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Medical Billing Manager - Linden, NJ in Linden, NJ at Vaco

Date Posted: 9/21/2018

Job Snapshot

  • Employee Type:
  • Location:
    Linden, NJ
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
  • Job ID:

Job Description

We are currently seeking a Medical Billing Manager for an immediate need. Candidate must have 5+ years working experience in a supervisory role.
  • Manages and directs accurate and timely claim submissions for Medicare, Medicaid, third party insurance billings and client billing within the guidelines of contractual agreements.
  • Audits billing submissions to ensure accuracy
  • Frequently reviews billing and revenue processes to ensure timely reimbursement
  • Responsible for critical data reports to administration and assisting with external agency audits
  • Acts as a resource to all internal departments, clients and third-party payers for billing compliance and regulatory matters
  • Monitor and manage the process of rejections and denials to ensure proper billing, including processing appeals within deadlines assigned by payer, correcting issues within state and federal regulatory guidelines and accurately documenting action taken
  • Protects the integrity and confidentiality of patient and company files
  • Oversee accounts receivable and payment posting, including assisting with reconciliation of financial records with billing reports
  • Responsible for the supervision, management, performance, training and development of all billing staff
  • Regularly review the needs of employees and maintaining adequate staffing levels
  • Perform other related duties incidental to the work described herein
  • Must be proficient in Medicaid, Managed Care, Medicare and other commercial third-party payers billing rules and regulations
  • Must have the ability to supervise, perform and prioritize multiple projects
  • Must possess an in-depth understanding of HIPPA regulations
  • Strong customer service, verbal and written communication skills
  • Ability to mentor and develop staff to a maximum level of performance
  • Knowledge of the laboratory credentialing process with Private Insurance Carriers

Education and Experience:

  • Associates degree with three years of progressively responsible experience (or a HS Diploma with 2-5 years of progressively responsible experience) in a laboratory or medical billing department
  • Minimum three years' experience working with medical billing software, with at least one year working with Laboratory Information System (LIS), and Emdeon Claim Processing System
  • Minimum two years' experience in a supervisory/management role
  • Must have an exceptional working knowledge of ICD-9 and ICD-10 coding and CPT coding
  • Computer proficiency including Microsoft Word, Excel, and QuickBooks
  • Self-starter and motivated with extraordinary attention to detail and accuracy