OB\Gyn Billing Manager
Location: Boston Massachusetts
Description: Tufts Medical Center is at present looking to employ OB\Gyn Billing Manager right now, this job will be placed in Massachusetts. Detailed specification about this job opportunity kindly see the descriptions. Boston, MA
Department::Obstetrics & Gynecology
Schedule: Full-Time Regular
Shift: Day shift
Grade: 12
Hours: 8- 4:30
Job Details:
Under the general direction of the Administrative Director, Ob/Gyn the Billing Manager oversees the Department: professional and hospital billing processes, ensuring timely charge entry of all ambulatory, satellite and inpatient charges; management of Patient Keeper Holding bin and TES edits; and missing charge reports. The Billing Manager is a liaison with the Tufts Medical Center Physician Organization (PO) and Tufts Medical Center (TMC) patient accounts personnel with regards to regards professional front and back end issues.
The Billing Manager also works collaboratively with the physician and nurse practitioners in the Department: and serves as the point person for all billing & coding inquires; communicates and ensures any changes to the billing codes; provides education to physicians on a quarterly basis.
Responsibilities:
Develops, implements and administers policies and procedures to establish ! effective and efficient management of the billing functions of! OBGYN. Establishes standards and expectations to assure that established goals and standards are met. Informs staff of any applicable new or revised policies and procedures established by the Department: , Tufts Medical Center, or Tufts University. Evaluates and reviews policies for effectiveness and recommends changes or improvements that need to be made.
Responsible for entry of the billing and coding of the Surgical, Obstetrical and Inpatient charges. Develops and implements reconciliation plan to ensure that all charges are captured and entered in a timely manner.
Works with the Hospital/ PO coders to manage any discrepancies.
Responsible for resolving TES edits and Patient Keeper holding bin issues and ensuring that charges are cleared in a timely manner.
Supervises Ob/Gyn Clinical Billing Coordinator. Oversees training of the billing coordinator. In conjunction with employees, establishes goals to enhance performance of personnel. ! Administers disciplinary action when needed and oversees performance improvement plan when appropriate. Provides feedback to managers and supervisors regarding billing performance and practices for satellite staff not directly under supervision.
Reviews Physician Organization denial reports, identifies problems, and develops action plan to address issues and resolve denials. Reviews missing op-notes reports and develops response to ensure completion in a timely manner. Works with practice coordinators and Practice Managers to identify systems for resolving documentation problems. Reviews the billing discrepancy report and identifies action plan for resolution.
Gives monthly status report to managers for review.Oversees CPT code review and development of charge and encounter forms for the Department: . Liaison with Tufts Medical Center and Tufts Medical Center Physician Organization for billing issues and development of OBGYN Coding Manual. Oversees physici! an training for billing procedures and charge documentation. Completes ! forms for new procedures and contacts insurance carriers for modifier and cpt coding instructions. Revises and updates CDM and Ecw billing structure, ensuring appropriate CPT and ICD-9 codes are in place.
Develops system for special billing for new products or investigational products (such as Botox or inter stimulation). Responsible for developing documentation programs for unlisted or new drugs and procedures.
Collaborates with Practice Managers on the front end billing processes including inpatient and outpatient professional billing.
Handles patient account issues and bring resolution to these issues. Supports and provides expert advise to billing coordinators, practice managers and patients
Prepares physician specific billing reports and financial analyses as requested.
May perform other job related duties as required or requested.
Requirements:
Position requires excellent communication skills, independen! t judgment, initiative, ability to establish work priorities and the ability to create change through influence in a matrix organization.
Supervisory experience required.
Excellent interpersonal skills required to supervise support staff and interact effectively with patients, physicians, various billing personnel, insurance representatives, etc. High degree of courtesy and tact required in contacts with patients involving sensitive and confidential patient information.
Excellent organizational and communications skills, both oral and written.
Analytics and mathematics ability.
Knowledge of managed care rules & regulations.
Expert knowledge of Ob/Gyn billing and coding preferable
Computer literacy including the ability to work with PC and Microsoft Office software. Willingness to learn new computer systems and software.
Thorough knowledge of Department: al policies and procedures.
Abi! lity to travel among various Department: s within the hospital and ! at satellite locations
Knowledge and ability generally acquired through a Bachelors Degree or equivalent experience.
At minimum of three years experience in a health care setting. Previous supervisory and billing experience preferred. OBGYN experience preferred. Demonstrated communication and interaction with professional and medical staff preferred.
An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience
Job ID: 814349
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Tufts Medical Center.
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This job starts available on: Mon, 29 Apr 2013 10:56:26 GMT