Physician Billing Manager job in Redlands, CA: Healthcare careers

JOB SUMMARY

Works closely with Management to plan and manage the administration activities within the Billing Department.

PRINCIPLE DUTIES AND RESPONSIBILITIES

Daily
• Monitors employee productivity based on reports. Regularly counsels employees who are not meeting their productivity targets.
• Ensures all patient accounting activities are performed and executed in a timely manner and in accordance with approved IHO policies. These activities include:
• Cash Controls
• Charges, Payment and Adjustment Posting
• Insurance Billing and Follow-up
• Patient Billing and Follow-up
• Works closely with Regional Practice Manager to resolve recurring issues with practice staff (i.e., untimely submission of superbill batches, incomplete superbills for missing ICD-9, CPT codes, etc.)
• Elevates critical issues when appropriate and handles day-to-day routine issues independent of Senior Management.
Weekly
• Meets with each Collection Specialist to review follow-up activities and progress. Meets with Controller on a bi-weekly basis, to review outstanding Accounts Receivable for each medical group.
• Manages outstanding accounts receivable by analyzing key performance indicators and reviewing current processes to ensure efficiency.
Monthly
• Balances charges, payments and adjustments within system.
• Runs month end reports and files appropriately.
• Submits monthly and annual financial and productivity statistical reports to appropriate management staff, including comparisons to industry standards. Information to be analyzed and disseminated includes, but is not limited to: accounts receivable, provider productivity, financial performance and utilization data.
• Establishes Central Billing Office standards and pursues timeliness, accuracy and performance goals for each billing and collection function.
• Maintains current knowledge of payor regulations, CPT-4 and ICD-9 coding. Regularly coordinates training sessions for Central Billing Office and client site staff.
Human Resources
General
• Performs high-level review of time off requests for Billing Department employees including ensuring that there is sufficient coverage.
• Performs high-level review of bi-weekly time sheets.
• Prepares employee 90-day and annual evaluations and submits to Controller for review and approval.
• Responsible for preparing, obtaining approval and delivering Employee Counselings and Terminations, when appropriate.
• Monitors employee conduct as outlined in IHO Employee Handbook.

Recruitment
• Conducts interviews in concert with Physician Billing Supervisor.
• With Physician Billing Supervisor, performs reference checks.
• Responsible to make offer of employment to approved candidate.

Miscellaneous
• Obtains and maintains a complete understanding of the software used to support the Central Billing Office. Works with Information Technology Manager to ensure that master files and decision parameters are maintained, modified, and implemented as required.
• Works closely with IHO Senior Management to maintain accountability for the planning, documentation and implementation of all new or existing clients with respect to physician billing and collection.
• All other duties as assigned by the Chief Financial Officer and/or V.P./Executive Director.

MACHINERY, TOOLS, EQUIPMENT AND WORK AIDS

Computer, printer(s), telephone, facsimile machine, calculator and photocopier.

POSITION QUALIFICATIONS

A) EXPERIENCE: Minimum 3 years management or supervisory experience in a healthcare organization. Strong knowledge of CPT, HCPCS, ICD-9 coding, primary care and OB/GYN billing, Medicare, Medi-Cal and CHDP billing. Ability to interpret contracts, strong people skills and effective communication skills.

B) EDUCATION AND TRAINING: High school graduate or equivalent.

C) LICENSE, CERTIFICATION AND REGISTRATION: None

D) SPECIALIZED KNOWLEDGE AND SKILLS: Excellent communication, problem solving and people skills.

E) OTHER REQUIREMENTS: This position requires a highly motivated individual with a positive attitude. Possesses strong communication and organizational skills to ensure that assignments are completed in a timely manner. Also possesses ability to maintain a professional attitude while performing multiple tasks as well as leading a team. Must have the ability to motivate a team and peers and establish a good rapport with internal and external customers.

RELATIONSHIPS/SUPERVISION

A) REPORTS TO: Chief Financial Officer

B) SUPERVISES: Billing Department Staff

C) LEADS/GUIDES: None

D) CONTACT: Physicians, physician offices, patients and other IHO employees

Physician Billing Manager: Olympic Staffing Services

Yahoo! HotJobs

Also on Yahoo!

Other Resources

Top keyword searches:

Top cities: