Find & Apply For Billing Clerk / Specialist Jobs in Merrillville, Indiana

Indiana's premier center for orthopedic care is hiring for a Medical Billing Manager. This position is responsible for the day-to-day operations of the billing and surgery scheduling department. This is an in-house position not set up for remote, serious candidates only

DUTIES AND RESPONSIBILITIES

Hiring, training, mentoring and evaluating billing and surgery scheduling staff to maintain high accuracy and productivity. Monitor the submission of clean claims to insurance providers, managing rejected claims and overseeing the appeals process. Monitor day-to-day operation of billing, coding, and collections to maximize cash flow and minimize denied claims. Analyze A/R aging reports to identify trends, underpayments, and opportunities for process improvement. Resolve complex billing disputes. Monitor surgery scheduling and assist with issues or completion as needed. Monitor and assist with advanced imaging authorizations. Complete provider credentialing with payers. Ensure all payer rosters are updated. Ensure CAQH is updated for all providers. Identify payer issues and work to resolve. Complete annual education courses as required. Follow HIPAA, State and Federal regulations. Performs other related duties as assigned by management.

SUPERVISORY RESPONSIBILITIES

Directly supervises 6-7 employees within the billing and surgery scheduling department. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

QUALIFICATIONS

Two years or more of related experience and/or training, or equivalent combination of education and experience.

Computer skills required:

Electronic Health Records (EHR) Software; Internet Software; Spreadsheet Software (Excel); Word Processing Software (Word); Electronic Mail Software (Outlook).

Other skills required:

At least 2-3 years of experience as accounts receivable manager or supervisor. Basic competence in duties and tasks of supervised employees. Demonstrated ability to supervise and motivate subordinates. The ability to work accurately and independently. Good verbal and written communication skills. An eye for detail along with excellent analytical skills. Excellent report writing skills. Strong time and people management skills. Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.