US, US, MD - Columbia
Minimum Level of Education Required: High School/Equivalent
Percentage of Travel: No travel required
Location: MD - Columbia
Oversees billing operations to maximize effectiveness and accuracy.
Assist in the coordination of all functions of the Insurance Billing Department
Manages and evaluates billing personnel including approval to time and expense, overtime and scheduled time off, as well as annual performance reviews and disciplinary action as needed
Works in conjunction with organization management regarding billing issues.
Hire, train, schedule and delegate responsibilities to collection staff.
Process, maintain, and rectify accounts/records in a timely manner.
Assists in the development, implementation, and completion of projects
Produces reports on a weekly, monthly, quarterly, annual and as needed basis.
Participate in the company management process as the Manager of Insurance Billing
Consults with the Leader, Billing and Collections regarding any billing problems
Coordinates all billing and prepares the same for submission to the appropriate insurance payer
Imports electronic ASCII charge files into the billing system
Review claims for appropriate quantities, coding, charges, and rates as well as compliance to contractual obligations
Transmit and/or send claims to the appropriate insurance payer
Follow up on and complete tasks on pending accounts until accounts are rectified.
Obtain needed and or corrected information by contacting the patient, physician's office, hospital, next of kin, insurance carrier, etc.
Able to work independently, multi-task, and motivate others
Knowledge of computer and medical billing systems
Able to function as a polite and cooperative team member with a positive attitude
Must be detailed oriented and able to work independently with minimal supervision
Able to maintain confidentiality
Perform duties in compliance with applicable FDA and state regulations as well as standards including, but not limited to, ISO 13485.
Completes specialized tasks that frequently require the exchange of detailed technical or sensitive information; establishes protocols and procedures.
Works on assignments requiring considerable judgment and initiative. Understands implications of work and makes recommendations for solutions.
Applies expertise as a specialist.
Uses judgment to identify when deviation from standard practice is required.
Works independently guided by short-term objectives; work requires evaluation and discretion within defined standards.
Provides guidance and serves as a technical resource to others.
Requires a high school degree (or equivalent) with a minimum of 8+ years of related experience with 3 years supervisory experience.
Bachelor's degree preferred
Insurance Collections Experience within Medical industry.
Effective verbal and written communication skills