Manager, Physician Billing

Location: 
MMF-Medical Foundation
Schedule: 
Full Time
Shift: 
Day Job
Job Listing: 
MEM003457
Management Administration

Essential Job Functions

  • Plan, organize, direct and document the daily operation of the accounts receivable follow-up staff to maintain an efficient work flow and the appropriate allocation of resources for maximizing the legal and ethical collection of all monies due.
  • Recruit, train, supervise and evaluate enough work force of qualified personnel to achieve desired operational results.
  • Create a team spirit that cultivates positive and collaborative interaction while meeting and exceeding department goals.
  • Manage all Physician Billing Specialist and assigned clerical staff. Utilizing system reporting capabilities and other tools, monitor quality assurance processes and productivity levels.
  • Create, evaluate, modify and/or supplement operational work processes to maximize the efficiency of the collection process.
  • Utilize the billing platforms (NextGen EPM and EPIC) system to monitor collection results, individual collector performance and volume measures and maintain collection results within defined goals.
  • Maintain reporting mechanisms to reflect the results of all collection efforts such that they may be sorted by provider, patient and collector for defined periods of time.
  • Create subjective reporting mechanisms to measure patient and client customer service.Maintain high levels of patient satisfaction for the fair and equitable resolution of accounts.
  • Monitor and evaluate denial trends for all practices.
  • Manage the placement of accounts with collection agencies using the systems processes and approved policies and procedures for collection accounts.
  • Be thoroughly familiar with capabilities of our billing systems regarding effecting, monitoring and reporting collection activity.
  • Work supportively and collaboratively with other PBS managers, practice managers, Medical Group Directors, System Support and other staff.
  • Participate in all required training and take advantage, as available time and budgets allow, for additional training in management and needed skill sets.
  • Participate in and contribute to the Financial Services and other management team meetings, projects, programs and initiatives.
  • Ensure compliance with all administrative, state, federal and contractual rules and regulations effecting patient collections including a working knowledge of HIPAA, The Federal Fair Collections Act and California statutes on patient collections.
  • Other tasks and project as may be assigned by the director of the department.
Qualifications: 

Experience

  • Five years� experience in supervision of both insurance and patient collections in a multi-specialty environment is required.
  • Exceptional organizational skills, analytical skills, verbal communication skills and written communication skills.
  • Computer spreadsheet/Word Processing (MS Word and Excel) intermediate proficiency is expected and good general PC knowledge is a requirement.
  • The skills and ability to motivate a team to achieve goals with minimal use of resources, in the most efficient and effective manner while providing superior customer service to both internal and external clients.
  • Detail-oriented, analytical skills and professional demeanor are a must

Education

  • An associate degree in a business major or field of study is required; a bachelor�s degree is preferred
  • Coding certification is preferred, along with extensive payer knowledge.
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