Billing Manager - Patient Financial Services

 

Position Title: CBO Billing Manager Position Code: MgrCBOBi-8115

Department: Patient Financial Services Safety Sensitive: Yes

Reports to: Assistant Director, Patient Financial Services Exempt Status: Yes

Position Purpose:

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision of providing the region’s best clinical care and patient service through an environment that fosters respect for others and pride in performance.

CBO Billing Manager is responsible for the billing of all hospital and clinic government and commercial insurance and third party payer claims in a timely, accurate manner, as required by insurance companies to effect rapid payment.

The Manager supervises and coordinates activities of personnel in the billing department, credentialing, and clinic referrals.

The Manager oversees the maintenance of records, files and reports in accordance with KHI standards.

This position ensures that that KHI Health Information Systems are operating appropriately in relation to billing, credentialing and clinic referrals.

Key Responsibilities 

Regularly directs the work of two or more full time employees.

Has authority to hire, fire and counsel staff.

Interviews and selects personnel, recommends promotion, disciplinary action, and termination of employees as needed.

Handle employee complaints and grievances.

· Keep current and advise billers of all changes of CPT4, ICD9 and HPCS codes in order that claims may be paid correctly; notify credit personnel of invalid insurance or limitation of coverage; investigate and resolve any billing discrepancies; provide back-up billing assistance to billing clerks

· Works closely with other Department Managers in respect to issues that arise effecting other departments

· Plans, organizes, coordinates, and controls the systems by which patients billing, provider credentialing, and clinic referrals information is developed, processed and maintained

· Monitors and evaluates the quality of the department and takes appropriate action based on the findings

· Develops and revises job descriptions for all department positions; interviews, selects and hires new or replacement staff to fill approved positions

· Effectively utilizes employee improvement and corrective action methods when necessary; schedules work hours and assignments for employees to meet the needs of the Department’s customers; administers hospital and department policies and procedures; completes employee appraisals

· Provides opportunities for self and staff development through orientation, education, and training; maintains professional qualifications and remains abreast of current developments and trends in billing and reimbursement processes including billing

· Provides/coordinates community and education programs as needed; responds to physician requests and the Medical Staff personnel

· Assesses current volumes, and projects/plans for future service...