Physician Practice Billing Operations Lead

Socket.dev; Springfield (GA); On-site; USD 55,000 - 85,000; Full time

Job summary

Socket.dev seeks a Physician Practice Billing Coordinator to lead the billing specialists under the Director of Business Services. The role involves planning, organizing, and directing daily physician billing operations in line with Joint Commission and regulatory guidelines.

The position requires self-motivation in a fast-paced setting and supervision of professional and clerical staff, ensuring accurate processing and adherence to policies and procedures.

Qualifications

• High school diploma or equivalent with five years of combined work experience/education.
• Leadership and planning experience in organizing, implementing, and supervising tasks.
• CPAR certification preferred for credentialing in patient accounts.
• Two years of supervisory experience in healthcare billing; strong computer skills required.
• Excellent communication with diverse stakeholders and ability to manage teams.

Responsibilities

• Manage physician billing workload to ensure accuracy and timely claims processing and cash flow.
• Assist AR balance to <60 days; update compliance goals to reduce AR days.
• Ensure accurate registration information and proper collection of deductibles/coinsurance.
• Monitor UB-04 and 1500 data accuracy before billing to payors.
• Ensure accurate cash posting with discounts and allowances.
• Review Medicare/Medicaid billing procedures; correct denials and adjustments.
• Maintain knowledge of electronic billing processes.
• Oversee billing for long-term care and private pay accounts.
• Review/monitor credit processing and departmental policies; update manuals.

Skills

Leadership

Planning

Organizing

Implementing

Facilitating

Interviewing

Counseling

Verbal communication

Written communication

Supervisory experience

Communication

Education

High school diploma

CPAR (preferred)

Job description

Socket.dev seeks a Physician Practice Billing Coordinator to lead the billing specialists under the Director of Business Services. The role involves planning, organizing, and directing daily physician billing operations in line with Joint Commission and regulatory guidelines.

The position requires self-motivation in a fast-paced setting and supervision of professional and clerical staff, ensuring accurate processing and adherence to policies and procedures.