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, general 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- Serves as subject matter expert on ICD-10 codes and prevents use of outdated or incorrect codes for procedures.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- Prevent use of outdated or incorrect codes for procedures.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
- 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.
Southern Jersey Family Medical Centers, Inc. provides a rewarding and challenging work environment, state-of-the-art facilities, and a very competitive benefits package which includes: a healthy work/life balance, generous paid time off, paid holidays, competitive wages, Tuition Assistance Program, 403(b) Retirement Plan with company contribution, Medical, Prescription, Dental, and Life Insurance.