Medical Billing Manager Job Description
Medical billing manager
provides coding and billing expertise from both payer and provider perspective (includes inpatient and outpatient coding; ICD-10 CM and PCS; CPT, HCPCS, lab billing, HIC 3s, and revenue codes).
Medical Billing Manager Duties & Responsibilities
To write an effective medical billing manager job description, begin by listing detailed duties, responsibilities and expectations. We have included medical billing manager job description templates that you can modify and use.
Sample responsibilities for this position include:
Develop and implement plans, policies and procedures for billing and collections operations
Maintain and test internal controls related to billing and collections
Coordinate with stakeholders in the Military Health System (MHS) and Medical Treatment Facilities (MTFs) practice communities to improve coding, billing and collections across the MHS
Responsible for a team that performs professional external audits to verify the accuracy of claims reimbursement, clinical significance, medical necessity, coding and billing in accordance with the Plans’ agreements and the National Healthcare Billing Audit guidelines
Hires, trains, counsels, coaches, and terminates support staff with the assistance of the Senior Manager, Billing and Collections including approving biweekly time documents, completing annual performance evaluations, continuously evaluating and improving system processes, ensuring that new and current staff attend EPIC, managed care, and other training courses related to hospital operations
Identification and billing of secondary insurances
Posting payments in patient chart/ accounting software
Evaluating existing processes to help identify, design, and implement process improvement to drive increased collections or workflow efficiency
Position the company for growth by implementing processes and procedures to support third party billing
Coordinate and manage work of all billing and collection staff
Medical Billing Manager Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Medical Billing Manager
List any licenses or certifications required by the position: CPT
Education for Medical Billing Manager
Typically a job would require a certain level of education.
Employers hiring for the medical billing manager job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Collage Degree in Education, Business, Healthcare Administration, Management, Healthcare, Finance, Accounting, Medical Billing, Information Technology, Health
Skills for Medical Billing Manager
Desired skills for medical billing manager include:
Billing
Above
Collections
Credits
Denial Management
Workflow and associated processes at an intermediate level
Accounting principles and system reporting
Accounting software
CPT codes
CPT medical coding
Desired experience for medical billing manager includes:
Responsible for assisting staff with resolution of specific account issues, claims submission issues, and specific payer problems
The timely submission of claims to insurance companies either electronically or paper
Maintenance and compliance to all HIPAA guidelines/regulations
2 employees making sure that the department is in compliance
Four-year degree in Business, Healthcare Administration, Information Technology, or other related field
Two-to-four years related experience and/or training required
Medical Billing Manager Examples
1
Medical Billing Manager Job Description
Job Description Example
Our growing company is looking to fill the role of medical billing manager. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for medical billing manager
- Supervise, train and mentor the Billing Team
- Oversees, evaluates, and monitors on-the-job performance of staff responsible for medical collections
- Track clients’ AR productivity (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis
- Supports the company’s objective of efficiently and effectively providing management with oversight of the revenue cycle process
- Supervising a team of collection representatives, establishing performance goals, providing focus and performance reviews, and supporting team and individual employee development
- Setting objectives and prioritizes for the team, assigning tasks and ensuring quality of team member’s work
- Assist in monitoring the quality of the credit portfolio and identifying sources of increased or decreased credit quality
- Reporting to key stakeholders on the performance of the team vs
- Demonstrate strong leadership skills through training, supervision, coaching and mentoring of others
- Identify problem areas or situations, evaluate root cause, and take appropriate action to resolve issues
Qualifications for medical billing manager
- Monitors company procedures, templates and code usage, and claims processing to ensure the department is earning revenue
- Has to have good writing skills and be able to think analytically
- Minimum of six months' experience in an associate service delivery manager role or one year of experience in outside account management or service delivery
- Proven experience leading, managing and developing a team
- Exhibit flexibility and creatively in identifying and implementing process improvements
- Strong oral and written communication skills and knowledge in MS Excel and PowerPoint
2
Medical Billing Manager Job Description
Job Description Example
Our company is growing rapidly and is looking for a medical billing manager. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for medical billing manager
- Reconcile billings with accounts receivable ledger
- Demonstrate continuous efforts to improve operations
- Must have experience working with ICD-10 Coding and HCPCS
- Reconcile bank statements monthly
- Track data trending for practice revenue, provider production, appointments
- Lead a multidisciplinary team to support Defense Health Agency (DHA)’s Strategy Management Directorate (J-5)
- Comprehensive oversight of personnel, project management, inventory control, audit activity, vendor relations, financial goals, and operational effectiveness
- Assures compliance to BCBSMA guidelines, policy and procedures for each recovery project/audit and provider/account/member interaction
- Aligns strategic business planning with corporate initiatives and influences executive level decision-making
- Serves as a trusted advisor for changes to policies, documented guidelines, and system edits that improve efficiencies
Qualifications for medical billing manager
- AA / BA degree
- CPC Coder a plus, not required
- Radiation/Oncology experience a plus
- Accomplishes objectives by establishing plans and results measurements
- Ensure employee's follow the organization's policies and procedures
- Must have at least 3 years of healthcare administration/management experience within the claims resolution process of Accounts Receivable
3
Medical Billing Manager Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of medical billing manager. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for medical billing manager
- Attends monthly Billing Center/Division meeting conference calls and reports on status of under and over allowed claims
- Other duties as assigned by VP of Billing Center
- Interfaces with provider leaders, resolves conflicts and develops proactive approaches for future interventions
- Leads communications with relevant stakeholders on emerging issues/trends and assesses levels of risk
- Coaches/counsels direct reports to maximize performance, job progression, and leads positive change
- Sets the bar for performance metrics, measures, and productivity standards
- Provides leadership and navigation through business challenges using sound judgement
- Accountable for overseeing activity to address existing & emerging issues/trends and keeps relevant stakeholders informed of assessed levels of risk
- Recommends and executes initiatives to enhance current programs, develop new programs, or shorten process cycle time and to meet or exceed productivity goals
- Works closely with corporate business partners to meet deadlines and ensure proper execute on strategy
Qualifications for medical billing manager
- BA/BS in Accounting/Finance or related discipline required
- Knowledge of rules and regulations as relating to submission of Medicare and Insurance claims
- Knowledge of record retention requirements related to HIPAA
- Customer service focused and professional attitude
- Ability to solve problems, prioritize and multi-task in a deadline driven environment
- Ability to work outside core business hours as needed
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Medical Billing Manager Job Description
Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of medical billing manager. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for medical billing manager
- Promotes innovation solutions and pursues new opportunities for cost avoidance savings that contribute to the company's annual financial and service targets
- Meets deadlines and commitments by tightly managing deliverables, coordinating matrixed inputs and ensuring all tasks are performed to bring projects to timely closure
- Represents department by leading cross functional workgroups and sponsors projects as needed
- Manages daily operating activities of assigned collection units and makes necessary adjustments in work assignments
- Establishes and implements a system for the collection of delinquent accounts
- Solves difficult payment and associated business office issues
- Resolves problems relating to the collection of outstanding balances
- Reviews and processes adjustments, refunds, transfers, and returned checks for administrative approval
- Ensures timeliness and accuracy of data, cash deposits, payment postings, and prompt mailing of invoices, statements, insurance claims, and collection letters in accordance with hospital policies
- Clearly documents issues and resolution, documents AR issues/status for client presentation
Qualifications for medical billing manager
- Able to work in a team environment and interact closely with team members
- High level of proficiency with PC based software programs, including Microsoft Office Excel
- At least two years of successful experience in healthcare billing, customer accounts or insurance claims
- 2 to 3 years previous supervisory experience required
- Post high school education may be considered instead of supervisory experience
- Professional level of knowledge in account, business management, or like fields, which is equivalent to that which would be acquired by completing a two year college program
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Medical Billing Manager Job Description
Job Description Example
Our company is hiring for a medical billing manager. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for medical billing manager
- Perform audits for laboratory billing compliance by reviewing medical record documentation for documentation compliance for billed CPT, Level II HCPCS and ICD-10 diagnosis codes
- Work collaboratively with appropriate personnel to identify and recommend strategies for process improvement and to develop and draft billing and coding policies
- Participates in client workgroups, if needed, to address AR issues
- Maintains a schedule of client meetings either monthly or quarterly depending on the size and scope of client
- Professionally interacts with clients and patient to resolve questions and concerns
- Delivers timely required reports to the Director of Operations
- Identifies and provides timely resolution of process issues
- Stay current with company’s policies and procedures regarding AR activity such as, reviewing month end reports to guarantee the AR is below 20% over 90 days, identifying trends
- Hires, retains mentors and manages staff to achieve organizational goals
- Meets regularly with staff
Qualifications for medical billing manager
- Must be a self- started and demonstrate the ability to work independently by making appropriate decisions according to the organizational and departmental guidelines that fall within the scope of the position
- 2-5 years' experience in Accounting/Finance and 1-2 years of medical billing/office experience a plus
- Experience with insurance company billing guidelines for dermatology a plus
- Understanding of insurance company credentialing process a plus
- Knowledge of Accounting principles and system reporting
- Professional communication and management skills