Johnstown, Pennsylvania
Practice Billing Manager - Remote Job Opening in Johnstown, Pennsylvania - Job Title:
Practice Manager/Billing Manager
Job Category:
Billing
Department/Group:
Billing
Job Code/ Req#:
1225
Location:
Johnstown area
Travel Required:
None
Level/Salary Range:
Level/Salary Range
Position Type:
Full-Time Salary of 75,000 to start with a 90-day evaluation
HR Contact:
Tiffany or Patricia
Date Posted: July 10. 2017
Will Train Applicant(s):
Will Train Applicant(s)
Applications Accepted By: Fax or Email:
Fax
Subject Line: Practice Manager/Billing Manager
Mail:
UMPG
Universal Medical Performance Group
Windber, PA 15x
Job DescriptionRole and Responsibilities
· Certified CPPM's have demonstrated expertise in:
· Understanding of the various types of insurance plans
· Healthcare business process, workflow, and reform
· Fraud, abuse, and corporate compliance
· Quality in health care
· Medical office accounting, physician reimbursement, and revenue cycle management
· Human resource management
· Marketing and business relationships
· HIPAA and data security
· Obtain referrals and pre-authorizations as required for procedures
· Check eligibility and benefit verification
· Review patient bills for accuracy and completeness and obtain any missing information
· Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
· Knowledge of UB04 billing
· Knowledge of HICFA 1500 billing
· Knowledge of electronic billing and report reading
· Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
· Follow up on unpaid claims within standard billing cycle timeframe
· Check each insurance payment for accuracy and compliance with contract discount
· Call insurance companies regarding any discrepancy in payments if necessary
· Identify and bill secondary or tertiary insurances
· All accounts are to be reviewed for insurance or patient follow-up
· Research and appeal denied claims
· Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
· Set up patient payment plans and work collection accounts
· Update billing software with rate changes
· Updates cash spreadsheet, runs collection reports
· Health IT, EMRs, and health information and Education Requirements
Preferred Skills
· Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
· Use of computer systems, software
· Effective communication abilities for phone contacts with insurance payers to resolve issues
· * Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
· Able to work in a team environment
· Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
Knowledge of accounting and bookkeeping procedures
Job Type: Full-time
Salary: $75,000.00 /year
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