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Title
Text copied to clipboard!Medical Billing Manager
Description
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We are looking for a detail-oriented and experienced Medical Billing Manager to oversee and manage the billing operations of our healthcare facility. The ideal candidate will be responsible for ensuring accurate and timely submission of medical claims, managing billing staff, and maintaining compliance with healthcare regulations and insurance requirements. This role requires a strong understanding of medical billing procedures, coding systems, and insurance claim processes.
As the Medical Billing Manager, you will lead a team of billing specialists and work closely with healthcare providers, insurance companies, and patients to resolve billing issues and ensure optimal revenue cycle performance. You will be expected to implement best practices in billing operations, monitor key performance indicators, and provide regular reports to senior management.
Key responsibilities include overseeing the preparation and submission of insurance claims, verifying patient insurance coverage, ensuring compliance with HIPAA and other regulatory standards, and managing accounts receivable. You will also be responsible for training and mentoring billing staff, conducting audits, and identifying opportunities for process improvement.
The successful candidate should have excellent organizational and communication skills, a strong analytical mindset, and the ability to manage multiple priorities in a fast-paced environment. A background in healthcare administration or finance, along with experience in medical billing software and coding systems such as ICD-10 and CPT, is essential.
This is a critical role in our organization, contributing directly to financial performance and patient satisfaction. If you are passionate about healthcare operations and have a proven track record in medical billing management, we encourage you to apply.
Responsibilities
Text copied to clipboard!- Manage daily operations of the medical billing department
- Ensure accurate and timely submission of insurance claims
- Monitor accounts receivable and follow up on unpaid claims
- Supervise and train billing staff
- Ensure compliance with healthcare regulations and insurance policies
- Resolve billing discrepancies and patient inquiries
- Collaborate with healthcare providers and insurance companies
- Generate reports on billing performance and KPIs
- Implement process improvements to enhance efficiency
- Conduct regular audits of billing procedures
Requirements
Text copied to clipboard!- Bachelor’s degree in healthcare administration, finance, or related field
- Minimum 3 years of experience in medical billing or revenue cycle management
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems
- Familiarity with medical billing software and EHR systems
- Excellent leadership and team management skills
- Strong analytical and problem-solving abilities
- Understanding of HIPAA and healthcare compliance standards
- Effective communication and interpersonal skills
- Ability to multitask and prioritize in a fast-paced environment
- Attention to detail and high level of accuracy
Potential interview questions
Text copied to clipboard!- How many years of experience do you have in medical billing?
- What billing software systems are you proficient in?
- Have you managed a team of billing specialists before?
- Can you describe your experience with insurance claim processing?
- How do you ensure compliance with healthcare regulations?
- What strategies do you use to reduce claim denials?
- Have you conducted billing audits? If so, what was your approach?
- How do you handle disputes or discrepancies in billing?
- What KPIs do you monitor to assess billing performance?
- Why are you interested in this role?
