Assistant Medical Billing Manager

BASIC FUNCTION :

The Assistant Medical Billing Manager will serve as a working team lead for Business Office staff. Helping to develop team members by assisting, coaching and training billing staff as directed by policies or procedures. This position will perform duties associated with the billing process and help manage workflow. An understanding of Accounts Receivable (A/R) aging, denial management, credit balances and payment posting is necessary to help ensure financial goals are being met.

GENERAL RESPONSIBILITIES:

1. Assists in implementing appropriate billing and collection procedures, insuring that accounts receivable records are kept in accordance with established procedures.


2. Helps to create and maintain established policies, procedures, objectives, quality assurance and safety.


3. Monitors activities with Third Party Payers and stays abreast of changes in all reimbursement and billing procedures for third party and private insurance payers.


4. Investigates and reports on all current reimbursement developments on the state and federal level.


5. Proactively identifies trends and initiates recommendations for change to the Medical Billing Manager.


6. Maintains assigned billing duties to current status.


7. Spot checks work for accuracy, efficiency and uniformity.


8. Exercises judgment to make decisions for select methods and techniques for obtaining solutions.


9. Mentors, trains and coaches team members, ensuring they fully understand how to perform their duties.


10. Has general knowledge of Business Office positions to act as back-up if need arises.


11. Participates in professional activities and maintains professional affiliations as appropriate. Enhances professional growth and development through educational programs, seminars, etc. to keep abreast of trends/changes in the field.


12. Upholds and promotes the value and integrity of the Seneca Nation Health System’s mission statement. Will promote SNHS in a positive manner.


13. Provides team collaboration through a trauma-informed lens by incorporating key principles of both physical and psychological environment safety, trustworthiness and transparency, collaboration of decision-making during departmental plan developments, empowerment of co-workers by recognizing and building upon individual strengths, as well as recognizing and respecting the diversity of cultural backgrounds and sensitivity.


14. Participates and completes all mandatory staff meetings, trainings and in-services.


15. Follows all policies and procedures of the department, Seneca Nation, and Seneca Nation Health System.


16. Ensures confidentiality of records according to the provisions of the Privacy Act of 1974 and HIPAA.

KNOWLEDGE, SKILLS, & ABILITIES:

• Has thorough knowledge of third party reimbursement/regulations, forecasting and planning skills, and must be knowledgeable with ICD-9, ICD-10 and CPT-4 coding.


• Familiar with medical terminology and must be able to interpret provisions of health plans.


• Proficient in Microsoft Office, and be able to help develop policies to increase the productivity of the revenue cycle.

QUALIFICATIONS:

• Bachelor’s Degree in Business Administration or related field required.


• Three years of experience in health care finance required.


• Two years of supervisory or management experience preferred.


• Experience in a large hospital, academic medical center, outpatient health care setting, or Indian Health Service (IHS)/tribal health, preferred.