Billing Manager Job Description
Billing Manager Duties & Responsibilities
To write an effective billing manager job description, begin by listing detailed duties, responsibilities and expectations. We have included billing manager job description templates that you can modify and use.
Sample responsibilities for this position include:
Billing Manager Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Billing Manager
List any licenses or certifications required by the position: PMP, CPC, CPA, DSS, PCI, SCRUM, AHIMA, AAPC, ITIL, CCS
Education for Billing Manager
Typically a job would require a certain level of education.
Employers hiring for the billing manager job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Collage Degree in Accounting, Finance, Business, Education, Business/Administration, Management, Economics, Healthcare Administration, Business/Management, Healthcare
Skills for Billing Manager
Desired skills for billing manager include:
Desired experience for billing manager includes:
Billing Manager Examples
Billing Manager Job Description
- Inform Billing Director of any significant issues in the Billing area (e.g., Billing backlogs, HIM bill drop delays, payer issues, vendor issues)
- Implement appropriate billing edits, bridge routines, to ensure a clean claim is submitted, expedite billing/cash flow and/or ensure billing compliance
- Serve as the coordinator with the billing software company
- Completing all pre-surgical coding for authorizations
- Supervise the Billing team
- Work directly with Customers/ Members on a daily basis regarding cancellations, freezes, monthly billing issues or any account changes
- Conduct an audit on a monthly and yearly basis in connection with all Team billing
- Develops and presents compelling business cases for all technological billing requirements, including regulatory, compliance, risk mitigation, or efficiency initiatives
- Data Analysis, data mining and utilization of big data - Performs analysis on highly complex data models that have cross-functional impact and develops recommendations for review by Billing Director, Customer Care Directors, and Vice Presidents
- Represent Billing Operations at Product, Project, Commercial and Finance meetings
- Excellent oral and written communication skills, particularly with regard to follow-up on unresolved issues
- Strong ability to adapt to change and open to considering new approaches in resolving issues
- Strong understanding of confidential matters
- 3-8 years of relevant experience or a combination of education and work experience required
- Bachelor of Science degree in Business Administration or related degree
- A Master’s degree in or Professional Certification in Business is preferred
Billing Manager Job Description
- Provide leadership and oversight for the North America Billing Operations team, lead transaction level investigations and communicate billing and pricing constructs with global partners to more effectively manage account relationships
- Responsible for the timely, accurate and effective billing operations and the process integration with Cash & A/R, Payroll and T&C the branch offices, Strategic Accounts, Reporting, Accounting and other depts
- Understand and communicate nuances of billing various payers such as Medicare, Medicaid, HMO’s, PPO’s, IPA’s, employers
- Plan, co-ordinate and liaise with users on system requirements to ensure that the overall Billing & Cust Care solution is an integrated one
- Assures compliance with billing policies and procedures
- Assists the Billing Director in establishing and monitoring productivity standards, quality improvement and direct staff in meeting department goals
- Assists the Billing Director in preparing timely month-end closing activities
- Work as a liaison between the Billing services staff and other Patient Account Services staff
- Resolve issues escalated by patients and/or Billing staff
- Ensures that third party billing is submitted correctly Assures that payer claim rejections are corrected and filed
- Ability to convey goals and objectives clearly and in a compelling manner
- Must have managed a large staff of 8+
- Proficient in operating a 10 key calculator
- Support the Membership department in tracking monthly sales, retention rates, revenues and cancellations
- Submit documents to Accounting department
- Participate in year-end audit preparation tasks, as appropriate
Billing Manager Job Description
- Supervises the staff and daily operations of the Billing and Collections business functions
- Monitors postings and all billing to ensure compliance with established company policies and regulations
- Reviews and approves billing transactions, including invoicing, refunds, credits, cash application and write-offs
- Manage month-end closing of billing group, work with multiple Accounting and Finance teams at month-end and helps to analyze and understand trends
- Maintains up-to-date expertise and knowledge of compliance, code changes, billing laws, rules, regulations, and developments necessary for the organization to make informed business decisions
- Behavioral health billing with a variety of payers
- Processing electronic medical billing using online software
- Provides overall leadership and management to the billing group
- Proactively react to changing business needs and assess the impact of changes to core Billing system, processes and global internal/external stakeholders
- Drive efficiency and effectiveness by reviewing Billing Operations processes and provide recommendations to streamline operations
- Ensure the accurate and timely processing of all customer billings (License and Maintenance, Services, Milestone, Training, ) through the use of company’s accounting systems as required, in accordance with company policies and procedures
- A background demonstrating strong analytical and problem solving ability necessary, re-engineering and project management
- Candidate must demonstrate strong leadership skills
- Understanding of market-related issues, contract development, negotiation, and pull-through the legal and regulatory implications associated with private and government payer contracting
- Prior systems, applications, and field metering related experience
- Minimum four years experience in accounting or billing required
Billing Manager Job Description
- Understands and communicates Billing and Collections issues to the CBO and others such as the Regional Manager of Business Operations, BOMs
- Communicates with BOMS and Administrator and other members of the Leadership team as required on daily activities affecting patient scheduling, registration, and insurance verification, billing and Collections as determined through facility processes
- Assists the Billing Director in establishing and monitoring productivity standards, quality improvement
- We are looking for a Product Manager to work with our Billing Applications, specifically with RMB 1.0, RMB 2.0, and XAA
- We are looking for a seasoned Product Manager who has been running billing platforms for large enterprises
- Responsible for security of all Billing Administrations systems in line with VTL standards, policies, procedures and industry best practices
- To provide guidance, leadership and direction to all Billing administrations administrators, and ensure they are familiar with technical architecture of their systems and have also instituted a regime which will ensure problems are detected early and resolved in a timely manner
- Works closely with Sales Coordinators, and Project Managers to review detailed, sometimes complex client contracts to ensure proper account set-up, billing and revenue recognition
- Maintain an efficient billing process for the medical practice
- Communicates immediately to management regarding any compliance related problems or unresolved processes
- Five years billing leadership experience within a Biopharma, or Lab related environment
- Strong professional communication skills, including written, verbal, and presentation, with the ability to share ideas, and influence all levels within the organization, customers
- Ensures that employees are trained and compliant with SOP’s and competency checklists
- Supervises and participates in personnel management activities for the department
- Conducts or guides supervisors in performance appraisals, documenting deficiencies, developing plans for improvement and counseling employees
- Accurate and timely production of client claims
Billing Manager Job Description
- Oversee the day-to-day enterprise bill-to-collect operations of the billing team ensuring adherence to policies and procedures
- Address escalations of exceptions and discrepancies identified by Billing Specialists
- Direct day-to-day operations, priorities and broad scope work assignments for the Initial Billing Team
- Serve as the primary point-of-contact for Operations, providing quick resolutions surrounding billing issues
- Managing delivery to contracted commitments related to billing/disputes
- Approves financial adjustments (write offs and refunds) to individual accounts (using prior experience to determine accuracy and ensure compliance with all internal and external regulations)
- Monitors the flow of work of assigned staff and reassigns as workload demands
- Monitors and analyzes all reports for the operational success of the CBO
- Ensures that bad debt indicators at the established ASD goal
- Implements processes and action plans set forth by the CBO Director
- 5+ years insurance billing, collections, credentialing and management experience from multi-location practice and numerous insurance companies for each of those practices
- The ideal candidate will be an accounting and finance professional with at least 5 years of billing experience and a minimum of 2 years of supervisory experience in a mid-large organization, both preferably in a law firm
- Ability to resolve complex problems and make sound decisions in a timely manner
- Strong leadership presence and highly motivated team member who easily cultivates effective relationships with senior executives and staff both inside and outside the Finance organization
- Ability to synthesize detailed information while maintaining big picture focus
- Ability to lead, influence and set direction