Billing Manager I

Overview

Oversee the department’s billing and collection operation encompassing medical coding, charge submission, review of denials, bad debt, accounts receivable follow up, reimbursement management, staff and provider education.

Responsibilities

• Function as the department’s expert and go to person for all coding, compliance and billing processes information, and education
• Responsible for oversight and direct management of the day-to-day operations of charge capture, coding and revenue cycle for selected practices
• Responsible for accurate, timely and compliant billing practices
• Analyze billing data and reports for accuracy and completeness of claims filed
• Act as central point of contact for EVMS Medical Group billing office
• Oversee and monitor the department’s claim follow up process
• Work closely with Office Managers reviewing front desk operations and collection of insurance and demographic information to ensure accurate billing information
• Prepare and analyze billing trend reports in concert with the Department Administrator and Chairman
• Develop, implement, and review departmental billing policies and procedures
• Collect and compile accurate billing statistical reports
• Ensure billing operations compliance with EVMS medical group, Federal, State, and payer regulations, guidelines, and requirements
• Research all billing and collection aspects of new service lines
• Remain up to date with carrier rule changes; educating and distributing the information to staff and providers.
• Actively represent the Division of Maternal-Fetal Medicine with the coding branch of the Society of Maternal-Fetal Medicine
• Present monthly billing, coding, and compliance educational didactics to the physicians, advanced health care practitioners, allied health professionals and staff
• Administers the recruitment, selection, assignment and training of support staff. Responsible for all matters relating to employees’ evaluations, transfers, promotions, discipline, terminations and resignations for the billing team personnel.
• Delegates and supervises billing team personnel
• Generate and review monthly reports from EVMS Medical Group to ensure all charges have been entered and are accurate.
• Review Missing Charges Report each month and process error corrections as necessary.
• Review OB Charges report each month for all inpatient and delivery services and process error corrections as necessary.
• Review L&D patient list from Sentara daily to ensure all charges have been submitted.
• Review all inpatient ultrasound reports monthly to ensure charges are submitted accurately.
• Review billing task boxes and denials daily.
• Performs other duties as assigned

Qualifications

Bachelor’s degree or equivalent years of experience required. Certified Professional Coder certification required and maintained from a nationally recognized organization.

Three (3) years of relevant experience. Management level experience in a hospital or medical group setting with skills in academic multi-specialty billing and coding required.

Must be proficient with MS Outlook. Must be skilled in the use of MS Word and Excel. Familiarity with MS PowerPoint highly desired.

Location : Location

US-VA-Norfolk