Billing Manager Job Description

General Summary of Duties: Responsible for directing and coordinating the overall functions of

the medical billing and coding office to ensure maximization of cash flow while improving

patient, physician, and other customer relations. Requires strong managerial, leadership, and

business office skills, including critical thinking and the ability to produce and present detailed

billing activity reports.

Physical Demands: Work may require sitting for long periods of time; also stooping, bending

and stretching for files and supplies. Occasionally lift files or paper weighing up to 30 pounds.

Requires manual dexterity sufficient to operate a keyboard, type at 60 wpm, and operate office

equipment as necessary. Requires normal visual acuity and hearing.

Working Conditions: Involves frequent contact with patients. Work may be stressful at times.

Interaction with others is constant and interruptive. Contact involves dealing with sick persons.

Daily Duties and Responsibilities:

1. Oversee the operations of the billing department, encompassing medical coding, charge

entry, claims submissions, payment posting, accounts receivable follow-up, and

reimbursement management.

2. Serves as the practice expert and go to person for all coding and billing processes.

3. Analyze billing and claims for accuracy and completeness; follow-up with billers on work

queues or pending claims.

4. Maintains contacts with other departments to obtain and analyze additional patient

information to document and process billings.

5. Prepares and analyzes accounts receivable reports and insurance contracts with the

Revenue Cycle Manager and/or Chief Financial Officer. Collects and compiles accurate

statistical reports.

6. Audits current procedures to monitor and improve efficiency of billing according to the

compliance plan.

7. Analyzestrends impacting charges, coding, collection and accounts receivable and take

appropriate action to realign staff and revise policies and procedures.

8. Keep up to date with carrier rule changes and distribute the information within the

practice.

9. Assist with the provider credentialing process as needed.

10. Maintains library of information/tools related to documentation guidelines and coding.

11. Attend webinars and seminars to keep up on insurance changes.

12. Maintain billing system updates such as charges, diagnosis codes, payer specific

information, etc.

13. Review and approve patient refunds.

14. Oversee denial management.

15. Oversee the chart audit process.

• Associates degree, preferably in business administration or related field, or at least 5

years of healthcare experience.

• Certified biller.

• Certified coder is a plus.

• Thorough understanding of medical billing, collections and payment posting, revenue

cycle, third party payers, Medicare; strong knowledge of Indiana and Federal payer

regulations.

• Working knowledge of CPT, ICD codes, HCFA 1500, UB04 claim forms, HIPPA, billing

and insurance regulations, medical terminology, insurance benefits and appeal

processes.

• Sufficient knowledge of policies and procedures to accurately answer questions from

internal and external customers.

• Possess excellent negotiation skills, including the tact required for securing payment or

discussing patient's finances, and enjoy working in a health care setting.

• Up to date with health information technologies and applications.

Additional Duties That May be Assigned as Needed:

1. Schedule patient appointments and patient messages as needed.

2. Perform PE Applications as needed.

3. Assist with the Sliding Fee Discount Applications.

4. Assist with the required documentation for the annual cost

report and financial audit.

5. Miscellaneous duties as assigned by the Revenue Cycle Manager

and/or the Chief Financial Officer.

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