.. standards of practice and current coding guidelines. Communicates unusual/complex issues, identifies trends and potential problems in medical documentation, and audit findings to HIM for guidance. Supports HIM in effectively and efficiently addressing and resolving all coding and documentation issues .. read more
Sterling Medical Group is a dynamic and rapidly growing personal injury Chiropractic and Specialty healthcare organization committed to delivering exceptional services to our clients. With a focus on innovation and excellence, we are seeking a highly skilled and experienced Billing Manager to join our dedicated team.
Position Overview:
We are looking for a seasoned PERSONAL INJURY Billing Supervisor/Manager with a minimum of 20 years of experience in managing billing operations, specifically in the context of Personal Injury Protection (PIP). The ideal candidate will possess in-depth knowledge of auto insurance and/or medical billing processes, PIP (personal injury protection) collections and reimbursement systems, and a strong background in ensuring compliance with PIP regulations. The Billing Manager will play a crucial role in ensuring accurate and timely billing, compliance with regulatory requirements, and the implementation of efficient billing practices in the realm of personal injury.
Responsibilities:
Billing Strategy and Oversight:
Develop and implement effective billing strategies aligned with industry best practices.
Oversee the end-to-end billing process, ensuring accuracy and efficiency
Review and verify medical billing information for accuracy and completeness
Prepare and submit claims to insurance companies electronically or by mail
Follow up on unpaid claims and denials, and resubmit as necessary
Research and resolve billing discrepancies or issues
Communicate with patients, insurance companies, and healthcare providers regarding billing inquiries or disputes
Maintain patient confidentiality and adhere to all HIPAA regulations
Personal Injury Protection (PIP):
Utilize extensive PIP experience to identify and prevent billing errors and fraudulent activities related to personal injury claims.
Collaborate with cross-functional teams to implement and optimize PIP initiatives.
Compliance and Regulatory Adherence:
Stay abreast of industry regulations and compliance requirements related to PIP and personal injury protections.
Implement and monitor processes to ensure adherence to PIP regulatory standards.
Team Leadership:
Lead and mentor the billing team, fostering a culture of accountability and continuous improvement.
Conduct regular training sessions to keep the team updated on PIP regulations, industry changes, and best practices.
Performance Analysis and Reporting:
Implement key performance indicators (KPIs) to measure billing performance in the context of PIP.
Generate regular reports for management, highlighting areas for improvement and success.
Collaboration:
Collaborate with other departments, such as, operations, and IT, and human resources to streamline processes and resolve issues.
Qualifications:
Bachelor's degree in Accounting, Finance, or a related field preferred
Minimum of 20 years of experience in billing, with a focus on Personal Injury Protections (PIP).
Proven experience in a managerial or leadership role within billing operations.
Strong knowledge of PIP regulations, compliance requirements, collections, and reimbursement systems.
Excellent analytical and problem-solving skills.
Exceptional communication and interpersonal skills.
Proficient in using medical billing software and electronic health records (EHR) systems
Knowledge of medical coding systems (such as CPT, ICD-10, HCPCS)
Familiarity with insurance guidelines and reimbursement processes
Strong attention to detail and accuracy in data entry and record keeping
Excellent communication skills, both written and verbal
Ability to work independently and prioritize tasks effectively
Sterling Medical Group is an equal opportunity employer and welcomes candidates from all similar managerial backgrounds to apply.
Position Overview:
We are looking for a seasoned PERSONAL INJURY Billing Supervisor/Manager with a minimum of 20 years of experience in managing billing operations, specifically in the context of Personal Injury Protection (PIP). The ideal candidate will possess in-depth knowledge of auto insurance and/or medical billing processes, PIP (personal injury protection) collections and reimbursement systems, and a strong background in ensuring compliance with PIP regulations. The Billing Manager will play a crucial role in ensuring accurate and timely billing, compliance with regulatory requirements, and the implementation of efficient billing practices in the realm of personal injury.
Responsibilities:
Billing Strategy and Oversight:
Develop and implement effective billing strategies aligned with industry best practices.
Oversee the end-to-end billing process, ensuring accuracy and efficiency
Review and verify medical billing information for accuracy and completeness
Prepare and submit claims to insurance companies electronically or by mail
Follow up on unpaid claims and denials, and resubmit as necessary
Research and resolve billing discrepancies or issues
Communicate with patients, insurance companies, and healthcare providers regarding billing inquiries or disputes
Maintain patient confidentiality and adhere to all HIPAA regulations
Personal Injury Protection (PIP):
Utilize extensive PIP experience to identify and prevent billing errors and fraudulent activities related to personal injury claims.
Collaborate with cross-functional teams to implement and optimize PIP initiatives.
Compliance and Regulatory Adherence:
Stay abreast of industry regulations and compliance requirements related to PIP and personal injury protections.
Implement and monitor processes to ensure adherence to PIP regulatory standards.
Team Leadership:
Lead and mentor the billing team, fostering a culture of accountability and continuous improvement.
Conduct regular training sessions to keep the team updated on PIP regulations, industry changes, and best practices.
Performance Analysis and Reporting:
Implement key performance indicators (KPIs) to measure billing performance in the context of PIP.
Generate regular reports for management, highlighting areas for improvement and success.
Collaboration:
Collaborate with other departments, such as, operations, and IT, and human resources to streamline processes and resolve issues.
Qualifications:
Bachelor's degree in Accounting, Finance, or a related field preferred
Minimum of 20 years of experience in billing, with a focus on Personal Injury Protections (PIP).
Proven experience in a managerial or leadership role within billing operations.
Strong knowledge of PIP regulations, compliance requirements, collections, and reimbursement systems.
Excellent analytical and problem-solving skills.
Exceptional communication and interpersonal skills.
Proficient in using medical billing software and electronic health records (EHR) systems
Knowledge of medical coding systems (such as CPT, ICD-10, HCPCS)
Familiarity with insurance guidelines and reimbursement processes
Strong attention to detail and accuracy in data entry and record keeping
Excellent communication skills, both written and verbal
Ability to work independently and prioritize tasks effectively
Sterling Medical Group is an equal opportunity employer and welcomes candidates from all similar managerial backgrounds to apply.
