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Billing Manager
Wichita, Kansas, United States
Position Purpose:
The Billing Manager primary responsibility is managing the billing team and reimbursement process for oral surgery procedures. This may include verifying insurance coverage, coding claims accurately, submitting claims, following up on unpaid claims, and ensuring timely payments. The ideal candidate will have a strong understanding of oral surgery billing practices, dental and medical insurance processes, and exceptional attention to detail.
Essential Functions
- Possess strong business acumen. Lead the practice in attaining the operational levels that optimize productivity, efficiency, and profitability.
- Exhibit outstanding customer service with referrals and patients.
- Lead by example with Servant Leadership
- Support the company policies and procedures, and ensure they are being followed in the practice.
- Continually build and nurture a positive working relationship with the team.
- Ensure bank deposits are protected and made timely according to the established guidelines and protocols.
- Complete end of day balancing process by performing or monitoring the process.
- Monitor collections processes and reporting to maintain accounts receivable within target levels.
- Oversee automated patient communication systems and ensure effective usage.
- Follow HIPAA and OSHA policies and procedures and other applicable privacy and security policies and procedures to maintain patient privacy and protect patient information including financial, personal, and health information.
- Other duties may be required as needed.
Responsibilities:
- Insurance Verification and Coordination:
- Verify patient insurance eligibility and benefits before procedures.
- Obtain prior authorizations for oral surgery procedures when needed.
- Coordinate benefits between medical and dental insurance plans.
- Claims Submission and Management:
- Accurately verify codes and submit claims using ICD-10, CPT, and CDT codes.
- Ensure compliance with payer guidelines and regulatory requirements.
- Resolve discrepancies or denials in a timely manner.
- Accounts Receivable Management:
- Monitor aging reports and follow up on outstanding claims.
- Communicate with insurance companies to resolve claim issues or delays.
- Post insurance payments and adjustments accurately.
- Patient Billing and Communication:
- Prepare and send patient statements for balances owed.
- Help to handle patient billing inquiries and explain charges or insurance denials.
- Documentation and Reporting:
- Maintain accurate records of billing activities and insurance correspondence.
- Generate regular reports on accounts receivable, claims status, and payment trends and report those to practice leader and RCM advisor.
Qualifications:
Education/Certification:
- High School Diploma or equivalency, required.
- Associate’s degree or certification in medical/billing or coding, preferred.
Experience:
- Minimum of 2 years of experience in dental or medical billing (experience in oral surgery billing preferred).
- Knowledge of ICD-10, CPT, and CDT coding.
- Familiarity with dental/medical billing software (e.g., WinOMS, DSN, Sensei, etc).
- Knowledge of medical and dental insurance processes, including coordination of benefits.
Performance Requirements:
- Strong organizational skills
- Excellent communication and customer/patient-service capabilities.
- Ability to handle multiple tasks
- Ability to work in fast-paced environment
- Analytical and detail-oriented
- Able to work independently with exceptional initiative and sound judgment
- Ability to handle sensitive information confidentially.
- Positive attitude, change advocate, able to lead by example
Work Environment
- Must adhere to OSP safety procedures to minimize exposure to radiation and other potentially harmful elements used in the provision of medical services.
- Potential long hours standing on feet.
- Travel as required.
Physical Requirements
- Work requires hand dexterity for office machine operation, stooping and bending to files and supplies, mobility to complete errands, or sitting for extended periods of time.
- Occasionally lifting files or paper weighing up to 20 pounds.
- Occasionally work environment may be very stressful.
- May view computer screens for long periods of time.
- Occasional evening or weekend work may be required.
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