Billing Manager
2 months ago
- Oversees the operations of the billing department, charges of entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management Serves as the practice expert and go to person for all billing processes.
- Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.
- Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues
- Follow up on claims using various systems, i.e. practice management and clearing.
- Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
- Collects and compiles accurate statistical reports Audits current procedures to monitor and improve efficiency of billing and collections operations.
- Performs all duties and responsibilities in an efficient, team-oriented manner.
- Accountable for being knowledgeable and understanding of all aspects of the billing
STAFF DUTIES TO INCLUDE : Entering patient demographics and insurance information.
Verifying patient eligibility and benefits for upfront collection on unmet deductibles and co-insurance.
Responsible for reviewing operative reports within three business days of procedure/surgery o Enter charges accurately according to insurance payers/contracts.
- Submitting clean claims by attaching necessary documentation for payment.
- Follow-up on electronic claims and paper claims o Posting insurance payments to patient accounts.
- Submit all secondary claims when necessary o Refund money owed to patient or insurances Accountable for reviewing daily schedules for estimates, authorizations and 3rd party billing.
- Conducts self in a manner that reflects a positive representation of the company, and encourages others to do the same.
Observes strict patient confidentiality in dealing with patients.
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