Billing Director - Women's Health of Central Virginia : Job Details

Billing Director

Women's Health of Central Virginia

Job Location : Lynchburg,VA, USA

Posted on : 2025-02-01T13:23:42Z

Job Description :

Department: Billing

Job Status: Active

FLSA Status: Non-Exempt

Work Schedule: Mon-Fri 8am-5pm

Job Status: Full-Time

Reports To: Chief Administrative Officer

Amount of Travel Required: None

Positions Supervised: Internal Billing Representatives

POSITION SUMMARY

The Billing Director oversees daily activities of the internal billing team and coordinates billing activities with external billing company. Ensure that all functions of the Billing Department are completed in an accurate and timely manner. Works closely with President, Chief Administrative Officer, Directors, and external Billing Company resources to ensure a robust billing function for Women's Health of Central Virginia. Responsible for carrier contracts, patient financial accounts, fee schedules, monitoring and developing procedures, and reporting processes.

ESSENTIAL FUNCTIONS

Reasonable Accommodations Statement: To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodation may be made to help enable qualified individuals with disabilities to perform the essential functions.

  • Oversee daily activities of internal billing department.
  • Maintain effective relationship with external billing department. Meet regularly to review key measures of success, issues, and priorities. Ensure that internal and external billing processes are effective and meeting key success indicators.
  • Maintain Carrier Contracts and Fee Schedules. Review amendments and policy updates and determine if action is needed. Conduct periodic audits to ensure that contract terms, fee schedules, and carrier payments are accurate. Take corrective action as needed.
  • Oversee collections efforts with external billing company and collections agency. Ensure that internal and external billing staff are adhering to WHS collections policy.
  • Provide oversight for Practice Management System. Incorporate new features into workflows as appropriate. Develop new processes, implement system settings, educate staff, and monitor for accuracy. Modify current settings as needed.
  • Monitor billing processes for accuracy and timely completion. Includes collections, electronic remits, claims submission, denial management, coding changes from AMA. Conduct internal audits as needed to ensure accuracy and compliance with coding standards. Coordinate activities with external and internal billing teams.
  • Process month end reports for accountants. Process internal reports to monitor key processes, track progress with key initiatives, research key issues or identify emerging trends.
  • Provide custom reports as needed to answer specific billing questions or to conduct audits.
  • Develop policies and procedures as needed. Ensure adherence with current policies and procedures. Implement any changes that may evolve over time.
  • Ensure that patient complaints regarding billing are addressed and resolution effectively communicated to relevant parties.
  • Lead specific projects as needed.
  • Coordinate training with vendors and billing staff as needed.

    • POSITION QUALIFICATIONS

    Competency Statement(s):

    • Accountability - Ability to accept responsibility and account for his/her actions.
    • Active Listening - Ability to actively attend to, convey, and understand the comments and questions of others.
    • Accuracy - Ability to perform work accurately and thoroughly.
    • Autonomy - Ability to work independently with minimal supervision.
    • Communication, Oral - Ability to communicate effectively with others using the spoken word.
    • Communication, Written - Ability to communicate in writing clearly and concisely.
    • Customer Oriented - Ability to take care of the customers' needs while following company procedures.
    • Detail Oriented - Ability to pay attention to the minute details of a project or task.
    • Energetic - Ability to work at a sustained pace and produce quality work.
    • Honesty / Integrity - Ability to be truthful and be seen as credible in the workplace.
    • Motivation - Ability to inspire oneself and others to reach a goal and/or perform to the best of their ability.
    • Organized - Possessing the trait of being organized or following a systematic method of performing a task.
    • Problem Solving - Ability to find a solution for or to deal proactively with work-related problems.
    • Reliability - The trait of being dependable and trustworthy.
    • Responsible - Ability to be held accountable or answerable for one's conduct.
    • Self-Motivated - Ability to be internally inspired to perform a task to the best of one's ability using his or her own drive or initiative.
    • Time Management - Ability to utilize the available time to organize and complete work within given deadlines.
    • Working Under Pressure - Ability to complete assigned tasks under stressful situations.

    SKILLS & ABILITIES

    Education: High School Diploma, or equivalent. Bachelor's degree in business field or Finance preferred.

    Experience: 5 years medical billing experience, required. 3 years medical billing supervisory experience required.

    Computer Skills: Ability to efficiently operate computers. Comfortable with Microsoft Office. Requires good understanding Excel formulas, pivot tables, filters.

    Certifications & Licenses: Certification in Billing and/or Coding preferred.

    Other Requirements: Ability to pass required background check. Requires high level of critical thinking and problem solving.

    PHYSICAL DEMANDS

    N (Not Applicable) - Activity is not applicable to this position.

    O (Occasionally) - Position requires this activity up to 33% of the time (0 - 2.5+ hrs/day)

    F (Frequently) - Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)

    C (Constantly) - Position requires this activity more than 66% of the time (5.5+ hrs/day)

    Physical Demands:

    • Stand: F
    • Walk: F
    • Sit: O
    • Manually Manipulate: O
    • Reach Outward: O
    • Reach Above Shoulder: O
    • Climb: N
    • Crawl: N
    • Squat or Kneel: O
    • Bend: O
    • Grasp: O
    • Speak: C
    • 10 lbs or less: O
    • 11-20 lbs: O
    • 21-50 lbs: N
    • 51-100 lbs: N
    • Over 100: N
    • 12 lbs or less: O
    • 13-25 lbs: O
    • 26-40 lbs: N
    • 41-100 lbs: N

    Other Physical Requirements:

    • Vision (Near, Distance, Color, Peripheral, Depth)
    • Sense of Sound - telephone, conversation, in person, etc.
    • Sense of Touch
    • Sense of Balance

    WORK ENVIRONMENT

    Air-Conditioned and Heat-Controlled Office

    Job Type: Full-time

    Pay: $68,000.00 - $85,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • AD&D insurance
    • Dental insurance
    • Disability insurance
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid sick time
    • Paid time off
    • Vision insurance

    Physical Setting:

    • Office

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Work Location: In person

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