Billing Office Manager

Job Summary:

The Business Office Manager will supervise and coordinate third-party billing and the application of payments for the business office. 

Supervisory Responsibilities:

•    Oversee the daily workflow of the department.
•    Train, evaluate, and initiate disciplinary action for supervised employees. 
•    Ensure that employees report to work on time and complete time sheets.

Duties/Responsibilities:

•    Coordinate the insurance billing function of the business office and ensure the proper application of patient, insurance, and other payments.
•    Prepare weekly and monthly reports on third-party billings, accounts pending diagnoses, and late charges.
•    Perform Billing Clerk and Cashier duties and coordinate and perform insurance follow-up procedures.
•    Perform other clerical or supervisory duties as assigned by the Revenue Cycle Director
•    Collaborate with other departments to get and analyze additional information about patients to be able to record and process billing effectively.
•    Give a report of all concerns and issues to the Revenue Cycle Director for prompt necessary action.
•    Remain updated on HIPAA and all other health information management issues and regulations.

Required Skills/Abilities:

•    Extensive experience in medical insurance and healthcare billing and collections within a health system or medical practice.
•    Possess profound knowledge and understanding of rules and regulations affecting medical billing and insurance verification
•    Deep knowledge and understanding of revenue cycle, collections, and payment posting, medical billing, Medicare and Medicaid, and third-party payers
•    Thorough knowledge and working experience of CPT and ICD9 codes, UB04 claim forms, HCFA 1500, HIPAA, medical terminology, appeal processes, billing and insurance regulations, and insurance benefits
•    Solid knowledge of basic accounting principles and business management to be able to effectively give direction to the billing and coding office
•    Strong negotiation skills to be able to effectively deal with customers and secure payment, as well as to be able to discuss the finances of patients
•    Detail-oriented with the ability to work under pressure and frequent interruptions from staff and patients without being distracted
•    Strong ability to communicate effectively with staff, colleagues, patients, physicians, and insurers in person, over the telephone, and in writing
•    Strong proficiency in the use of Word, Outlook, Excel, and other Microsoft Office tools
•    Strong ability to display exceptional initiative and work under little or no supervision
•    Strong ability to train and supervise the work of employees; effectively organize, prioritize, and schedule tasks to ensure practice timelines are met
•    Strong ability to handle problems consisting of multiple variables in an organized manner.

Education and Experience:

•    Bachelor’s degree in finance, accounting, or related field preferred.
•    Proven experience in a billing management role. A minimum of three years of experience is preferred.

Physical Requirements:

•    Prolonged periods of sitting at a desk and working on a computer.
•    Requires occasional lifting and carrying items weighing up to 15 pounds unassisted.