Patient Billing Manager- 254273

Patient Billing Manager- 254273 at Medix Patient Billing Manager- 254273 at Medix in Monessen, Pennsylvania Posted in 11 days ago.

Type:

full-time

Job Description:

About the Role The role involves overseeing billing and collections staff, managing revenue cycle processes, and ensuring compliance with payer guidelines.

Responsibilities Departmental Leadership:

Direct, mentor, and evaluate the performance of billing and collections staff. Manage hiring, onboarding, and continuous training initiatives for new and existing team members.

Revenue Cycle Management:

Oversee all accounts receivable (A/R) processes, including billing accuracy, third-party payer follow-up, cash posting, and account indexing.

Systems Maintenance:

Supervise financial system maintenance, database tables, and system claim edits to maximize billing workflows and troubleshoot routine IT processing disruptions.

Payer Compliance & Optimization:

Stay updated on CMS, Medicaid, and commercial payer guidelines. Interpret regulatory updates and translate them into clear workflow processes for internal teams.

Performance Metric Tracking:

Establish team goals, monitor daily productivity, and generate monthly financial/aging reports for departmental leadership to highlight trends and strategic reimbursement opportunities.

Administrative Oversight:

Ensure precise documentation of internal department metrics, including employee scheduling, time-off requests, and performance management records.

Qualifications Experience:

3+ years of experience in a supervisory or management capacity overseeing healthcare billing and collections.

Scope of Practice:

Direct, hands-on experience managing medical billing and collections for both facility-level and professional-level medical claims.

Technical Proficiency:

Deep working knowledge of enterprise-level medical billing software systems and clearinghouses.

Regulatory Knowledge:

Strong, up-to-date knowledge of CMS (Centers for Medicare & Medicaid Services) and Medicaid regulations, rules, and compliance guidelines.

Systems Experience:

Extensive hands-on experience handling software database programming, table maintenance, and system conversions within a revenue cycle environment.

Physician Billing Experience Required Skills Experience:

3+ years of experience in a supervisory or management capacity overseeing healthcare billing and collections.

Scope of Practice:

Direct, hands-on experience managing medical billing and collections for both facility-level and professional-level medical claims.

Technical Proficiency:

Deep working knowledge of enterprise-level medical billing software systems and clearinghouses.

Regulatory Knowledge:

Strong, up-to-date knowledge of CMS (Centers for Medicare & Medicaid Services) and Medicaid regulations, rules, and compliance guidelines.

Systems Experience:

Extensive hands-on experience handling software database programming, table maintenance, and system conversions within a revenue cycle environment.

Preferred Skills Advanced Education:

A Bachelor's degree in Healthcare Management, Business, Finance, or a related field is highly preferred (Associate degree required).

Medical Coding Knowledge:

Strong familiarity with standard healthcare coding methodologies, including CPT-4, HCPCS, and CCI edits.

Diagnostic Coding:

Knowledge of current ICD diagnosis coding standards (including ICD-9 and ICD-10 frameworks). Pay range and compensation package Mon-Fri 8-5 $60,000-$65,000 a year with full benefits offered Equal Opportunity Statement We are an equal opportunity employer and are committed to fostering a diverse and inclusive workplace.