Job Description

Requisition Number
18-0343

Post Date
12/10/2018

Title
Insurance Billing Manager

Employment Type
Full Time

Hours per week
40

City
Woodbury

State
MN

Description
The Insurance Billing Manager is responsible for ensuring optimal and accurate reimbursement for all services through leadership of the reimbursement team. This includes overseeing underpayment and denial management, developing and maintaining departmental policies and procedures in accordance with organizational and insurance industry standards.

Provides experience and expertise in payer policies and protocol.

Educates/trains team to ensure a high level of organizational competency.

Provides leadership to the revenue cycle team members by ensuring efficient and effective daily workflow. Oversees initial orientation and manages ongoing productivity, competencies and productivity of team.

Develops and manages ongoing review of department processes, procedures, and workflows and identify opportunities for improvement based on organizational and industry standards.

Resolves outstanding balances with payers before writing off to bad debt, transferring to the next payer level or patient responsibility.

Communicates daily with insurance carriers, patients, medical office staff, and other third parties to collect outstanding balances due, resolve disputes, denials and general nonpayment issues.

Reviews and approves accounts for collection agency placement and patient and insurance refunds.

Maintains a high level of professionalism when contacting patients, insurance carriers, facilities and clinics and other 3rd party vendors while adhering to HIPAA regulations and privacy practices.

Summit Health ASO, provides administrative and clinical support to our full spectrum of orthopedic care services in our sub-specialty clinics, walk-in care at our OrthoQUICK clinics, imaging, bracing, therapy, surgery, and post-surgical stays at our Care Suites. Our expert teams are part of the 900+ employees who partner to provide quality services and care designed to support a healthier, more active lifestyle.

Summit Orthopedics is an Equal Opportunity/Affirmative Action Employer.



Requirements
Bachelors degree in related field preferred, or comparable level of experience or education/experience.

Minimum of 2 years of supervisory experience in a Business Office setting is required. Demonstrated ability to lead a team. Experience in working both reimbursement and front office preferred. Proficient in Excel, Word and other Office programs.


Application Instructions

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