Mgr Central Billing Office( Credit Balance Resolution)

Position Title:

Mgr Central Billing Office( Credit Balance Resolution)

Department:

Revenue Integrity

Job Description:

Job Description

General Description:

The primary responsibilities of the Billing Office Manager are to lead, plan and direct the overall functions of the billing office department to ensure optimum revenue cycle functionality.  This position will be responsible for optimizing staff performance through process monitoring, policy/procedure implementation, communications, and outcome feedback.  This position will actively be involved in the staff training and development of the billing specialist team. 

Essential Functions/Duties: 

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.

• Oversee, develop, implement, and maintain policies and procedures, workflows, reports, and standards related to all billing activities.     
• Development of staff and performance expectations in alignment with department goals to support organizational strategic initiatives, focusing on growth and innovation. 
• Develops guidelines for prioritizing work activities, evaluating effectiveness, and modifying activities as necessary to ensure appropriate staffing levels are maintained. 
• Keep staff and upper management informed using effective communication techniques.
• Build relationships and efficient communication with key stakeholders and other internal teams.
• Monitors patient service calls regularly to ensure that prompt, courteous, and accurate responses are provided to patients.  This is to include inquiries from providers and patients regarding billing, eligibility, enrollment, provider network, program benefits, appeals and grievances.  The Billing Office Manager may handle provider/patient calls of an advanced or difficult nature as needed.
• Identifies, analyzes, and resolves work problems.
• Assist in the hiring and development of the billing staff.  
• Continually monitors and evaluates insurance verification and precertification procedures.
• Works closely with outside agencies in helping patients apply for Medicaid and state aid.
• Works with other staff to ensure efforts are coordinated and high quality patient care is provided.
• Performs select administrative duties.
• Compiles and condenses statistical data for reports and records.
• Ensures any patient complaints are handled appropriately.
• Participates in professional development activities.
• Conducts departmental staff meetings.
• Leads, develops, coaches, and effectively manages the team to ensure deliverables and performance metrics are met.  Develops team to accomplish results through training, development, performance management and recognition.
• Performs other duties as assigned.

Minimum Qualifications:

Education: Bachelor’s Degree in applicable field required.

Experience: 3 to 5 years of progressive leadership experience required, including at least 1 year experience of collections.

Licensure/Certifications/Registrations Required: None required.

Knowledge, Skills, and Abilities:

• Ability to work as part of a multi-disciplinary team.
• Ability to communicate accurately and concisely.
• Ability to work independently and collaboratively.
• Excellent interpersonal skill.
• Highly process and detail oriented.
• Ability to establish and monitor performance/productivity standards.
• Ability to analyze financial and operating information to facilitate decision-making.
• Ability to communicate and instill a commitment to exemplary customer service, ensuring customer satisfaction.
• Demonstrated prioritization, problem-solving, organizational skills, and detail-oriented mindset. Ability to manage multiple projects concurrently.
• Ability to function effectively in a fast-paced and changing environment with multiple priorities and objectives.
• Ability to resolve conflicts, while maintaining professionalism, and ensuring exemplary customer service.
• Ability to evaluate processes and procedures for continuous process improvement. Intermediate word processing, spreadsheets, and computer software skills.
• Knowledge and understanding of medical terminology.
• Knowledge of or experience in Medicaid/Medicare programs.
• Knowledge of organizational policies, procedures, systems, and objectives.
• Knowledge of clinic office procedures.
• Ability to use proper grammar, spelling, punctuation, and sentence structure to answer correspondence and reports.
• Ability to evaluate the effectiveness of existing methods and procedures.
• Ability to interpret, adapt and apply guidelines, policies, and procedures.
• Ability to react calmly and effectively in emergency situations.

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OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.