Southeastern Retina Associates, PC, Eastern Tennessee's leading experts for comprehensive retina care, has opened a search for a Full-Time Corporate Billing Manager.
The position is located in Hixson, TN - just outside of Chattanooga, TN.
We are seeking an innovative thinker, excellent communicator and quick learner, who is solution oriented, proactive, organized, efficient and enjoys a fast pace and dynamic work environment.
If you have a passion for helping others and you are looking for a long-term career in healthcare, then this is the perfect job for you!
SERA offers a competitive salary, a complete benefit package and opportunities for continued growth and personal advancement.
Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
Serves as the practice expert and go to person for all coding and billing processes.
Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.
Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.
Prepares and analyzes accounts receivable reports, weekly and monthly financial reports, and insurance contracts in concert with the CEO.
Audits current procedures to monitor and improve efficiency of billing and collections operations.
Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
Participates in the development and implementation of operating policies and procedures.
Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
Understands and remains updated with current coding and billing regulations and compliance requirements.
Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
Supervises billing office staff, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
KNOWLEDGE | SKILLS
Requires strong managerial, leadership, and business office skills, including critical thinking and the ability to produce and present detailed billing activity reports.
Thorough understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; strong knowledge of TN, GA, VA and Federal payer regulations.
Working knowledge of CPT and ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes.
Knowledge of business management and basic accounting principles to direct the billing and coding office.
Possess excellent negotiation skills, including the tact required for securing payment or discussing patient's finances, and enjoy working in a health care setting.
Demonstrated ability in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
Note: An equivalent combination of education and experience may be considered in lieu of the following:
High School Diploma or GED Equivalent REQUIRED
Minimum of Three (3) to Five (5) Years' Experience in a similar role REQUIRED
Bachelor or Associate degree in Business Administration or related field PREFERRED