JOB TITLE:
Billing Manager – POB 1
Working Position
REPORTS TO:
Administrator and Office Manager
SUPERVISED POSITIONS: Registration, Precertification, Billing & Collections
RESPONSIBILITIES:
Responsible for directly supervising the registration, precertification, billing and collections
personnel for the practice and all activities involving the computer billing system. Assists the
Administrator and Office Manager in planning and implementing change.
Duties:
1. Monitors work flow processes necessary to ensure all billing and collection functions are
handled thoroughly and professionally.
2. Creates and maintains position descriptions for all supervised personnel.
3. Ensures adequate cross-training and backup duties so that key tasks are performed
reliably during vacations, holidays, and other times.
4. Ensures all employees receive adequate computer training and updates.
5. Be knowledgeable of all specific issues that affect current collections.
6. Personally work on specific billing problems and issues as necessary, or delegate to
appropriate personnel.
7. Ensure all CPC billing and collections policies and procedures are followed by personnel.
8. Work with Administrator and Office Manager in interviewing candidates for new
positions as necessary.
9. Work with Administrator and Office Manager to implement changes to work areas of
billing personnel to improve effectiveness.
10. Ensure batching, reporting, and tape backup processes are handle each day.
11. Makes refund recommendations on patient accounts to Administrator on a monthly basis.
Finalizes the refund process by taking necessary adjustments and mailing checks.
12. Keeps current on all updated information including Medicare, CPT and ICD9 changes.
13. Prepare weekly and monthly practice management reports and service analysis data for
all central accounts receivable sites.
14. Develop standardization methodology for all processes related to CPC accounts
receivable management.
15. Maintains up-to-date knowledge of third party billing and reimbursement information, as
well as continuing education to share with the department.
16. Monitors daily operating activity of department and makes necessary adjustments in
work assignments.
17. Supervises, trains, orients and evaluates performance over assigned personnel.
Recommends merit increases, disciplinary actions, reassignments and promotions.
18. Establishes and implements a system for the collection of delinquent accounts ensuring
third-party payers are contacted.
19. Establishes and recommends credit and collection policies. Makes recommendations for
improvement.
20. Other duties as back-up or as assigned.
Requirements:
Minimum of high school diploma and four (4) years experience with billing and collection of
physician professional fees
Excellent decision-making, organizational, and oral and written communication skills
Ability to analyze and solve problems and work independently
Ability to act diplomatically
Knowledge of managed care contracting and compliance
Maintains strict confidentiality of health and financial information
Demonstrated professionalism in written correspondence with accurate spelling and grammar.
Demonstrates appropriate telephone and email etiquette.
Develops guidelines for prioritizing work activities, evaluating effectiveness, and modifying
activities as necessary.
Ensures supervised positions are staffed appropriately.
Assists in developing and implementing short-and-long term work plans.
Additional Desirable Qualities:
Knowledge and experience with cardiology practice billing and collections
Familiarity with current billing software
Operating a variety of computer programs (excel, word)
HOURS:
The normal workweek of the Practice consists of forty (40) hours. The regular hours assigned
the Billing Manager are 8:00 a.m. – 4:30 p.m. Monday – Friday.
This description is intended to describe the general nature of work performed and to provide only
basic guidelines for meeting job requirements. It is not intended to serve as an exhaustive list of
all duties, skills, and responsibilities required. Responsibilities, knowledge, skills, and abilities
may change as needs evolve.