Job Details
Responsible for performing all tasks related to the Billing, Follow-up and Collections functions for GeBBS/CPa Medical Billing.
LOCATION: This position is located in our East Haven, CT, office 3-5 days per week.
ESSENTIAL FUNCTIONS & RESPONSBILITIES
Responsible for the overall management and day to day operations of the client account and support staff.
Assure integrity and compliance with payer, state and federal guidelines.
Adhere to all billing policies and procedures as outlined by the company and client. Supervise and facilitate all processes, policies and procedures, workflow, quality, productivity, overall team motivation and effectiveness, professional development and training.
Promote corporate values and maintain confidentiality of client / patient information.
Create procedures for all tasks required to meet the expectations of the client. Prepare written policies and procedures where needed throughout the organization and as it applies to the client account.
Maintain written policies and procedures so they are current, clear and accessible. Create forms to accompany procedures if needed.
Develop training processes to use with externs, new hires and existing staff. This includes webinars, group training, individual training and observing within each work group. Provide written procedures with training along with a computer check off list to ensure training is complete. Spot- check work for accuracy and efficiency. Provide re-training where needed. Organize cross training throughout the year for ensured coverage 100% of the time.
Monitor staffs work regularly to ensure staff are performing their assigned tasks properly and have the resources and tools needed to perform their jobs.
Be sure current fee schedules and billing manuals are being used for all payers billed. Stay current with changes in coding and payer requirements.
Adhere to timely filing guidelines for payers. Prioritize efforts as needed to avoid denials. Assign projects as needed for urgent needs.
Delegate work with specific guidelines to include turn- around times.
Ensure payments are posted with the highest accuracy and integrity.
Monitor aged accounts daily/weekly. Work with A/R staff to address oversights or problems within their payers. Ensure staff follow the process to work unpaid claims and backlogs are reported to manager promptly. Be sure appeals are done timely. Establish accounts for bad debt write off.
Be sure we possess all websites to perform our functions. Introduce sites as needed.
Assist in enforcing company rules. Issue performance evaluations when due. Track staff s adherence to company policies.
Work alongside the HR Department. Issue verbal and written warnings as warrant
Work with HR regarding termination matters.
Ensure the highest quality of customer service with clients and patients. Place strict guidelines on telephone etiquette. Provide training to staff of do s and don ts when on the phone.
Prepare billing reports as needed or when asked. Obtain A/R reports from the A/R staff and use to review status of claims. Track payer issues till issue resolved and payment received.
Work special projects and overtime as needed.
Meet all established deadlines and goals.
JOB QUALIFICATIONS/REQUIREMENTS
EDUCATION: High School Diploma. Certified in medical coding (CPT4 and ICD9/ICD10), Medical Billing and Procedures. College degree accepted in leu of experience.
EXPERIENCE/QUALIFICATIONS: Minimum 5-10 years experience in a medical office environment with FQHC/Medicare/Medicaid billing experience. Experience with Windows applications, proficient use of computer, Microsoft Word and Microsoft Excel. Strong communication, verbal and written and interpersonal skills. Ability to analyze and solve problems with limited assistance. Ability to maintain confidentiality.
LICENSURE / CERTIFICATION: CCA certification, CPC certification preferred