Details
In partnership with Intermountain, Surgery Partners is seeking a Billing Manager to join our Team! We are looking for a top performer with an extensive knowledge of medical billing, collections, and reimbursement of claims processing in addition to management experience.
GENERAL SUMMARY OF DUTIES:
Manage all aspects and operating activities of our billing department including billing, collections, payment posting, and total revenue cycle management for multiple outpatient surgical centers. Coordination with surgery center staff, corporate AP, and regional directors.
ESSENTIAL FUNCTIONS:
- Supervises all Billing personnel and data entry functions necessary for timely daily processing of current billing and secondary charges.
- Responsible to ensure that all patient statements are sent accurately and in a timely manner.
- Reviews claim denials routinely and communicates to appropriate to staff members in order to complete the billing process.
- Responsible for evaluating the performance of the Billing Department staff members.
- Speaks to patients in a compassionate, courteous and professional manner.
- Oversees the preparation of medical bills and invoices, the calculation of provider charges, and verification of patient insurance.
- Maintains insurance documents and ensures billing operations are performed in an accurate and timely manner.
- Oversees the submission of claim reports and filing procedures.
- Evaluates billing processes and procedures and assists management in developing revisions.
- Monitors the revenue cycle activities and resolves any issues.
- Familiar with ICD-9, ICD-10, CPT, and/or HCPCS Coding Systems as well as claim forms such as CMS-1500 and UB-04.
- Supervises a small group of staff characterized in repetitive processes.
- Contributes to the development of processes and procedures.
- Review and approve selected accounts to be placed with outside collection agencies.
- Coordinate revenue cycle flow between surgery centers and billing office and maintain open lines of communication.
- Other assigned duties as required.
QUALIFICATIONS:
- High School Diploma or Equivalent required. Associates Degree or higher preferred.
- Knowledge of Medicare, Medicaid Billing/Collections, HCPCS, CPT, and ICD-10 and medical terminology.
- Knowledge patient accounting systems, HIS, EHR, EMR, etc.
- Two or more years of experience in billing and collections in a medical setting or comparable education.
- Two or more years in supervisory position preferred.
- Knowledge of government, legal and regulatory provisions related to medical billing, practice management and collection activity.
- Knowledge of computers with experience in windows-based systems and Microsoft Office
- Detail oriented and ability to record details of patient, insurance companies, and other third-party communications.
- Excellent verbal and written communication skills
- Good listening and problem-solving abilities.
- Strong interpersonal and organizational skills