Billing Manager

Center for Family and Child Enrichment, Inc.; Miami Gardens (FL); On-site; USD 45,000 - 75,000; Full time

Job summary

Join a compassionate organization dedicated to enriching the lives of children and families. As a Billing Manager, you will oversee the billing cycle, ensuring accuracy and efficiency in claims management. This role offers the chance to make a meaningful impact in the community while enjoying opportunities for professional growth and comprehensive benefits. With a flexible schedule and a supportive environment, you will play a vital role in helping families access the services they need. If you are detail-oriented and have a passion for service, this position is perfect for you.

Benefits

Comprehensive benefits including PTO

Medical insurance

Dental insurance

Vision insurance

403b retirement plan

Opportunities for growth and professional development

Potential eligibility for Public Service Loan Forgiveness

Qualifications

• 2+ years managing billing in a Federally Qualified Health Center preferred.
• Certification from the American Academy of Professional Coders preferred.

Responsibilities

• Oversee the billing cycle, including claims submission and tracking.
• Ensure billing data accuracy and proper coding using CPT and ICD-10-CM codes.
• Follow up on unpaid claims and resolve discrepancies.

Skills

Medical and dental health knowledge

Detail-oriented

Excellent organizational skills

Strong communication skills

Ability to work independently

Education

High School Diploma

Associate’s Degree in Accounting, Finance, or Business Management

Job description

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Cherishing Our Children Since 1977

Helping children and families help themselves to live a better life and build a stronger community.

The Center for Family and Child Enrichment (CFCE) is dedicated to supporting children and their families by providing tailored services and solutions based on individual needs. CFCE is continuously evolving to better serve our community.

Position: Billing Manager

You will be responsible for managing records of all charges for services rendered at CFCE, including claims management from insurance submission to patient billing and cost center reconciliation. This role requires a flexible work schedule.

Why join CFCE:

• Make an invaluable impact in the community
• Opportunities for growth and professional development
• Potential eligibility for Public Service Loan Forgiveness
• Comprehensive benefits including PTO, Medical, Dental, Vision, 403b retirement plan, and more for qualified positions

Key Responsibilities:

• Oversee the entire billing cycle, including creating, submitting, and tracking claims to patients and third-party payers both manually and electronically
• Ensure billing data accuracy and proper coding using CPT, HCPCS, ICD-10-CM codes
• Reconcile claims data with clinical documentation and correct discrepancies
• Follow up on unpaid or denied claims, initiate appeals, and resolve financial issues within designated timeframes
• Reconcile lab invoices with EHR system
• Verify insurance coverage, eligibility, and pre-authorizations for all patients, including Medicaid and sliding fee scale assessments
• Contact insurance providers to confirm reimbursable services and payment rates
• Assess coverage eligibility and apply correct billing rules
• Analyze medical records, documentation, and treatment plans to assign accurate codes
• Provide coding and billing practice training to staff and providers
• Assist with coding audits, ensuring documentation supports submitted codes
• Coordinate posting payments and adjustments, monitor balances, and pursue collections
• Promote patient satisfaction through customer-centric billing practices
• Participate in ongoing training on billing regulations and coding updates
• Collaborate with providers to ensure billing accuracy and resolve discrepancies
• Assist with month-end closing and billing initiatives

Minimum Education and Experience:

• High School Diploma required; Associate’s Degree in Accounting, Finance, or Business Management preferred
• At least two years’ experience managing billing in a Federally Qualified Health Center (FQHC) setting preferred
• Certification from the American Academy of Professional Coders (AAPC) preferred

Skills and Experience Needed:

• Medical and dental health knowledge and experience
• Current knowledge of healthcare environment and program operations
• Detail-oriented with excellent organizational, communication, management, and supervisory skills
• Background in Accounting or Business
• Ability to work independently with minimal supervision
• Flexible schedule availability
• Ability to handle confidential information appropriately
• Strong verbal and written communication skills

Other Requirements:

• Valid auto insurance, current driver’s license, and access to a reliable vehicle

CFCE is a Drug-Free Workplace and an Equal Opportunity Employer.