Medical Systems and Billing Manager

Full Time
Fort Myers, FL
Posted 3 weeks ago

Job Description:

This position is responsible for overseeing the setup and maintenance of our practice management systems for all practices, as it relates to revenue cycle operations, as well as billing aspects for all radiation oncology centers and some integrated cancer centers.

Responsibilities:

  • Ensure insurance claim billing is performed twice daily
  • Track outstanding system related tasks such as new plan code requests and new cpt code requests to ensure they are completed timely and accurately
  • Monitor outstanding claim rejections in clearinghouse
  • Provide technical system support/customer service as needed as it relates to current and future features in practice management system for revenue cycle operations
  • Ensure fee schedules are being updated timely and accurately
  • Hold monthly meetings with clearinghouse and practice management system vendors
  • Monitor claim holds related to provider and/or plan holds and coordinate with credentialing department as needed
  • Responsible for practice management setup for new practices, providers and plans
  • Complete month-end practice management system close; requires availability to work some weekends and holidays
  • Coordinate with payer contracting team and revenue cycle team members on fee schedule related issues
  • Maintain department policies
  • Provide staff members with ongoing tools needed for training and completing their job functions
  • Diagnosis issues as it relates to practice management revenue cycle operations and work with vendors to identify solution. Test and implement solutions accordingly
  • Work collaboratively on various department or companywide projects
  • Other assignments as required by management

Qualifications:

  • Ability to define problems, collect data, establish facts, and draw valid conclusions
  • Ability to prioritize
  • Ability to read and understand insurance explanation of benefits and correspondence
  • Ability to focus and successfully lead team to meet monthly or quarterly goals
  • Ability to analyze accounts and procedures
  • Ability to efficiently manage multiple tasks
  • Responsible, self-starter, with good organizational skills and follow through
  • Must be able to effectively communicate with different types of people on all educational levels
  • High School diploma or general education
  • At least three years experience working in the healthcare field or equivalent
  • Experience with electronic claim submission
  • Experience in working with a clearinghouse
  • Technical support/customer service experience
  • Must possess excellent written and verbal communications skills
  • Ability to write intelligently using clear concise information, is a must
  • Must be able to read routine financial reports, EOBs, email and insurance correspondence.
  • Ability to communicate and speak effectively with co-workers, account representatives, patients and management
  • Must be able to fluently speak, write and understand English

Benefits

Integra Connect, LLC provides a comprehensive benefits plan.

  • Medical/Dental/Vision Insurance beginning the 1st of the month following your date of hire
  • Paid Time Off
  • 401k with employer match
  • Paid Holidays and Floating Holiday

Equal Opportunity Employer

Job Features

Job CategoryBilling Administration

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