Billing Manager – Freehold, NJ

POSITION QUALIFICATIONS:
  • Demonstrated customer service oriented attitude/behavior
  • Excellent interpersonal and communication skills
  • Ability to exercise initiative, problem-solving and decision making
  • Demonstrated ability to establish and maintain effective working relationships with internal and external parties
  • Proficient organizational skills, attention to detail and accuracy
  • Ability to identify, initiate, implement and manage business practices, policies and processes
  • Working knowledge and experience in health information system management, including billing and medical record applications
  • Current knowledge of insurance payer coding and reimbursement guidelines
  • Working knowledge of methods, procedures, regulations and guidelines in patient billing
  • Current working knowledge of Fair Collection laws
  • Advanced and current knowledge of CPT, HCOPCS and ICD-9-CM coding
  • Advanced working knowledge of billing operations, including charges, coding, payment, insurance claims and appeals, scheduling, and switchboard
  • Minimum two years in medical practice billing, coding and collections
  • Minimum two years supervisory experience in a medical physician office facility
  • Certification through a Professional Coding Program, such as AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management Association)
BASIC FUNCTIONS
  • Oversees the day-to-day operations of the Clinic’s Billing Department
  • Conducts, recommends, and educates on all coding of services rendered
  • Participates and works with other Managers and Supervisors in developing good working relationships and processes throughout the Clinic
SCOPE
  • Manages, directs and/or coordinates the billing operations of the Clinic
  • Supervises all billing personnel
  • Collaborates with Administration, Management, Physicians and Extenders to effect good operations
  • Operates within financial policies, procedures and budget with effective use of resources
  • Ensures compliance in federal, state and other regulations including corporate, compliance, licensure, safety and security as relates to general office operations
ESSENTIAL POSITION RESPONSIBILITIES
  • Provides guidance and direction to billing personnel
  • Performs selection, orientation, discipline, evaluation, and dismissal of billing department personnel
  • Prepares staff schedules and ensures adequate staffing to meet demands of the department
  • Keeps department staff appraised of Clinic operations; conducts monthly department meetings
  • Prepares, implements and manages existing and new departmental processes and procedures
  • Performs coding of services, procedures and diagnoses of services rendered by providers and departments
  • Reviews chart documentation for correct coding and missed revenue opportunities
  • Communicates and educates providers, administration, managers and staff on coding and documentation guidelines, rules and regulations
  • Assists with denials and appeals from insurance payers due to coding issues
  • Assists with charge entry, patient demographics, registration, collections and other insurance/billing functions
  • Oversees patient account collection processes and assists collector in processes
  • Conducts new employee orientation and periodic training updates
  • Maintains facilities, space and equipment to ensure a comfortable and safe working environment
  • Participates with Administration, Physicians and Managers/Supervisors in identifying new processes, procedures and services
  • Attends and participates in management meetings, physician meetings upon request, and continuing education
  • Demonstrates and promotes a positive patient/customer service attitude
  • Performs other tasks as assigned
REGULATORY REQUIREMENTS
  • Uses universal precautions when tasks being performed present the possibility of exposure to blood or body fluids; this includes using appropriate personal protective equipment and work
  • Light work – exerts up to 50 pounds of force occasionally and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (constantly: activity or condition exists 2/3 or more of the time) to move Physical demand requirements are in excess of those for sedentary work. Even though the weight lifted may be only a negligible amount, a job should be rated light work (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.
  • Participates in and coordinates with organizational process to collect and ensure information about hazards and safety practices that are used to identify safety management Adheres to established policies and procedures, which may include wearing of personal protective equipment.
  • Participates in and fosters an approach to continuously improving quality that includes both intra-departmental and inter-departmental
  • Has knowledge of the clinical interventions and equipment necessary to meet the specific needs of the patient population served (check those that apply):