Location: Bronx,NY, USA
The Billing Manager would be responsible for managing the day-to-day operations - to coordinate overall functions of billing, maximizing cash flow while improving patient, physician, and other strong customer relations. The position requires strong managerial leadership and business office skills, including project management, critical thinking and analytical skills.
Responsibilities include but not limited to
New provider credentialing and revalidation for Medicare & Medicaid
Make sure that expired documents (Lic, etc.,) are updated with carriers ASAP
Ensure new provider(s) onboarded are enrolled correctly with the carrier for all sites, including security access for provider(s) into various systems
Verify patient benefits, eligibility, plan design, patient responsibility authorization, services that will be covered and the portion which will not be paid by the insurance carrier.
Validate/reconcile OR reports against charges billed to ensure charges are not left on billed
Occasional manual charge entry, coding review/correction for OR charges to prevent bundling /unbundling
Review and correct charges and LCD edits on the hospital side (medical necessity Dx, etc.)
Work with the compliance team annually on provider coding and billing compliance chart review
Provider one-on-one training in areas where issues are noted and paying close attention to individuals who falls within this area
Requirements
High School Diploma/ GED Required
Bachelor's Degree preferred
One year of experience as a Certified Professional Coder required
Three years experience in a related field, with at least two years working in healthcare/ revenue cycle management required
Registration training required on , EPIC, CPC USBank and PACS etc,.
Advanced in Excel, familiar with pivot tables, cube reporting
Work closely with providers, administration, FPG, operations and other departments
Spanish speaking preferred
Department: Otorhinolaryngology Bargaining Unit: Non Union Campus: MOSES Employment Status: Regular Full-Time Address: 3400 Bainbridge Avenue, Bronx
Shift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 222957 Salary Range/Pay Rate: $69,750.00 - $93,000.00
For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.
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Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.
Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
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