Physician Practices Billing Mgr.

Los Alamos Medical Center
 

Job Title: Physician Practices Billing Mgr. 

Job Type: Full-time, non-exempt

Your experience matters  

Los Alamos Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Patient Access Representative in our Emergency Department, you’re embracing a vital mission dedicated to making communities healthier ^®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

How you’ll contribute  

Manages the daily operations of the assigned department or function to ensure alignment with departmental and organizational objectives.

Reports to: Clinic Market Director

Essential Functions:

• Manages daily operations, coding and RCM for multi-specialty clinics and hospitalist group.
• Utilize coding and billing reference tools to accurately code and bill daily E&M and surgical claims with compliance of all billing guidelines. Abstract coding of surgical claims.
• Utilize billing and coding knowledge to train clinic staff in billing guidelines and train physicians in coding rules.
• Daily assistance and problem solving for 7 clinics.
• RCM management with weekly review of all areas of RCM with working knowledge of claims corrections. Research and correction of claim errors and resubmission through EMR/Billing System.
• Some physician credentialing assistance and overview.
• Monthly reporting and compliance with Corporate Metrics.
• Customer Service calls and assistance for all 7 clinics

Minimum Requirements:

Education:

• High school diploma or equivalence required.

Certifications:

• CPC Certification
• CPB or equivalent other certification preferred. Practical experience as substitute for additional certification considered.

Skills:

• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
• Working knowledge of HIPAA, EMTALA, Good Faith Estimates, No Surprises Act, Stark Law, and all other Healthcare laws.
• Some years of RCM experience with ability to read, interpret, and correct all claim denials.
• Some years of practical coding experience, including physician billing.
• Knowledge of Athena or other similar EMR/Billing Systems.

Why join us 

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:   

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. 
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. 
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. 
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). 
• Professional Development: Ongoing learning and career advancement opportunities.  

More about Los Alamos Medical Center

At Los Alamos Medical Center, we work hard to provide high quality care that’s continuously recognized for excellence. In the past year, we have earned numerous recognitions that show how we’re both a great place for care and a great place to work!  We have achieved an 'A' for our Leapfrog grade, have acquired Lifepoint Health NQP accreditation, Newsweek has named us a Top Hospital in New Mexico, and have been honored for our Lifepoint Health Diversity Program.  We are proud of our work and patient care.  

 

EEOC Statement 

Los Alamos Medical Center is an Equal Opportunity Employer. Los Alamos Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.