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
Detail-oriented with the ability to work under pressure and frequent interruptions from staff and patients without being distracted
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.
Strong ability to display exceptional initiative and work under little or no supervision
Ability to maintain confidentiality in all matters
Ability to communicate effectively with diverse populations.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee frequently is required to stand, walk, sit; use hands to handle or feel; reach with hands and arms; and stoop, kneel, or crouch.
The employee must occasionally lift and/or move up to 25 pounds.
Specific vision requirements include the ability to see at close range.
At times, may require more than 40 hours per week to perform the essential duties of the position.
Fine hand manipulation (keyboarding).
Travel between sites using own vehicle.