Medical Biller Manager - Murrieta, United States - Pacific Heart Medical Group

Description

• Manage, supervise and oversee 6 medical billers
• Create a harmonious and structured work environment
• Manager, oversee and participate in the following duties with the team:
• Analyzing accounts receivable reports to identify problems on accounts, research accounts/trends and take appropriate actions to promote reimbursement
• Understanding and use of best medical billing practices and strict adherence to regulations
• Knowledge of CPT, ICD10, and HCPCS codes, as well as appropriate modifier usage
• Familiar with billing all major medical insurances, including Medicare and commercial payers
• Ability to work independently and collectively toward team goals
• Efficient and effective multitasking
• Ability to communicate effectively and congenially with patients and staff members in person and over the phone
• Ability to accept supervision and feedback
• Review medical documentation and billing for errors, to ensure a clean claim is submitted the first time
• Follow up on unpaid and denied claims
• Post Payments
• Comply with all company policies and procedures found in the employee handbook.
• Oversee automated billing processes within billing software, including managing remittance and postings, followup on denials, correcting claims within hold status and reviewing accounts receivable, aging and collections reports.
• Submit documentation as needed for appeals.
• Submit timely claims after provider encounters, review documentation, coding, authorization, and insurance eligibility before submissions
• Performs regular reconciliation and correction of remittance records, missing slips, and other billing tasks
• Performs regular billing of noshows, inpatient encounters, and nonfacetoface encounters

• Ten years of experience in billing, coding, and collections in a healthcare setting
• Graduated from an accredited Billing Program
• Certified Coding Specialist preferred
• Experience with Advanced MD preferable
• Experience With Practice Fusion preferable

• Uptodate knowledge of medical billing principles and practices, as well as relevant laws and regulations.
• Knowledge of electronic health record (EHR) systems; Practice Fusion experience is a plus.
• Ability to manage a team with Independent decisionmaking; ability to exercise independent judgment.

• Work in an office, where the climate is controlled

• 401(k) matching
• Health insurance
• Paid time off
• Paid sick pay

• 8 hour shift
• Monday to Friday In Person At Office Location

• Private practice

• 401(k) matching
• Health insurance
• Paid time off

• 8 hour shift
• Monday to Friday