JOB SUMMARY

The Assistant Billing Manager, under the supervision of the RCM Manager and Billing Manager, will assist in managing all aspects of the Billing Department including billing related tasks, processes, and procedures to ensure smooth financial operations for the billing department This includes, but is not limited to claims processing, revenue monitoring, and quality improvement initiatives. This role is extremely process oriented, as the Assistant Billing Manager will assist the RCM and Billing Manager in all Billing department processes and ensure each is being performed effectively and efficiently.

REQUIRED EDUCATION AND EXPERIENCE

• Associate or bachelor’s degree in healthcare administration or related field such as business, finance, or accounting, with relevant experience demonstrating progressive development of responsibilities: or equivalent, a minimum or 7+ years experience in direct medical billing (preferably urgent care).
• Medical Billing Certificate (preferred).

• Lead, mentor, and manage a team of Billing Specialists, fostering a culture of accountability and continuous improvement.
• Execute good judgement and decision making while considering cash flow requirements, to ensure consistency and non-disruption of revenue.
• Assist the Billing Manager in training, tasks, and overall performance of the billing team.
• Assist the Billing and RCM Manager in managing training structures and adherence to established SOPs.
• Assist in organizing, developing, and implementing workflows for the billing department to maximize cash flow.
• Identify, research, and resolve billing issues through direct contact with payors.
• Work closely with the Practice Management and EMR system to identify and resolve systemic issues.
• Assist in managing overall revenue including satisfying timely filing requirements, clean claims submission, maximizing collections, and resolution of denied/rejected claims.
• Monitor A/R aging and payment reports monthly to identify trends and underpayments with various insurances; investigate causes and takes appropriate steps toward prompt resolution using professional judgement to maximize overall collections.
• Provide weekly updates of revenue cycle status including reports and metrics to the Billing and RCM Managers.
• Work with the billing team to address problems negatively impacting the revenue cycle, while utilizing professional judgement to notify the Billing and RCM Managers of problems that will impact cash flow.
• Provide exceptional customer service skills and positive personality attributes.
• Assist the Billing Manager in managing claims review, denial review, and overall A/R analysis to ensure maximum productivity.
• Provide technical expertise to the Billing Team to ensure accurate billing.
• Train and Mentor Billing Team members (lead by example), providing guidance on best practices and updates in billing procedures.
• Perform special projects and other duties as requested.
• Comply with departmental policies and procedures.
• Responsible for showing up to work on time and being available to all team members during work hours.
• Work well with all staff members including Management, Administration, Providers, and Front Office team.
• Provide personal commitment and ownership to enhance knowledge, skills, and abilities in healthcare billing and collecting.
• Maintain patient confidentiality and information security, adheres to all HIPAA regulations and requirements.
• Follow and adhere to CDC requirements for healthcare facilities.
• As an exempt employee, you will be required to work as long as it takes to perform your job. You are not eligible for overtime compensation.