Assistant Director / Manager – Medical Billing Services

This full-time position encompasses all areas of the medical billing department.  Successful candidates will be familiar with all aspects of medical billing and coding, be a self starter with the ability to stay abreast of, research and make associated changes to accommodate the fluid medical reimbursement landscape.  This position will have Managerial responsibility over staff in three locations.

Location: Winter Park, Florida

Duties and Responsibilities

  • Define and implement workflow and procedures
  • Recommend changes to client billing methods to maximize revenue
  • Determine resource needs and make appropriate staffing decisions
  • Knowledge and Oversight of the following functions:
    • Patient Demographics entry / Review
    • Charge Entry / Review of Diagnosis and Treatment codes
    • Electronic Claims Submissions
    • Analysis of key charge and demographics information using specified rules and automated tools
    • Follow-up on denials with practices / patients and resubmit with updated information
    • Post EOB / analyze short pays
    • Root Cause analysis of denials and short pays
    • Determine Change process to eliminate root causes of errors and denials
    • Support accounts receivable and liaise with insurance carriers, patients and guarantors
    • Review PAR status for clients and escalate actions for renewals as needed

Skills and Experience

To perform successfully in this role, it is necessary to possess attention to detail. The ability to effectively manage time and complete tasks accurately is required.

  • Knowledge of medical accounts receivable software programs, required. Training will be provided
  • 10+ years experience in medical billing, practice administration and related fields required
  • Working knowledge of Microsoft office tools
  • Competence in math
  • Excellent communication and interpersonal skills
  • Experience managing teams required
  • Demonstrated ability to use initiative and independent judgment
  • College Degree or diploma, or equivalent experience preferred
  • Certifications in Billing and Coding related functions a Plus

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