Job Summary
1. Oversee the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, collections, and reimbursement management.
2. Document and track billing denials. Develop an action plan to address the denials.
3. Serves as the practice expert and go to person for all coding and billingprocesses.
4. Analyze billing and claims for accuracy and completeness; follow-up with billers on work queues or pending claims.
5. Review and approve billing refunds.
6. Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
7. Preparesandanalyzesaccounts receivablereportsandinsurancecontractswiththe Chief Financial Officer. Collects and compiles accurate statistical reports.
8. Audits current procedures to monitor and improve efficiency of billing according to OIC Compliance Plan.
9. Analyzes trends impacting charges, coding, collection and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
10. Keep up to date with carrier rule changes and distribute the information within the practice.
11. Performs physician credentialing actions.
12. Maintains library of information/tools related to documentation guidelines and coding. 13. Attend webinars and seminars to keep up on insurance changes.
Job Type: Full-time
Work Location: In person
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