Miami, Florida
Raleigh, North Carolina
Fredericksburg, Virginia
Durham, North Carolina
Raleigh, North Carolina
Posted: 14-Mar-23
Location: Lewes, Delaware
Salary: Open
Categories:
Internal Number: 7992
Summary:
The physician billing manager provides leadership and direction for all physician billing functions. This staff member oversees the day-to-day operations of the physician billing department in order to ensure financial viability for Beebe Healthcare's physician services. The physician billing manager ensures timely and accurate patient and payer billing, promoting prompt collection of accounts.
Other information:
Will consider candidate with five years medical or business practice management experience or degree.Billing Practice Manager experience required.Excellent communication skills and ability to relate well with people of diverse backgrounds, training and experience. Ability to meet deadlines. Heavily quantitative position. Frequent communication with payors. Medical practice collections - best practice performance. Self directed learning; ownership of fee schedules for the medical group; management matrix reporting; proven track record with diverse medical specialties, as well as billing for multi-specialty groups. Proven track record for management of collection accounts.CPC Preferred
Responsibilities:
Ensures accurate and timely billing of physician claims, including by overseeing claim preparation, resolving claim edits, and conducting charge review as necessary.
Monitors key performance indicators, productivity, and quality of individual staff and full department efforts through regular reporting.
Manages billing processes (e.g., by overseeing use of software and other tools in workflows) to support accounts receivable levels consistent with national averages and administrative expectations (e.g., A/R over 90 days, net A/R for all payers, cash collections).
Oversees insurance follow-up, including reviewing statuses of pending claims, supporting denial team with necessary research, and correcting rejected claims to be rebilled.
Completes reconciliation and month-end reports promptly and correctly.
Tracks issues with payers to be resolved and identifies common themes in communication that can be used to improve internal workflows and potentially to guide productive and beneficial conversations contract negotiations.
Demonstrates understanding of all state and federal regulatory requirements for billing patients and both government and commercial payers to ensure compliance and appropriate reimbursement.
Possesses knowledge of payer contracts to meet all billing requirements for third-party payers.
Works independently while referring major challenges to the director of patient financial services.
Directs supervisory staff of data entry, charge capture, and commercial and government follow- up teams.
Responsible for interviewing and hiring staff, managing performance reviews, and implementing necessary disciplinary action.
Oversees staff orientation, ongoing training and development, and work assignments.
Develops and implements best practices in billing and follow-up processes with the aid of clinic and physician practice leaders and director of patient financial services.
Provides an effective, professional environment that meets or exceeds the expectations of One Beebe, patients, and payer representatives.
Coordinates communication between revenue cycle departments and other departments as necessary.
Evaluates and responds to organizational and patient needs to ensure internal and external customer satisfaction.
Aids in tracking qualitative and quantitative key performance indicators at the physician practice level, as well as conducting root cause analysis to determine the source of performance issues .
Assists in the planning of improvement initiatives and the implementation process; coordinates improvements with departmental leadership as necessary.
Examines current physician practice processes to ensure continued compliance with changing guidelines and best practices, and modifies policies and procedures as necessary.
Acts as staff resource and has the ability to provide guidance on processes within all physician practice revenue cycle areas.
Stays apprised of all relevant regulations, standards, and directives from regulatory agencies and third-party payers.
Carries out other assignments or special projects as directed.
Monitors professional revenue cycle processes and identifies areas in need of improvement.
Competencies and skills:
Essential:
* Clear Communication Skills Both Written And Verbal
* Knowledge Of Basic Computer Programs
* Able To Keep Confidential Information Regarding Patients, Team Members
* Able To Withstand Crisis Situations
* Has Skills To Provides Customer Service To Patients, Team Members And Visitors
* Experience Or Completed Courses In Coding
Education:
Essential:
* Bachelors degree or have 5 years of experience and are currently enrolled working on completing their Bachelor¿s degree.
Location: BMG Management
Shift : 8am-4:30pm Monday - Friday
FTE: 1.000000
Work Status: Full Time