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Billing Manager - medical

West Palm Beach, FL · Accounting/Finance
  • salary to $90-125,000 range 
  • Comprehensive Benefit, and Retirement Programs 
  • Regional people only
  • 10K sign-on bonus!

This client is seeking a Billing Manager to monitor billing and collections by the 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 the improvement of Revenue Cycle Management processes, report on Billing KPIs by the 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 the 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 the payor and manages 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

Who Will Be a Great Fit?  
  • 5+ years of management experience within Medical Billing
  • Bachelor’s degree
  • Knowledge of professional fee billing, reimbursement, and third-party payor regulation and medical terminology is required
  • Experience billing within the E-Clinical Works EHR system is preferred, but not required
  • 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
  • A 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

As recruiters, we are skilled in our field and understand how to match an opportunity with the individual. If you choose to send us your resume, be advised we will not share it with any employer without your permission. 

Brian Hughes
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