Location: Marlton,NJ, USA
Billing Manager
Southern Jersey Family Medical Centers, Inc. is looking for a talented Billing Manager to step into our fast-paced facility!
Summary: Responsible for managing and coordinating the overall functions of the patient billing cycle, including patient accounting, billing/claims, and collections for federally qualified health centers ( FQHC ). Promotes the organization's effectiveness and efficiency by maximizing cash flow while improving patient, physician, and other internal and external customer relations.
Hours: This is a full-time position with Monday through Friday business hours.
Position Responsibilities/Duties:
* Oversee and supervise the daily operations of the billing department
* Manages the timely and accurate completion of the patient billing cycle. Plans and develops processes for insurance, billing, collections, and data processing to ensure accurate billing and efficient account collection.
* Manages and oversees insurance, billing, accounting systems, and EMR systems, and works with Information Technology to ensure timely and accurate enhancements and implementations.
* Serves as a financial liaison with all State, federal, and local agencies governing or pertaining to health centers.
* Maintains confidentiality of patient medical information and status of patient accounts.
* Hires, supervises, trains, and manages the performance of assigned personnel. Monitors the operating activity of the department and makes necessary adjustments in work assignments.
* Assists with developing annual budget and periodic projections/forecasts.
* Responsible for protecting against fraud, waste, and abuse claims and billing activity.
* Serves as subject matter expert on ICD-10 codes and prevents use of outdated or incorrect codes for procedures.
* Identify reimbursement deficiencies and opportunities for appropriate reimbursement.
* Prevent use of outdated or incorrect codes for procedures.
* Verify ICD-10 and electronic health record (EHR) meaningful use readiness.
* Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation.
* Ensures strict confidentiality of financial records.
* Maintains knowledge and complies with applicable laws and established policies and procedures.
* Other duties as specified by the Director of Finance or designee.
* Oversee in review claims for errors in coding or other mistakes that would prohibit payment from insurance companies
* Coordinating audits of insurance claims to ensure they meet regulations and industry standards
Experience and Skills:
* Bachelor's Degree.
* Minimum 3 years of related experience (5+ years preferred).
* Certificate or diploma from an accredited medical training program preferred.
* Comprehensive knowledge of patient accounting and billing systems
* Advanced knowledge of medical coding and billing systems and regulatory requirements.
* Strong Knowledge of medical terminology, health coding terms, and healthcare coding structure.
* Applied knowledge of governmental and third-party health insurance programs, operating procedures, regulations, and billing requirements.
* Concreate knowledge of patient billing methodologies and patient insurance systems
* Ability to analyze and solve problems.
* Strong communication and interpersonal skills.
* Ability to communicate medical information to professional practitioners and/or the general public.
* Knowledge of Medicare, Medicaid, Medicaid Managed Care, HMOs, Commercial Insurance Plans, Workers Compensation, MVA and Dental Insurance Plans.
* Valid driver's license
* Excellent verbal and written communication skills
* Strong computer skills, EPIC EMR experience preferred
* Ability to work a full time schedule with flexible hours
* Proficient in Microsoft Office - Preferably Microsoft Excel and Word.
Southern Jersey Family Medical Centers is an Equal Opportunity Employer.