Consero - Manager - Medical Billing

Manager - Medical Billing

JOB DESCRIPTION :

Medical Billing Manager Job Description (Subject Matter Expert)

BTQ, a Consero Global enterprise is currently seeking a Full-Time Medical Billing Manager to provide supervisory oversight and management of all facets of the billing department including claims processing, revenue monitoring and quality improvement initiatives. Works cooperatively with other managers and administration to ensure timely billing, reporting and patient account management.

Responsibilities and Duties :

• Performs overall revenue management including : satisfying timely filing requirements and maximizing billing revenue and collections, and resolution of denied / rejected claims.
• Submits claims Clearinghouse. Supervise submission by billing specialists.
• Monitors reports to ensure clean claims submissions.
• Monitors monthly aging reports and conduct follow-up on unpaid claims and take appropriate action to correct and re-bill for reimbursement.
• Identifies, researches and resolves system issues through direct contact with payors.
• Provides technical expertise to ensure accurate billing including billing for new services and staying informed of regulatory, compliance, and best practices for billing.
• Develops, implements, and maintains revenue cycle standard operating procedures (SOPs).
• Researches and maintain billing compliance and regulations, primarily for Medicare and Medicaid.
• Performs regular audits of daily billing reports to identify coding and billing errors. Work with billing clerk and other staff to address; notify on-site management of problems and troubleshoot as needed.
• Monitors A / R aging and payment reports monthly to identify trends and underpayments; investigate causes and take appropriate steps toward resolution using professional judgment.
• Provides monthly updates of revenue cycle status including reports, metrics, and presentations. Works with CFO and Staff Accountant as needed to accomplish.
• Provides training as required to off-site staff regarding : billing and other revenue cycle related tasks, standard operating procedures (SOPs).
• With other members of the management team, develop continuous process and priorities for quality improvement to improve revenue cycle outcomes.
• Handle and be knowledgeable of all software utilized in the management of operations related revenue for the function, including understanding of pertinent service contracts.
• Performs special projects and other duties as requested.

EXPERTISE AND QUALIFICATIONS :

Qualifications and Skills :

(ref : iimjobs.com)