This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

Reporting to and working with the Director of Billing, the Billing Manager role is responsible for the oversight of all functions related to the billing operations of 50-60 clients. This includes managing a team of 12-15 employees ensuring the accurate capture of all revenue, clean claims submissions both electronically or via mail, the management of Clearing House rejections, creating and administering ongoing training to staff, and upholding the integrity of the organization. Must have Orthopedic/ Pain Management/ Ambulatory Surgery Center billing experience and be COC, CPC, or CASCC Certified.

• Implementation and oversight of best practices relating to quality assurance outcomes for both internal processes and external vendor processes.
• Oversight for billing specifications for all client payers in assigned region, which includes communication of specifications to staff, training on requirements, and provision of tools and resources.
• Routine audits of claim submissions sent electronically and via paper with the appropriate attachments.
• Assist when needed for charge entry, pulling operative notes, claims transmission and working claim rejections.
• Assist in developing new tools to streamline processes.
• Coordinate coverage when needed to keep region current.
• Manage a team of 12-15 employees.
• Provides feedback and proposes changes or enhancements to billing policies and procedures.
• Provide ongoing training to improve overall performance of Billing Specialist.
• Performs other job-related duties as assigned.

Qualifications

• Orthopedic/ Pain Management/ Ambulatory Surgery Center billing experience.
• COC, CPC, or CASCC Certified.

Company Description