Job Description

Job Description:

Billing Manager

Southern Jersey Family Medical Centers, Inc. is looking for a talented Billing Manager to step into our fast-paced facility!

Summary:  Responsible for managing and coordinating the overall functions of the patient billing cycle, including patient accounting, billing/claims, and collections for federally qualified health centers (“FQHC”). Promotes the organization’s effectiveness and efficiency by maximizing cash flow while improving patient, physician, and other internal and external customer relations.

Hours: This is a full-time position with Monday through Friday business hours.

Position Responsibilities/Duties:

• Oversee and supervise the daily operations of the billing department

• Manages the timely and accurate completion of the patient billing cycle.  Plans and develops processes for insurance, billing, collections, and data processing to ensure accurate billing and efficient account collection.
• Manages and oversees insurance, billing, accounting systems, and EMR systems, and works with Information Technology to ensure timely and accurate enhancements and implementations. 
• Serves as a financial liaison with all State, federal, and local agencies governing or pertaining to health centers. 
• Maintains confidentiality of patient medical information and status of patient accounts. 
• Hires, supervises, trains, and manages the performance of assigned personnel.  Monitors the operating activity of the department and makes necessary adjustments in work assignments. 
• Assists with developing annual budget and periodic projections/forecasts. 
• Responsible for protecting against fraud, waste, and abuse claims and billing activity.
• Serves as subject matter expert on ICD-10 codes and prevents use of outdated or incorrect codes for procedures.
• Identify reimbursement deficiencies and opportunities for appropriate reimbursement.
• Prevent use of outdated or incorrect codes for procedures.
• Verify ICD-10 and electronic health record (EHR) meaningful use readiness.
• Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation.
• Ensures strict confidentiality of financial records.
• Maintains knowledge and complies with applicable laws and established policies and procedures.
• Other duties as specified by the Director of Finance or designee.

• Oversee in review claims for errors in coding or other mistakes that would prohibit payment from insurance companies
• Coordinating audits of insurance claims to ensure they meet regulations and industry standards

Experience and Skills:

• Bachelor’s Degree.
• Minimum 3 years of related experience (5+ years preferred).
• Certificate or diploma from an accredited medical training program preferred.

• Comprehensive knowledge of patient accounting and billing systems
• Advanced knowledge of medical coding and billing systems and regulatory requirements.
• Strong Knowledge of medical terminology, health coding terms, and healthcare coding structure. 
• Applied knowledge of governmental and third-party health insurance programs, operating procedures, regulations, and billing requirements.
• Concreate knowledge of patient billing methodologies and patient insurance systems
• Ability to analyze and solve problems.
• Strong communication and interpersonal skills.
• Ability to communicate medical information to professional practitioners and/or the general public.
• Knowledge of Medicare, Medicaid, Medicaid Managed Care, HMOs, Commercial Insurance Plans, Workers Compensation, MVA and Dental Insurance Plans.
• Valid driver’s license
• Excellent verbal and written communication skills
• Strong computer skills, EPIC EMR experience preferred
• Ability to work a full time schedule with flexible hours
• Proficient in Microsoft Office – Preferably Microsoft Excel and Word.

Southern Jersey Family Medical Centers is an Equal Opportunity Employer

Job Tags

Similar Jobs