TITLE: Manager of Billing
REPORTS TO: CFO
WORK WEEK: 40 hours per week, or as needed to complete the tasks
WAGE CLASSIFICATION: Exempt
OSHA RISK CLASSIFICATION: Low
Summary Position Statement
This position exists to ensure the financial well-being of the PCHS organization through timely and accurate filing of insurance claims and collection of patient accounts. Provides oversight of billing specialists.
Essential Functions/Roles & Responsibilities Of The Position
- Responsible for being available to other billers with questions or concerns.
- Responsible to report to CFO issues or concerns other billers may have.
- Approve billing staff timesheets and schedules.
- Collaborate with CFO on personnel concerns.
- Using coded data to produce and submit claims to insurance companies.
- Work directly with staff, providers, team members, patients, and insurance company to get claims processed and paid.
- Review and appeal unpaid and/or denied claims.
- Post payments, adjustments, and denials in systems as appropriate.
- Verify patient coverage and insurance benefits.
- Answer patient billing questions.
- Handle collection efforts on all unpaid and pending accounts.
- Generate, process and/or mail monthly statements.
- Audit data when necessary and/or appropriate.
- Assist CFO in determining when accounts are not collectable.
- Assign correct diagnosis (ICD-10) and procedure (CPT) codes based on direction from providers (if applicant is a certified medical coder).
- Consistent attendance and punctuality is required and expected to work the hours set by PCHS and/or the schedule set by the CFO.
Position Requirements
Education: High School Graduate. Certified Medical Coder (AAPC or AHIMA coding/billing certificate) preferred but not required.
License: No license required. Certificate preferred but not required.
Experience: 3-5 years of healthcare claims processing and/or coding/billing experience; FQHC experience preferred.
Job Requirements
- Must be computer literate, proficient with Microsoft Office Products and be able to type 45 wpm and must have 10 key skills.
- Possess a basic understanding of billing and collection rules and regulations. Knowledge of ICD-10, CPT, and HCPC Coding. Medicare G-Coding experience preferred.
- Knowledge of healthcare claims processing and provider contracts in Primary Care, Behavioral Health, Vision, and Dental.
- Experience with Electronic Medical Record Systems; ECW, Insync, and/or Eyecloud Pro preferred.
- Excellent time management skills and ability to multi-task and prioritize work independently.
- Proficiency with Office Suite, Excel, and Word.
- Strong organizational skills including attention to detail and multi-tasking skills.
- Pass a State required background check plus a pre-hire drug screen.
Contact: Patty Eissler, HR Director, peissler@pchsak.org or 907-260-5017
Website: www.pchsak.org
PCHS is an equal opportunity employer and ADA compliant agency.
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