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Billing Manager

Billing Manager

Empress EMSNew York, NY, United States
4 hours ago
Job type
  • Full-time
Job description

Summary : Oversee the daily operations of the Ins Billing & Collections Dept to ensure compliance with

billing policies and procedures. Monitor and analyze the performance of the collections team while

implementing measures to improve productivity and success rates.

Key Responsibilities

  • Responsible for aspects of Insurance Category Billing and Collections for 911

and Non-Emergency Ambulance Service Provider such as verifying insurance

eligibility, billing patients, insurance companies & No-Fault & Worker's Comp

claims.

  • Responsible for claims submission electronically & via fax, and insurance
  • portals when required.

  • Responsible for contacting insurance carriers and following up on outstanding
  • claims via online, telephone, portals and email.

  • Identifying, completing, and resolving insurance denials in a timely manner to
  • expedite claims processing and payment.

  • Knowledge of insurance EOB's layout / language and requirements for various
  • insurance carriers.

  • Appealing insurance claims when required.
  • Ensuring excellent customer service is provided when following up on
  • outstanding claims.

  • Responsible for Appeals creation, submission and follow-ups as required.
  • Liaison between senior management, employees, and clients to ensure proper
  • lines of communication are critical in addressing a myriad of problems and issues

    requiring immediate attention and resolve.

  • Review and evaluate Dept processes and procedures, determining appropriate
  • actions to be taken in accordance with company policies and billing practices.

  • Responsible for assigning daily tasks to Ins teammates and ensuring daily target
  • goals are met on a consistent basis.

  • Reviewing Ins Aging on a daily / weekly basis to identify which tasks required
  • priority review to expedite processing / payment.

  • Ensure Insurance Category Dept meets / exceeds established cash collection goals
  • on a consistent basis.

  • Contact Patients / Insurance carriers and take necessary action to ensure timely
  • payments.

  • Understanding Customer Service relations to foster an environment of empathy
  • when contacting patients to ensure debt collections are secured in a timely

    fashion.

  • Provide General administrative and clerical support including but not limited to,
  • receiving, and sorting daily mail, maintaining medical records, faxing, copying,

    scanning & stamping outgoing mail.

    I NS BILLI NG / C O LL ECT IONS MA N A GE R POSIT I ON DE SCR IPT ION

    SE PTE MBE R 20 25

  • Responsible for training and coaching team members on new and / or existing
  • procedures.

  • Responsible for daily / weekly & monthly reporting of following reports : Dept
  • Aging, Dept productivity, QA / QI's, Ins Collections Daily Production such as Ins

    Claim Status, Ins Denials, Appeals, ETC. Tasks Assignments / Follow Ups, Dept

    training refreshers & Internal QA / QI Dept Audits.

  • Responsible for Ins Refunds account review processes and following refund
  • procedures with Finance Dept.

  • Responsible for Evaluations / Plan for Improvements (PFI) and any applicable
  • disciplinary action when required.

  • Attending industry Webinars and preparing summary to ensure we are up to
  • date with industry & billing compliance standards.

  • Responsible for completing Dept projects as assigned.
  • Work closely with Dept Managers / Supervisors to create improvement &
  • implement processes to ensure Dept goals and objectives are met on a

    consistent basis.

    POSITION QUALIFICATIONS

    Education & Experience

  • College degree or Billing and Coding certification.
  • Maintain working knowledge of ICD-10, CPT and HCPCS coding, NPI, HIPAA, Modifiers, EPCR's
  • and all forms of medical billing (direct, 3rd party, HMO's, private pay, no-fault, worker's comp,

    Medicare & Medicaid

  • Excellent organizational skills and the ability to multi-task in a fast-paced environment
  • Review and research data; use intuition and experience to complement data.
  • Thorough knowledge of transport documentation (PCRs)
  • Ability to follow up on outstanding Insurance / Patient accounts.
  • Health Insurance Portability and Accountability Act (HIPAA) requirements and record retention
  • compliance.

  • Excellent written and verbal communications skills required
  • Excellent documentation skills
  • (promptness, accuracy, thoroughness, and legibility).

  • Credit & Collections Procedures, Payment Plan / Settlements / Collection Agency / Ins Paid Pt
  • Customer Service / Debt Collection / Client relations.
  • Waystar / Various Online Ins Portals.
  • Competencies :

  • Working knowledge of EMS systems / private ambulance and medical transportation systems
  • preferred.

  • Knowledge Microsoft Word, Microsoft Excel, PowerPoint, and Microsoft Windows.
  • Familiarity with medical terminology
  • Organizational and leadership abilities, detail oriented
  • Work Environment :

  • Work is performed under normal working conditions, as in a standard office environment.
  • Hybrid position, ability to work from home.
  • Some Saturdays may be required.
  • Physical Requirements :

  • High level of sitting / working at a desk
  • Light physical effort (lift / carry up to 10 lbs.)
  • Must be able to perform the essential duties of the position with or without reasonable
  • accommodations.

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