To be considered please fill out the Application in the next stepOPEN INTERVIEWS: EVERY THURSDAY FROM 9:00 AM TO 12:00 PM

~Please stop in to Human Resources with your resume and a smile to participate.

Schedule/Status:

Full Time

Standard Hours/Week:

40

General Description:

The Medical Billing and Collections Manager is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and managing collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers.

This position will manage and supervise billing and collections activities across all Parrish Medical Group sites in coordination with the Central Billing Office. The incumbent will ensure coordination and uniformity of related processes, as well as measurement and reporting of performance indicators.

The Medical Billing and Collections Manager must possess critical thinking skills and maintain a thorough understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods. In addition, the Medical Billing and Collections Manager must demonstrate proficiency with billing systems to ensure all functionality is utilized for efficient transaction processing

Key Responsibilities:

Oversee and manage all billing, collections and cash flow related functions in coordination/collaboration with the Central Billing Office.

Responsible for correcting, completing, and processing claims for all payer codes.

Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication.

Analyze and ensure that claims are accurately sent to payer organizations.

Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance organizations on unpaid insurance accounts identified through aging reports.

Manage appeals online or via paper submission; Implement and manage processes pertaining to claim denial management, claim corrections and tracking/following up on collections.

Assist in reconciling deposit and patient collections and any billing audits/reviews.

Support and coordinate with office managers/administrators at PMG sites to ensure timely information sharing and implementation of process improvement programs.

Effectively respond to/manage correspondence/calls related to patient accounts, and address queries, escalations pertaining to billing, charges and other related areas, made by patients, medical office staff or payer organizations amongst other stakeholders.

Identify trends, and carrier issues relating to billing, collections and reimbursement. Report findings to Team Lead and/or Supervisor.

Ensure compliance with state and federal laws and regulations at all times.

Research, record and report findings and formulate processes/procedures for continual improvement and optimal performance at all Medical Group sites.

Maintain patient confidence and protects medical office operations by keeping patient information confidential.

Requirements:

Formal Education:· High School Diploma/GED (or higher).

Work Experience:

3+ years of Billing or Collections experience, within Healthcare Industry.

Supervisory role/experience across multiple medical office setting is highly preferable.

Required Licenses, Certifications, Registrations:

NA