Responsibilities:
A billing operations manager is responsible for planning and leading the billing operations for an RCM startup.
His/her job description entails creating, implementing, and enforcing procedures and policies, as well as streamlining effective billing processes across multiple markets.
The billing operations manager position requires an individual who is highly visible and has strong leadership qualities with excellent ability to prioritize, plan, and direct the department.
Managers in charge of billing operations must be able to communicate effectively and assist in the day-to-day accounting functions of the facility in accordance with current acceptable cost reimbursement and accounting principles relating to hospital operation and health care as may be directed by the Controller or Administrator.
Billing operations managers perform different functions in an organization or society.
The following duties, tasks, and responsibilities summarize the typical billing operations manager job description:
- Converting qualified leads into clients.
- Reaching out to potential clients and keeping a track record of all follow-ups.
- Supervise and manage all billing processes
- Provide solutions to complex billing issues as they occur
- Initiate and implement logistics in billing functions
- Verify and assess all bills before processing
- Go through purchase orders and vendor payments
- Assess and detect errors in billing processes and make corrections
- Support other personnel and departments in billing processes
- Maintain registration, coding, and batching for billings
- Support and assist audit teams in verifying billing data and bills
- Carry out quality billing procedures and practices
- Help out in implementing the day-to-day functions of the department
- Assure that client or patient information records are appropriately filled
- Write down payments received in appropriate log
- Assist in balancing accounts receivable by verifying computer printouts, running tapes, etc.
- Be willing to prepare and mail statements
- Develop oral and written reports or recommendations concerning accounting to the Administrator/CEO.
- Play the role of a secretary when directed or necessary
- Assist in standardizing the manners in which work will be accomplished
- Help out in the process of preparing statistical and financial reports as directed
- Utilize and develop computer output and reports
- Assist in the creation and implementation of changes in the accounting system
- Monitor and collect accounts receivables
- Responsible for reporting delinquent accounts to administrator(s)
- Perform assistance functions in preparation of monthly financial statements
- Date or computer processor when directed or as needed
- Data entry on all patients’ or clients’ refunds and charges
- Perform computer billings, recording, mailing, and collection
- Maintain payment and billing log and complete all crossover billing
- Charged with the duty of completing all Medicare billing forms and backup information required
- Stay in contact with parties involved as to payments due and the status of their accounts.
- Clients are the top priority and client service should be top-notch.
- Help in creation of content with the marketing team.
- Create & represent monthly reports on clients, and team performances.
Note: Only those people can apply who have 9-10 years or above experienced in USA Medical Billings.
Qualifications and Skills:
- A Bachelor’s degree in a business or related field or relevant experience with progressive development of responsibilities.
- Proficiency in use of billing software applications and general MS Office applications.
- Experience working with all types of third-party payers. (HMO, PPO, Medicare/Medicaid, etc.) and understanding of FQHC billing requirements.
- Excellent communication and organizational skills.
- Demonstrates accountability, integrity, professionalism, openness, receptive to change, creativity and innovative.
- English written and verbal skills are necessary.
Skills:
Sales Operations, Operations Tasks Management, Operations Control,
