Medical billing manager job description

Our employees enjoy a full benefits package including health, dental, vision, paid time off, 401k, incentive bonuses, and continued education. If this sounds like the opportunity that you have been looking for, apply today!

ABOUT HEALTHPRO MEDICAL BILLING, INC.

HealthPro Medical Billing is the trusted partner of choice for radiology and pathology practices, as well as imaging centers and other healthcare service providers throughout the United States. Now in business for over 30 years, our success is fully dependent on the service and results we provide our clients and the integrity we demonstrate along the way. Because building and maintaining client trust is essential to our business, we seek out talented medical billing professionals who share our commitment to quality .

Our excellent service, care, and compassion for our clients and team members set us apart in the industry. Here at HealthPro, we genuinely care about our clients and team members' success. Our foundation is built on integrity, commitment, and accountability. If you're looking for a team that will value your professional skills as well as your personal integrity, you may have a future with us.

A DAY IN THE LIFE AS A MEDICAL BILLING MANAGER

As a Medical Billing Manager, you perform and manage the daily functions of the team, answer and respond to a high volume of inbound calls and internet inquiries from patients regarding their accounts, return patient phone calls, and follow up on verbal and electronic information. You analyze patient accounts to accurately respond to questions, resolve billing errors, and update information in the billing system. You communicate with clients and hospitals to resolve patient account issues and liaison with various team members and leadership within HealthPro to meet client expectations.

In your manager role, you lead the Patient Accounts Services team and monitor productivity, quality, and performance goals. You provide training and education, audit core functions, approve time records, complete employee evaluations, and conduct department meetings.

Your excellent time management and organization skills in addition to your ability to multi-task are essential to your success. You enjoy being a part of the team!

QUALIFICATIONS

• Understanding of explanation of benefits, the billing process, and terminology
• Excellent time management skills and organizational skills
• Ability to multi-task and perform in a fast pace environment
• Self-motivated with the ability to work as a team
• Excellent written and oral communication skills
• Experience in Microsoft Word, Excel, and Outlook
• Associate degree in Business Management, Healthcare Management, or other related areas of study preferred. Three to five years of industry-related work experience is preferred. One to three years of leadership experience in billing or related industry required. Equivalent combinations of work experience and education will be considered.

Are you patient-focused, reliable, a great team player, and good at multitasking? Do you have care and compassion for others? Do you have a passion for developing and leading others? If so, you may be perfect for this position!

WORK SCHEDULE

The current hours of the department are 8:00 a.m. to 4:30 p.m. Monday through Friday. The qualified candidate must be available to work the department hours, but hours are flexible.

ARE YOU READY TO JOIN OUR TEAM?

If you feel that you would be right for this position, please fill out our initial 3-minute, mobile-friendly application and complete the 20-minute assessment process so we can review your information. We look forward to meeting you!Top of Form

Top of Form

At Athelas we're bringing simple, life-changing health care products to people around the globe.

The future of healthcare is at the home - we are a team of technologists building the next generation of medical products at the intersection of hardware and software. We won't stop until we've brought the world class tools of a hospital to your home.

We develop hardware, software, and diagnostics to improve the lives of chronic care patients (cancer, hypertension, schizophrenia, bipolar disorder).

In the US, 80% of healthcare spend occurs in 20% of patients. We aim to drastically reduce this cost through modern software, hardware, and preventative care services. Its core device (FDA Class 2 cleared) uses machine-learning trained on cell classification to allow chronic patients to monitor their white blood count at home. Its core software product is a platform to help doctors monitor vitals, trends, etc. of such patients, so that physicians and patients can stay aligned without direct interaction.

We've raised $132 million at a $1.5 billion valuation from top tier investors such as General Catalyst, Sequoia Capital, Y Combinator, and Initialized.

What You'll Do

* Manage the on-boarding & implementation process of Athelas Revenue Cycle Management (RCM) tools/services into new medical practices
* Coordinate externally with doctors, clinics, and hospitals
* Utilize data tools to extract, format, and integrate patient data into the Athelas patient management platform
* Partner with the strategy and sales departments to build out and continuously improve the patient, clinic, and doctor implementation processes
* Maintain relationships with current customer base
* Identify customer needs and expand Athelas services within each account

What You Have

* RCM/billing experience required
* At least two years of experience in onboarding, implementation, customer success or account management at a SaaS company
* Excellent verbal and written communication skills
* The ability to explain complex issues in simple terms and adapt your tone for different users
* Self starter with high attention to detail
* Experience navigating complex customer environments
* Can sort through large volumes of data and drive insights and results
* Experience using Microsoft Excel
* Ability to contribute to the building of new processes and systems

Why You'll Like Working with Athelas

* Rockstar Team: Join a team with an incredible record - we are the smallest, fastest company in history to receive FDA hematology clearance. We are also the largest Remote Patient Monitoring company in the US
* Technology Focus: Revolutionizing how technology can be used in the healthcare industry
* Strong Backing: $132M Series B raised from the likes of Sequoia, General Catalyst, Tribe, Y Combinator
* Mission Driven: We are changing the way healthcare is provided, bringing it directly to the people who need it with technology-enabled solutions
* Incredible Growth: 10x patient growth in 2021 and we're just getting started

With a legacy spanning over 20 years, Integrated Practice Solutions is the market leader in practice management software for chiropractic (ChiroTouch, ACOM Health), optometry (RevolutionEHR), and therapy practices (ClinicSource) across the United States. We are a growing and profitable, privately funded organization who stays ahead of the pack by constantly innovating, growing, and developing new products and services that serve the health and wellness profession. Our software helps practitioners create a positive in-clinic experience for patients, from scheduling to treatment to payment and insurance processing. Our vision – to be the most loved, most essential software and service provider for every practice – is not just words. These words reflect who we are as a company, and who we are as people.

RCM Department Overview: The Revenue Cycle Management (RCM) department helps doctors get paid for their services. From clearinghouse enrollments to patient accounts, to insurance claims, our RCM team members help practices grow and succeed financially.

Your Career Opportunity:

The Medical Claims Biller manages the timeliness and accuracy of scheduled EDI/Paper claim submissions for multiple billing company clients and report reconciliation process against billing software.

Your Areas of Accountability:

• Ensure all EDI/Paper claims are reviewed for accuracy prior to payor submission
• Audit and reconcile EDI claims batches to ensure payor acceptance and balancing
• Ensure software reports regarding unbilled claims are worked as scheduled and issues resolved
• Work effectively with clients/staff to resolve any payor edits and/or errors that effect timely claims submissions
• Report claims related issues to clients and/or staff for corrections
• Retain fax transmittal acceptance reports for all paper claims submitted via fax
• Ensure proper handling of timely filing submissions for paper claims with USPS tracking
• Review paper claims submissions to ensure accuracy prior to mailing
• Ensure medical record attachments are signed prior to submission
• Provide billing reconciliation reports to team lead/department manager
• Demonstrate high level of professional integrity when communicating with payors, clients, and other staff
• Consistently meet/exceed insurance billing benchmarks
• Provide swift escalation to clients and/or management that have negative implications related to claims submissions
• Comply with HIPAA guidelines regarding PHI
• Communicate department backlogs and develops action plans accordingly

Competencies for Success:

• Minimum of 2 years billing experience with EDI/Paper Claim Submissions
• Minimum of 2 years working with Clearinghouse claims processing
• Comprehensive understanding of claims requirements by payor
• Thorough knowledge of commercial, government, workman’s compensation and Auto payor claim process
• Exceptional understanding and adherence with payor specific billing guidelines
• Exceptional organizational skills
• Ability to multi-task and deal with high volume claims processing
• Good typing skills and experienced with office productivity tools such as MS Word, Excel, and Outlook
• Prior knowledge of Chiropractic Billing and Chiropractic Software is a definite plus

IPS is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

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