Medical Billing Manager Job Description

Medical Billing Manager Job Description, Skills, and Salary

Are you searching for a medical billing manager job description? Get to know about the duties, responsibilities, qualifications, and skills requirements of medical billing manager. Feel free to use our job description template to produce your own. We also provide you with information about the salary you can earn as a medical billing manager.

 

Who is a Medical Billing Manager?

Medical billing managers are professionals charged with the task of leading the medical billing and intake division of a medical facility to ensure optimal cash flow and enhanced relationships with doctors, patients, clients, and other stakeholders. A medical billing manager oversees all the activities related to medical billing and coding, including managing insurance policies and claims and assisting physicians and other healthcare professionals in obtaining reimbursements from insurance agencies and Medicare. Their duties include creating, carrying out, and ensuring compliance with policies and procedures, as well as promoting efficient billing and intake processes.

A medical billing manager is in charge of overseeing the revenue cycle, which involves 15 or more people, and serves as the department’s go-to resource for all activities including coding and billing. To ensure effective account collection and correct billing, the function of the billing manager also entails organizing and coordinating the workload for coding, patient insurance documentation, data processing, billing, and collection.

Billing managers compile and analyze insurance contracts, weekly and monthly financial reports, and accounts receivable reports in conjunction with senior management. Making sure that statistics are accurately collected and compiled is also part of their responsibilities. Along with planning and directing billing operations while adhering to departmental policy, the medical billing manager’s job description also calls for making sure that state, federal, and payer laws, guidelines, and regulations are followed. The responsibilities further involve giving billing office staff efficient management, which includes work assignments, training, and solution to issues. Along with encouraging staff to achieve peak performance and productivity, they assess employees’ performances and suggest proper courses of action.

In hospitals and doctor’s offices, collecting money from clients, insurance providers, and government health programmes is a crucial task. As the billing manager, you should comprehend the entire accounts receivable process as well as personnel management. Understanding the medical billing process necessitates specific knowledge of the coding and collection process. As a medical billing manager, you should be able to understand the codes and how the prices you charge may exceed what the insurance companies will pay for specific treatments because you will be engaged in transcribing and coding patient care information. Speaking with patients about outstanding balances and amounts that insurance companies have not covered is another duty of the billing manager. As part of their duties, medical billing managers must also resolve problems with electronic files or address changes and update billing procedures as required, including when an insurance provider changes its billing policies.

Typically, billing managers are in charge of all receivables, therefore they must follow up to ensure that all bills are paid in full. A billing manager must make sure that bills that insurance programmes reject due to coding issues or requests for explanations are quickly resubmitted. He or she must make sure that patients who don’t pay on time are informed of their balances and that when their accounts are due, they are turned over to a collection agency. You generate reports for management detailing the amount of money that has been owed, received, collected, and is uncollectible.

Although many other offices and hospitals have a team of billers who work together to ensure prompt payments, some small doctor’s offices may only have one medical billing manager to oversee all accounts receivable. You have hiring, firing, training, and evaluation authority over the accounts receivable staff as the billing manager. Strong management abilities and a basic understanding of human resource procedures are therefore needed for these tasks. You must set a timetable if some of the workers are part-time employees to guarantee that the office is always adequately filled. You also need an in-depth understanding of billing software and medical insurance regulations to be successful in this position. Excellent written and vocal communication skills to interact with patients, patients’ families and different insurance agents is significantly a crucial requirement for this position.

 

Medical Billing Manager Job Description

What is a medical billing manager job description? A medical billing manager job description is simply a list of duties and responsibilities of medical billing manager in an organization. Below are the medical billing manager job description examples you can use to develop your resume or write a medical billing manager job description for your employee. Employers can also use it to sieve out job seekers when choosing candidates for interviews.

Medical billing managers are responsible for a wide range of duties and responsibilities such as the following:

  • Work as a departmental practice specialist on all matters about billing and intake procedures.
  • Perform tasks such as charge entry, payment posting, reimbursement management, referral intake, insurance verification, claim submissions, and accounts receivable follow-up while overseeing the billing and intake department operations.
  • Conduct audits of present practices, identify opportunities for improvement in the billing and intake operations, and take the appropriate steps.
  • Allocate tasks and settle disputes between the staff members of the billing office.
  • Provide new team members with training on organization rules and practises, including HIPAA requirements.
  • Evaluate claims for accuracy and completeness before authorizing them for payment.
  • Create reports with information on claims processing, such as claim denial rates and processing timeframes for various claims categories.
  • Discuss billing concerns with patients, doctors, insurance providers, and third-party administrators.
  • Make sure that all documentation, including patient records, insurance claims, and doctor instructions, is accurate and current.
  • Manage and supervise all facets of the billing division, including hiring personnel and monitoring their output.
  • Guarantee the prompt and proper payment of claims to providers by submitting them to insurance companies for approval.
  • Inform patients of the status of their accounts and any inconsistencies or rejections in their invoices.
  • Work along with other organizational departments to make sure that billing processes go successfully.
  • Conduct a performance evaluation of the staff and make any necessary recommendations.
  • Encourage staff to deliver their finest work and a high level of productivity.
  • Supervise team members who handle the medical billing for clinics and other healthcare facilities.
  • Work as a departmental practice specialist on all matters about billing and intake procedures.
  • Oversee the billing and intake department’s operations; ensuring that newly hired and current billing and intake staff receive quality and suitable training through efficient supervision and coordination of the training process.
  • Follow the established firm operational rules, procedures, and standards, as well as any related protocols, methodologies, and guidelines.
  • Coordinate team members’ requests for time off to ensure that the everyday operations of the department are not adversely affected.
  • Analyze patterns influencing coding, charges, accounts receivable, and collection, and provide the billing team with manageable assignments.
  • Work with other departments to gather and evaluate additional patient data so that you can efficiently record and process invoices.
  • Make that the billing/intake department adheres to the payer, State, and Federal rules, regulations, and standards and that all actions are carried out by its overall procedure.
  • Stay informed about HIPAA and all other regulations and issues about health information management.
  • Hold staff meetings frequently to ensure excellent teamwork and protocol in the billing and intake department.
  • Respond to audits to assure continuous improvement.
  • Demonstrate your ability to carry out additional tasks as given by management.
  • Call the attention of the director of revenue to all departmental issues so that prompt remedial action can be taken.
  • Make sure that information on company policies and processes is efficient, timely, and correct.
  • Delegate and allocate tasks to Supervisors/HODs and observers’ performance to ensure adherence to the company’s policies and established operating processes.
  • Establish strong working connections and lines of communication with Company personnel, HODs, and other departments to ensure optimal operating performance and the completion of specific projects or contract requirements.
  • Work with the general manager (GM) on all facets of company planning.
  • Determine the staff members’ developmental requirements and, when necessary, offer coaching and mentorship to help them advance their knowledge or skills.

 

Qualifications

  • Bachelor’s degree in healthcare management, business management, healthcare administration, accounting, or a related discipline.
  • At least 2 years of experience as a medical billing manager or a similar position.
  • Experience with medical insurance, healthcare billing, and collections work in a health/medical facility.
  • In-depth knowledge of the rules and regulations affecting medical billing and insurance verification.
  • Previous experience in a supervisory or managerial position.
  • Thorough understanding of billing software and digital medical records.
  • Ability to effectively multitask and manage time.
  • Understanding of basic business management and accounting principles.
  • Outstanding written and verbal communication skills.
  • Outstanding negotiation skills.
  • Updated knowledge of technologies and applications in the health information sector.
  • Effective problem-solving skills.
  • Excellent organizational skills.
  • Proficiency in Microsoft office tools such as Word, Outlook, Excel, etc.

 

Essential Skills

  • Communication skills: Communicating skills involve the act of transferring information orally, in written form, or through other means. A medical billing manager can be in charge of interacting with patients, insurance providers, and other medical specialists. Medical billing managers can solve problems, provide answers to inquiries, and develop relationships by using effective communication skills.
  • Medical coding skills: Medical coding, which entails appropriately giving a numerical code to a patient’s diagnosis or procedure, is a skill that medical billing administrators need to be proficient in. To ensure correct invoicing, medical billing managers should be familiar with the coding scheme used by their organization.
  • Attention to detail skills: Medical billing managers require excellent attention to detail at all times to ensure that they input all the correct information into the billing system correctly. To make sure the insurance company entered the information accurately, they must also verify the correctness of the information the insurance company gives back. By doing this, it is ensured that both the patient and the practice receive the proper care and compensation respectively.
  • Organizational skills: Organisational skills are essential because they are required in the collection of patient data, the production of patient statements, and the distribution of payments, which are all crucial responsibilities of medical billing managers. Medical billing managers also need to be well-organized always due to the complexity of their position.
  • Leadership skills: Medical billing managers are tasked with the supervision of all the duties of a team of medical billers and coders. Therefore, they must have great leadership skills to guarantee that the staff members are following directives, meeting deadlines, generating precise work, and upholding a positive work atmosphere. Additionally, a medical billing manager must be able to manage several clients concurrently and adjust priorities as necessary.
  • Problem-solving skills: Medical billing managers are required to always keep an eye on all aspects of the billing procedures, including potential issues. The ability to recognize issues and find solutions to them is an essential skill for a medical billing manager to possess. Medical billing managers can identify solutions by assigning responsibilities to other staff members, researching issues online, or speaking with other experts.

 

How to Become a Medical Billing Manager

Step 1. Earn a bachelor’s degree

A bachelor’s degree in business administration, accounting, health care administration, health information management, health care management, or a similar discipline is often required for the role of medical billing manager. You can acquire the competencies and knowledge required to manage the financial facets of healthcare companies by taking courses in these programmes.

Prospective employers may consider your program’s coding and billing courses as a bonus. Candidates with a high school diploma and relevant job experience may be accepted by some employers. If you want to enhance your career in medical billing management, you can also consider pursuing a postgraduate diploma.

Step 2. Gain experience

Acquiring work experience in the medical billing field is necessary for individuals intending to become medical billing managers. Medical billing and coding administrators deal with patient medical records, checking them for accuracy and assigning particular diagnoses to common ICD 10 codes so that doctor’s offices can submit insurance claims on behalf of their patients. Medical billing managers usually receive on-the-job training. In-person instruction or learning from a supervisor are also possible options in this training. Learning about the specific software and computer systems used by the business is a crucial part of the training.

Step 3. Acquire certification

Certifications serve as evidence of a professional’s qualifications to both present and potential employers. Medical billing managers can earn certifications to acquire more practical knowledge of their daily responsibilities, test their professional skills and further advance their careers. Medical billing specialists with at least one year of experience can earn the Certified Billing and Coding Specialist (CBCS) certification from the American Health Information Management Association (AHIMA). Candidates must pass an exam covering coding concepts, medical terminology, insurance reimbursement systems, and other related topics to obtain this certification. For those with at least two years of experience in healthcare administration or financial management, the AHIMA also provides the Certified Healthcare Financial Manager (CHFM) certification. Candidates must pass a test that includes questions on risk management, budgeting, revenue cycle management, and accounting procedures to earn this certification.

 

Where to Work as a Medical Billing Manager

Medical billing managers work in places such as hospitals, clinics, big pharmacy shops, and private medical facilities. They are typically employed full-time, and they may also work beyond 40 hours per week. Medical billing managers may also be required to work during holidays, in the evenings, and at weekends to meet deadlines.

 

Medical Billing Manager Salary Scale

The salary scale of medical billing managers varies depending on different factors including level of education, years of experience, and the size of the establishment. They may also earn extra pay in form of bonuses and allowances. The average medical billing manager’s salary in the US is $48,009 per year. The salary scale typically ranges from  $41,627 to $55,346 per year.

The average medical billing manager’s salary in the UK is £36,955 per year. The salary scale typically ranges from £26,023 to £45,842 per year. The average medical billing manager’s salary in Canada is $70,941 per year. The salary scale typically ranges from $50,830 to $89,540 per year. The average medical billing manager’s salary in Nigeria is 3,320,000 NGN per year. The salary scale typically ranges from 1,632,000 NGN to 5,184,000 per year.

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