Billing Manager

PRINCIPAL DUTIES AND RESPONSIBILITIES:

* Supervises all activities related to the Betances Health Center (BHC) billing and collection functions. This includes the areas of transaction processing, verification of patient demographic and insurance data, capturing of charges for billing and the posting/data entry of payments, monitors receipts and collections for all locations, managing the accounts receivables, generates the practice management reports and reviews with administration, updates and reviews BHC rate profiles, fee schedules, and diagnosis/procedure coding.

* Assists in the development and implementation of all billing policies and procedures.

* Interview, train, evaluate and supervise all billing and coding related personnel.

* Assists in all billing compliance related activities to ensure services rendered are captured and billed for appropriately.

* Assists in selection of and liaison with outsourced billing vendor arrangement in coordinating all billing and collection related processes when implemented.

* Serves as liaison between providers, departmental administration, and management for all matters related to BHC billing and collection operation.

* Develop and implement mechanisms and controls to ensure appropriate billing and payment cycles and accurate and timely billing in accordance with established internal and third party payer requirements.

* Establish and manage internal controls to ensure that all billings are done on a timely basis.

* Ensure all insurance payments are accurately posted into the Practice Management System.

* Prepare monthly denial reports and ensure all denials are re-worked and corrections made, where needed.

* Prepare periodic reports for the CFO for discussion on discrepancies, reasons etc. Prepare ad hoc reports.

* Prepare, and/or maintain requested reports on billing, collection, denial, etc. activities. Attend monthly CQI meeting - present and discuss information and issues related to billing function.

* Handles all third-party correspondences including Public Consulting Group, Carrier Refunds, Addition Data Request (ADR)

* Review mapping in the EMR to ensure all data are correctly captured.

* Populate canned reports in ECW for UDS and other purposes.

* Monitor charge posting, billing, and collection operations for compliance with established policies, regulations, procedures and standards.

* Manage actions relating to delinquent accounts, special adjustments, and/or write-offs.

* Update all coding on a regular basis. Update the master fee schedule annually.

* Maintain a regular meeting schedule with the front desk supervisor to discuss current issues.

* Make recommendations to develop, improve and update the Center's billing systems and procedures as necessary.

* Identify and recommend opportunities for process improvements.

* Attend departmental/Center-wide meetings as required.

KNOWLEDGE, EDUCATION, SKILL AND ABILITIES

REQUIRED:

* Professional certificate in medical coding - Certified Coder

* Minimum 2 years' experience as a billing supervisor/manager

* Minimum 5 years' experience in medical/dental billing

* Knowledge of ECW and Dentrix preferred

* Knowledge of EPACES, Electronic Medical Billing Systems

* Knowledge of Microsoft Excel, Word and preferred knowledge of Microsoft Access

* Knowledge of completing CMS 1500 and UB92 insurance claim forms

* Strong interpersonal and communication skills with an ability to work effectively with wide range of managers, supervisors, and vendors

* MS Office is required, intermediate to advanced Excel.

* Good written and verbal communications skills