Medical Billing Manager

PrimeCare Managers is seeking a Full-Time Medical Billing Manager to provide supervisory oversight and management of all facets of the billing department, including claims processing, revenue monitoring, and quality improvement initiatives.

Working cooperatively with other managers and administration is a must to ensure timely billing, reporting and patient account management.

The PrimeCare recruiting team would love to talk to you if you meet the following responsibilities and qualifications. Responsibilities and Duties• Performs overall revenue management, including satisfying timely filing requirements and maximizing billing revenue and collections, and resolution of denied/rejected claims.• Supervise submission by billing specialists.• Monitors reports to ensure clean claims submissions.• Monitors monthly aging reports conducts follow-up on unpaid claims and take appropriate action to re-bill for reimbursement.• Identifies, researches, and resolves system issues through direct contact with payors and software vendors.• Provides technical expertise to ensure accurate billing, including billing for new services and staying informed of regulatory, compliance, and best practices for FQHC billing.• Develops, implements, and maintains revenue cycle standard operating procedures {SOPs).• Research and maintain billing compliance and regulations• Performs regular audits of daily billing reports to identify coding and billing errors. Work with front office staff and notify on-site management of problems as needed.• Monitors aging and payment reports monthly to identify trends and underpayments; investigatecauses and take appropriate steps toward resolution using professional judgment.• Provides monthly updates of revenue cycle status including reports, metrics, and presentations.• Provides training as required to on-site staff regarding billing and other revenue cycle related tasks and standard operating procedures (SOPs).• With other management team members, develop continuous process and priorities for quality improvement to improve revenue cycle outcomes.• Handle and be knowledgeable of all software utilized in managing operations-related revenue.• Performs special projects and other duties as requested.

Qualifications and Skills• A Bachelor's degree in a business or related field or relevant experience with progressive responsibilities development.• Minimum of five years of business office management experience; prefer some experience as a department manager.• Proficiency in the use of billing software applications and general MS Office applications.• Experience working with all types of third-party payers. (HMO, PPO, Medicare/Medicaid, etc.)• Excellent communication and organizational skills.• Demonstrates accountability, integrity, professionalism, openness, receptive to change, creativity and innovation.