Manager, Billing - CPA

About the position

This position provides daily management of billing department operations for coding, data entry, billing, collections, electronic billing for pathology and clinical service line. Assist with analysis and tracking of payment denials/payment variance and assists with development of recovery procedures and workflows for all positions. This also includes management of employee performance in order to meet the goals and objectives of CPA/Norton Healthcare. Monitor, communicate and educate changes for CMS, LCD, NCD and medical necessity.

Responsibilities

• Demonstrates leadership by organizing work team and continually assesses team to improve work performance.
• Establishes achievable and quantitative performance standards for staff and applies these standards in evaluating employee performance in order to achieve system goals, which include but are not limited to; Billing WIP, A/R Days, Cash Collection, Bad Debt preparation and recovery monitoring.
• Provide administration of all billing tools, websites, and employee access to websites.
• Clearinghouse review and monitoring of claim denials, rejections and exceptions for workload efficiencies.
• Plans, organizes, prioritizes and coordinates the daily work efforts for all departmental staff to ensure smooth daily operations.
• Ensures all accounts are worked to ultimate successful resolution with all efforts being documented in the appropriate manner with approved customer service processes and procedures specific to each financial class/unit.
• Ensures that these assignments are completed efficiently through proper communication.
• Escalates problems/trends/suggestions/provides feedback to Directors for educational opportunities throughout the CPA Lab, reduce denials, reduce re-work, and improve cash flow trends.
• Attend payer meetings/denial meetings and quarterly compliance meetings to communicate issues to the system.
• Screens and selects qualified staff while maintaining adequate department staffing levels.
• Manages performance for all staff including conducting performance evaluations providing appropriate training and administering corrective action as necessary.
• Consults with Director prior to implementing discipline with employees.

Requirements

• With Bachelor's degree: three years medical office billing
• Without Bachelor's degree: seven years medical billing

Nice-to-haves

• Master Degree
• Epic Experience
• Telcor Experience