Medical Billing Manager

Job Description

Job Description

Medical Billing Manager Full Time $80,646.00 - $94,878.00

Supervisor : Comptroller

Brockton Neighborhood Health Center is seeking an experienced billing manager skilled at motivating a diverse and experienced medical, dental, behavioral health and optical billing and coding team.

As leader, the manager must be adept at prioritizing, aligning and managing the team’s productivity. As a leader you will track performance metrics, create formal presentations and report progress toward meeting established department goals and objectives.

Our Billing manager is expected to lead the team with a performance mindset that enables BNHC to serve a very diverse, underinsured and uninsured patients.

Our Billing manager must be a natural collaborator and great communicator to build relational capital with the team and across departments and will lead with a patient first mentality, solve complex billing problems and achieve production targets.

The manager must lead in a way that ensures team members feel valued and promote an environment of team work and problem solving.

JOB SUMMARY :

• Supervision of the Billing Department and ensure prompt claims processing and cash collections.
• Provide coding expertise to all clinical areas of the company, calling on outside experts as needed.
• Responsible for and evaluates the performance of the Billing Department.
• Maintains an effective department through proper selection, training, and assignment of personnel.
• This is a hybrid position.

ESSENTIAL FUNCTIONS :

• Coordinates departmental operations and ensures smooth interaction with other departments within the health center.
• Ensures accounts receivable stay within expected days outstanding and ensures that claims are processed in an accurate and timely manner.
• Oversees cash postings and the coding of the EOBs. Ensures cash is processed in an accurate and timely manner. Ensures accuracy of all third-party adjustments and sliding fee discounts.
• Works with all clinical departments to ensure accurate procedural and diagnostic coding.
• Researches and analyzes insurance rejections, accounts receivable aging, and payor analysis.
• Identifies, explains, and recommends accounts to be written off.
• Ensures daily schedules are maintained for accurate posting of transactions, encounter totals and month end closes. Coordinates monthly closings of the accounts receivable system by the fourth business day of the following month.
• Analyzes cash receipts and outstanding balances. Keeps the Accounting Department informed of trends and expected cash flow.
• Responsible for maintaining accurate records for program audits. Assists in annual year end audit of the accounts receivable.

Assists with UDS data collection. Ensures accuracy and maximizes collection levels.

• Works with other managers and employees to ensure accurate processing in accordance with company policies and schedules.
• Hires, issues verbal and written warnings, and terminates employees within the Billing Department.
• Responsible for evaluating the performance of the personnel within the Billing Department.
• Handles patient inquiries or complaints regarding billing.
• Keep abreast of billing requirements and regulatory changes that affect billing and sliding fee discounts, etc.

ADDITIONAL RESPONSIBILITIES :

• May assist in training other health center employees regarding visit coding and insurance processing.
• May conduct research of patient records for visit information and verification of insurance.
• May seek help from interpreter staff to translate for patients that cannot communicate effectively in English.
• Performs other duties as assigned by supervisor or department head.
• Assist with ongoing Quality Improvement activities throughout the health center. This includes, but is not limited to conducting Joint Commission tracers, serving on QI teams and committees as needed, assisting with staff education, and performing data reviews.
• Assist with ensuring staff compliance with HIPAA Privacy and Security Regulations on an ongoing basis through staff monitoring.

MINIMUM SKILLS AND KNOWLEDGE REQUIREMENTS :

Skills : Knowledge of medical terminology is helpful. Strong interpersonal skills needed. Ability to motivate and evaluate employees.

Strong Excel and Microsoft Office skills are essential.

Education : Bachelor’s degree in accounting or business administration, or equivalent experience in a health care setting preferred.

Additional training in the areas of coding and data analytics is a plus.

Experience : 5 years or more in medical billing management, preferably in a health center setting. Experience with EPIC a plus.

Experience working with all types

WORKING CONDITIONS :

Physical Demands : The individual must be capable of sitting at a desk for long periods; also, requires walking between health center sites to attend meetings.

Occasional long hours may be required to accommodate workloads. Requires lifting of small pieces of office equipment and / or boxes not to exceed 20 pounds.

Visual acuity sufficient for frequent reading. Hearing acuity sufficient for holding conversation with or without assistance of audio devices.

Personal Attributes : Ability to function during stress, able to maintain confidentiality, able to adapt to change, able to work with patients and employees within home department and the health center.

BNHC is a multicultural organization that collaborates with community agencies and residents to provide high quality comprehensive health care.

We are committed to health promotion and disease prevention. BNHC began providing services in 1994 in a mobile medical van operating out of a church parking lot.

Since then, the center has rapidly grown to provide desperately needed services to low-income and marginalized populations in the greater Brockton area.

BNHC is committed to providing care that is responsive to community health needs and is linguistically, culturally and financially accessible.

BNHC serves an extremely diverse patient population including Brazilian, Cape Verdean, Haitian, Latino, Portuguese, African American and Caucasian, 77% of whom live in poverty.

If you have 3-5 years of leadership experience managing at least 10 permanent resources and a track record of running an accountable operation with a commitment to protecting patient privacy and services, we want you to join our team.

If you believe strongly in access to quality comprehensive healthcare for all patients, there is not a better Brockton based community healthcare than BHNC.

BROCKTON NEIGHBORHOOD HEALTH CENTER, INC. does not discriminate in hiring or employment on the basis of race, color, religion / creed, national origin, ancestry, age, gender, transgender status or gender identity, sexual orientation, legally recognized disability, veteran, military or military reserve status, HIV status, genetic information, or any other legally protected class.

No question used on this application is intended to acquire information to be used for such discrimination.