Billing Manager

SALARY: $25.00 - $35.00/Hour.

REPORTS TO: Chief Financial Officer (CFO)

AREAS OF RESPONSIBILITY: The Billing Manager demonstrates a consistent commitment to quality and customer service with patients, clinical staff, and providers. Oversees all aspects of billing including charge entry, payment entry, denials, credentialing, aging, and correspondence for medical and dental clinics. Establish working relationship with patient management system vendor. The Billing Manager must have a working knowledge of all duties listed below.

QUALIFICATIONS: High school diploma, two years experience (medical billing preferred), excellent communication and organizational skills, good English, grammar, spelling, and the ability to be accurate. Computer literate, basic math skills, and proficient typing/keyboarding. Knowledge of Medical CPT, HCPCS, modifiers and ICD-10 codes. Requires ability to answer patient and insurance questions by phone and in person and maintain strict patient confidentiality at all times. Must maintain confidentiality relating to MVHC personnel, and information that could result in proprietary damage to MVHC. Must be flexible, work both independently and as a team player, and sit for long periods. Must have the ability to work various shifts, may at times be asked to travel to other MVHC clinic sites. Must have valid California or Oregon ID card.

REQUIREMENTS AFTER HIRE:
Obtain current CPR card.
Clean and appropriate business attire.

DUTIES AND RESPONSIBILITIES:

Responsible for hiring and maintaining effective billing staff.

Responsible for consistent and accurate daily closes of transactions posted to patient management system.

Supervises billing functions and ensures that all carriers are billed accurately and in a timely manner. Performs weekly audit of all carriers.

Oversees centralized billing including, claims submission, payment entry, EOB storage, and electronic billing. Ensuring all HIPAA requirements are being met through electronic billing.

Provide training and support to all charge entry and billing staff members at all MVHC locations bring consistency to all staff.

Stay informed on all changes and updates to programs and billing by attending informational meetings and updating staff.
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Post Medi-Cal, Family Pact, CMSP, etc. RA’s within one to two working days of receipt. Post Medicare EOMB within one to two days of receipt. Post insurance, workers compensation, and CHDP EOBs within one to three working days of receipt. Post patient receipts same day received.

Process Medi-Cal, Medicare, and insurance denials within one to three working days researching and accurately reprocessing claims including CIFs and Appeals.

Handle phone calls from patients and insurance companies accurately and in a professional manner. Respond to all patient inquiries within one to two business days. Assist all clinical staff with questions and concerns regarding patient billing accurately and courteously.

Perform other duties as assigned, demonstrating flexibility and willingness to do extra work as needed on an interim basis. May be cross-trained for other positions and may be required to work in those positions as needed.

CUSTOMER CARE: A core value of Mountain Valleys Health Centers’ is our dedication to high-quality customer care. As a Community Health Center, our patients are our vitality; therefore, every patient will be treated accordingly.

At MVHC a customer is defined as but not limited to a patient, vendor, contractor, granting agency, community business, and employee. Customers will be treated with the utmost dignity and respect regardless of their socio-economic status, insurance type, job position, and/or race, etc. Discrimination is unacceptable and is grounds for immediate termination.

PHYSICAL REQUIREMENTS:
Frequent: sitting, standing, walking, working on computer six to eight hours daily, lift/carry objects up to 24lbs, repetitive motion of hands, close eye work. Constant: listening, speaking in person or on the phone, reading, writing.