BILLING MANAGER
 Montefiore Medical Center | |
 United States, New York, Bronx | |
 Nov 20, 2024 | |
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The Billing Manager would be responsible for managing the day-to-day operations - to coordinate overall functions of billing, maximizing cash flow while improving patient, physician, and other strong customer relations. The position requires strong managerial leadership and business office skills, including project management, critical thinking and analytical skills. Responsibilities include but not limited to New provider credentialing and revalidation for Medicare & Medicaid Make sure that expired documents (Lic, etc.,) are updated with carriers ASAP Ensure new provider(s) onboarded are enrolled correctly with the carrier for all sites, including security access for provider(s) into various systems Verify patient benefits, eligibility, plan design, patient responsibility authorization, services that will be covered and the portion which will not be paid by the insurance carrier. Validate/reconcile OR reports against charges billed to ensure charges are not left on billed Occasional manual charge entry, coding review/correction for OR charges to prevent bundling /unbundling Review and correct charges and LCD edits on the hospital side (medical necessity Dx, etc.) Work with the compliance teamannually on provider coding and billing compliance chart review Provider one-on-one training in areas where issues are noted and paying close attention to individuals who falls within this area Requirements High School Diploma/ GED Required Bachelor's Degree preferred One year of experience as a Certified Professional Coder required Three years experience in a related field, with at least two years working in healthcare/ revenue cycle management required Registration training required on , EPIC, CPC USBank and PACS etc,. Advanced in Excel, familiar with pivot tables, cube reporting Work closely with providers, administration, FPG, operations and other departments Spanish speaking preferred Department: Otorhinolaryngology Bargaining Unit:Non UnionCampus:MOSES Employment Status:Regular Full-TimeAddress:3400 Bainbridge Avenue, Bronx For positions that have only a rate listed, the displayedrate is the hiringrate but could be subject to change based on shift differential, experience, education or other relevant factors. To learn more about the "Montefiore Difference" - who we are at Montefiore and all that we have to offer our associates, please clickhere. Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us. Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history ofdisability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status,or partnership status, or any other characteristic protected by law. N/A; #LI-VK1 | |