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Title: Billing & Practice Manager
Reports To: Director of Clinical Operations
Qualifications: Previous medical billing experience required
Education: High School Diploma
Work Status: Full Time
Days / Hours in Office: Monday through Friday 8:30 am – 5:30 pm
JOB DESCRIPTION
Job Summary:
Local Orthotics & Prosthetics Medical Office is seeking a Billing & Practice Manager to oversee all functions related to Accounts Receivable as well manage the daily functions of our Medical Office.
Candidates for this position should possess intimate knowledge of the HCPCS L-Code system, CMS regulations and billing practices including the LCDs, specific coding guidelines and document requirements. In addition, the successful candidate will have working knowledge of billing and collecting from commercial insurances, workman’s compensation insurers and Medicaid payers. This position requires the ability to communicate effectively with all levels of staff and be able to present emerging regulations for operative compliance. While the primary role of this position surrounds the billing and collection functions, this position also acts as the Practice Manager. Other duties include assisting the front desk with answering phones, patient collections, weekly deposits to the bank, ordering office supplies and occasionally assisting with Human Resource duties.
Main Duties:
Claim scrub prior to submission
Claim submissions via clearinghouse, mail, and/or fax
Responding to requests for additional information, appeals, and/or reconsiderations with payers
Consistent and timely follow up on all outstanding claims
Resolves problems with payer portals, clearinghouse, and software
Assist with authorizations for devices
Patient collection of deposits and balances upon device delivery
Filing EOBs
Processing insurance and patient payments in Billing software
Mail patient statements and complete follow up phone calls when needed
Utilize dashboards and various reports tools
Additional Functions:
Assist the front desk team with answering phones; helps to cover front desk duties during lunch hours, absences or vacation
Distribution of the mail to the appropriate team members
Ordering of Office Supplies
Assist with HR duties as needed
Other duties as assigned
Qualifications of Ideal Candidate:
Excellent written and verbal communication skills
Excellent customer service skills
Healthcare, preferably orthotic and prosthetic, billing experience
Comfort level discussing one-on-one with patients about their health care, insurances and financial obligations
Ability to create, analyze and learn processes, not just follow them
Meets productivity requirements and completes work in a timely manner
Strong computer literacy: Excellent knowledge of Microsoft Excel, Word, and Outlook
Respect for the dignity of different people
Detail-oriented focus, strong work ethic, and professional demeanor
Exceptional organizational skills
Ability to prioritize tasks
Ability to work independently and as a part of a team
