Billing Office Manager in Greenwood, Indiana at Indiana Internal Medicine

We are seeking a highly organized and experienced Billing Office Manager to lead our billing operations and ensure the accuracy and efficiency of our revenue cycle processes. This role offers an excellent opportunity to contribute to a dynamic healthcare organization committed to delivering exceptional patient care and financial performance. The successful candidate will oversee all aspects of billing, provide expert guidance on coding and claims processes, and collaborate across departments to optimize revenue management.

Key Responsibilities

• Oversee all operations of the billing department, including medical coding, charge entry, claims submission, payment posting, accounts receivable follow-up, and reimbursement management.
• Serve as the subject matter expert and primary resource for all coding and billing processes.
• Plan and direct patient insurance documentation, coding workflows, billing, collections, and data processing to ensure accuracy and efficiency.
• Review and analyze billing and claims for accuracy and completeness; submit claims to appropriate payers and follow up on discrepancies or denials.
• Collaborate with internal departments to obtain and analyze patient information necessary for accurate billing and claims processing.
• Audit existing procedures to identify opportunities for improving efficiency and effectiveness in billing and collections.
• Ensure all billing operations comply with federal, state, and payer regulations, as well as internal policies and procedures.
• Contribute to the development, implementation and ongoing improvement of departmental policies and procedures.
• Monitor trends in charges, coding, collections, and accounts receivable; implement corrective actions and process improvements as needed.
• Stay current with payer rules and regulatory changes affecting billing and claims processing. Maintain up-to-date knowledge of coding standards, billing regulations, and compliance requirements. Ensure adherence to health information management standards, including HIPAA compliance.
• Supervise billing staff, including assigning work, providing training, resolving issues, and conducting performance evaluations with recommendations for personnel actions.
• Coordinate and/or deliver training for new and existing staff on policies, systems, procedures, and best practices along with Coding Auditor.
• Lead and facilitate monthly billing department meetings.

Performance Requirements

• Thorough understanding in medical billing, collections and payment posting, revenue cycle, third party payers and Medicare.
• Working knowledge of CPT and ICD9/10 codes, HCFA 1500 forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes.
• Knowledge of business management and basic accounting principles to direct the billing and coding office.
• Sufficient knowledge of policies and procedures to accurately answer questions from internal and external customers.
• Skill in developing, implementing and administering work processes.
• Detail oriented and tolerant of frequent interruptions and distractions from patients and staff.
• Effectively communicate with physicians, patients, insurers, colleagues and staff.
• Proficient in Microsoft Office, including Outlook, Word and Excel.

Skills and Qualifications

• Associates degree, preferably in business administration or related field; or
• Minimum of 5 years of experience in medical insurance and healthcare billings and collections experience in a medical practice or health system.
• Certified coder preferred
• Strong leadership and team management skills, with the ability to motivate and develop staff. Minimum of one year in a supervisory position, preferably in a medical group practice or hospital.
• Excellent analytical, organizational, and problem-solving abilities.
• Proficiency in billing software, electronic health records (EHR), and Microsoft Office Suite.
• Exceptional communication skills, both written and verbal, with the ability to collaborate effectively across departments.