Billing Manager (Optometry Clinic) - (STA006348)

Manages the cashing handling, patient accounts, and the maintenance of protected health information (HPI) documentation in accordance with Health Insurance Portability and Accountability Act (HIPAA), and practice protocol; emphasizing on maximizing patient satisfaction and practice profitability.

1. Review customer billing in EHR system. Accept payments, disburses cash refunds, and flags accounts for refund checks.
2. Post and balance accounts receivables, by line-item, received for providers' professional services into the practice management system including insurance payments and patient payments.
3. Provide customer service for all patients and authorized representatives regarding patient accounts.
4. Monitor front office staff member timely processing of reimbursement and other financial transactions.
5. Follow-up on outstanding patient account balances, and all insurance claims using the A/R aged reports.
6. Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursements to providers, managers, and staff.
7. Follow up on all returned claims, correspondence denials, account reconciliations and rebills.
8. Monitor reimbursement from managed care networks-and insurance-carriers ensuring reimbursement with contracted rates.
9. Maintain information regarding coding, insurance carriers, managed care networks and credentialing in an organized easy to reference format.Performs other job-related duties as assigned.

EEO/AA

Qualifications :

Associates and 5 years experience

Requires the ability and knowledge for analysis and interpretation of procedures, policies and practices attainable through specific education and/or training programs in a specialty or technical field. Advanced vocational or electronic skills or a basic knowledge of a professional field is required. An Associate's degree or certification/licensing in a technical speciality program of over 18 months and up to 3 years duration are characteristics of this field.Requires a minimum of three (5) years of directly job-related experience.

Additional Job Posting Information:

*Experience (in optometry field) in lieu of education