Medical Biller Manager / Reimbursement Manager / Provider Contract Manager

 

Responsible for the daily supervision, and operations of Billing Staff. 
Keeps Director of Patient Accounts informed of all problems /issues related to billing operations and staffing.
Distribution of daily workload for billing staff & set standards to be followed with respect to productivity and accountability.
Coordinates & handles training of billing staff in daily operations for appropriate third party billing and follow up activity.
Interviews candidates for hire, monitors job performance of billing staff, counsels’ employees as needed and handles disciplinary action as necessary following approval of the Director of Human Resources.
Assist director in writing/establishing operating procedures to meet billing regulations/compliance and follow up enhancement.
Ensures that all billings are submitted correctly and timely to avoid billing deadlines as well as timely follow up done to prevent ageing of account activity.
Monitors payment/denial activity for correct reimbursement by payor, keeps Director informed of potential reimbursement issues as well as all updates/charges of billing regulations/guidelines.
Works with other departments as needed to obtain necessary & correct information for submission of cleans claims to all third party payors.
Ensures that all audit requirements are complete and accurate & submitted timely. Ensures that all adjustments are processed accurately and timely to include credit balance activity/refund-invoice processing.
Conducts regular billing staff meetings & keeps staff informed if departmental updates/issues as well as updated billing requirements.
Attends regular meeting with Director as well as other managers/departments as required.
Performs other duties as assigned by Director and adheres to Compliance of all Departmental, Institutional, and regulatory Policy.