Billing Manager

PATHS Inc; Danville (VA); On-site; USD 45,000 - 65,000; Full time

Job summary

A health services organization in Virginia is seeking a Billing Manager to oversee various billing processes and relationships with providers. The ideal candidate will ensure compliance with FQHC protocols, coordinate training, and improve overall revenue cycle management. Required qualifications include a High School Diploma, along with excellent communication and problem-solving skills. Experience with eClinicalWorks is preferred, along with a commitment to ongoing professional development.

Qualifications

• Must have a High School Diploma or GED.
• Excellent written and verbal communication skills are essential.
• Proven problem solving skills needed.

Responsibilities

• Oversee action items from the CBO team for resolution.
• Submit weekly/bi-weekly incomplete encounter lists to providers.
• Process and track non-network credentialing applications.
• Communicate billing process changes to staff.
• Conduct monthly coding audits to improve compliance.

Skills

Excellent written and verbal communication skills

Excellent problem solving skills

Knowledge of FQHC billing protocols

Organization, management and leadership skills

Education

High School Diploma/GED

Tools

eClinicalWorks EHR system

Job description

This position will act as the primary staff liaison with CENEVIA to ensure all processes are in place to receive the maximum revenue for the health center. Works closely with PATHS Providers as well as with the Finance Department to insure timely and accurate reporting for financials are complete.

DUTIES AND RESPONSIBILITIES

• Oversee action items submitted by the CBO team members for final resolution
• Submit weekly/bi-weekly incomplete encounter lists to providers
• Follow up daily incomplete encounter list with providers the last week of each month
• Process and track all non-network credentialing applications
• Communicate all billing process changes to appropriate organizational staff
• Participate in monthly/quarterly CBO meetings
• Follow up with providers, front desk, and other staff on coding and other claim errors
• Communicate best practices to appropriate organizational staff members
• Perform monthly coding audits and report to appropriate organizational staff members and improve coding compliance to maximize revenues
• Coordinate training/recommendations for Revenue Cycle Management process improvements with Site Managers
• Works to build positive relationships with providers
• Review the batch control log, approve the deposit verification log, and review monthly write off reports
• Attends monthly provider meetings to offer training and be a support to clinical staff
• Train new front desk staff on insurance related information
• The billing manager will work with providers to make sure all documents are coded appropriately for billing and charts are locked within the 72 hour window stated in the policy
• Assist the finance department with deposits, patient refunds, and other financial transactions as needed
• Medicaid Wrap Reports
• Will assist the CFO in cost reporting, UDS reporting, site visits, and all other reporting for the health center
• Prepare all policies and procedures related to claims, billing, and write-offs
• Maintain employee payment plans, posting, and balance with human resources/payroll
• Maintain LabCorp invoicing and verification before sending to finance for payment
• Maintain FixHT reports and forwarding to CBO for processing. Attend monthly conference call with FixHT for report pulling and verification
• Attend necessary training opportunities when applicable
• Maintain new fees. Enter charges into eCW
• Set up and/or maintain eCW back end operations to ease processes for the front desk, nursing, billing and provider staff
• Maintain all front desk/referral staff set up and login for insurance websites
• Assist CENEVIA in credentialing processes for network contracts

Preferred Skills

EDUCATION AND EXPERIENCE

Required Qualifications

• High School Diploma/GED
• Excellent written and verbal communication skills
• Excellent problem solving skills
• Knowledge of FQHC billing protocols
• Certified Professional Coder

Preferred Qualifications

• 3 or more years experience working in billing in a medical office.
• Experience working in a federally qualified health center (FQHC).
• Experience using eClinicalWorks electronic health record (EHR) system.
• Organization, management and leadership skills.