Billing Manager/Coder is responsible for managing the billing process of medical practices and ensuring timely and accurate payments are received. ESSENTIAL JOB FUNCTIONS:
- Responsible for submitting all necessary paperwork and information to the billing department for both the Highland Park Center and Rockaway Parkway MHOTRS clinics.
- Ensures that all claims of individual charts for clinic services are reviewed and scrubbed, with any errors resolved, including clinician errors, insurance errors, coding errors and errors from all possible areas, before sending the billing to the Billing Department on a weekly basis.
- Follows up with clinicians and Clinical Supervisors to ensure a streamlined flow of necessary information so that Billing can be submitted on time without errors, and completes any outstanding billing submissions.
- Perform reviews to ensure compliance
- Ensure accuracy and integrity of coding and billing data
- Help to ensure complete clinical documentation, accurate medical coding, and proper reimbursement
- Support staff to maximize billing
- This includes building and maintaining relationships with third party payers, managing payment application, analyzing and developing solutions to increase cash flow and reduce costs, supervising staff like billers, coders and customer service personnel, maintaining compliance with insurance regulations, tracking financial metrics related to billing success and developing tracking systems to monitor patient accounts
- Oversee the billing and invoicing process to ensure accuracy and timeliness
- Develop and implement billing policies and procedures in line with company and industry standards
- Analyze billing data to identify trends and areas for improvement
- Collaborate with cross-functional teams to resolve billing issues and ensure timely payments
- Build strong, collaborative relationships with clients and vendors to ensure efficient billing processes
- Manage the month-end billing close process and ensure timely completion of all billing activities
- Prepare and present financial reports and analytics to senior management and clients on a regular basis
- Continuously evaluate and improve billing processes to increase efficiency and accuracy
- Ensure that all billing-related documentation is complete and accurate, and that all financial transactions are properly recorded
ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES:
- Certified Billing Manager in Behavioral Health
- Strong knowledge base of ICL's EMR and the necessary required information to submit to the Billing Department, including pulling the correct reports
- Ability to multi-task and complete submissions within the required timeframe
- Excellent time management skills and ability to consistently meet deadlines
- Ability to assess system and assist in creating new workflows as needed to streamline the billing submission processes
- Ability to liaise effectively with staff in Billing
- Ability to notice patterns across staff submissions and errors and communicate with Supervisors and Senior Clinic Director so that issues can be addressed with clinicians
- Ability to work with others in a cooperative, collaborative manner
- Strong written and oral communication skills as well as strong computer/technical skills and knowledge
QUALIFICATIONS AND EXPERIENCE: Education: Bachelor's degree Training and Experience: Extensive experience and knowledge base in Billing, certification in billing and coding preferred Language: Bilingual Spanish Speaking preferred
- Certification Professional Coder (CPC) certification, CCS, or CPMA certification preferred